QuestionSBA
QuestionChoice
An antihistamine may help reduce the pruritus, but will not address the disease process. A topical antifungal should be prescribed.
10035445
d
Cetirizine
QuestionChoice
This is a treatment for seborrhoeic dermatitis in babies (cradle cap) as they have little hair. Antifungal preparations should be used in adults.
10035443
b
Scalp massage with emollients
QuestionChoice
This may be considered for seborrhoeic dermatitis affecting the skin, however, applying a shampoo is most appropriate to treat the scalp and hair.
10035446
e
Clotrimazole cream
QuestionChoice
The clinical history and findings are consistent with seborrhoeic dermatitis, an inflammatory skin condition thought to be caused by an overgrowth of Malassezia yeasts. Topical ketoconazole shampoo is recommended as a first-line treatment for diseases affecting the scalp. Topical steroids may be added to control pruritus.
10035442
a
Ketoconazole shampoo
QuestionChoice
There are no indications for systemic steroids in this case.
10035444
c
A short course of oral steroids
Concept
Chapter
2693
6132
Seborrhoeic Dermatitis: Adults
Topic
144
Dermatology
19492
Ketoconazole shampoo is an effective first-line treatment for seborrhoeic dermatitis, characterised by greasy scales and itching on the scalp.
A university student visits his GP with severe scalp itching that he has experienced for a few months. He is becoming self-conscious as he is also experiencing large volumes of dandruff and flaking of the skin at his hairline.

On examination, greasy white scales are present on the scalp and at the hairline. He has a past medical history of asthma and has no drug allergies.

Which of the following will most likely improve his symptoms?
a