Patients should be told that treatment is not expected to result in a cure. Treatment is aimed at relieving signs and symptoms of disease; the eruption will return after treatment ceases. Shampoos can be used on the scalp and other hair-bearing areas. These include shampoos containing zinc pyrithione (Head and Shoulders), selenium sulfide (Selsun or extra-strength Head and Shoulders), salicylic acid (Neutrogena T-Sal), or tar preparations (Neutrogena T-Gel). Nizoral shampoo can be effective as well and is now available over-the-counter. Seborrheic dermatitis is very responsive to low-potency corticosteroids. Hydrocortisone 1% cream can be used in mild cases, while hydrocortisone 2.5% cream or desonide (DesOwen) cream or lotion may be required initially in more severe cases. If these initial treatment options fail, the patient should be instructed to follow up with a dermatologist.
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.