Therapeutic target
Improvement of symptomatology.
Therapy recommendations
- Skin care with soap-free syndetsNote: Skin care products with high lipid content should not be used.
- Topical antifungals (antifungals used topically) are agents of choice: e.g., clotrimazole 2%, ketoconazole (e.g., as a shampoo)Alternatively, shampoos containing zinc pyrithione or selenium disulfide (selenium disulfide 2.5%: Keratolytic; horn-dissolving active ingredient; also antimicrobial).
- Corticoidehaltige Externa (means for external use): for stronger inflammatory foci; short-term use.
- Creams containing erythromycin (antibiotic) 1%, ketokonazole (antifungal), metronidazole (antibiotic; cream or gels) or selenium disulfide can be used to stabilize the skin condition.
- Systemic treatment in pronounced cases or multiple recurrences: try tetracycline: 1 g/day p.o. in week 1, 0.5 g/day p.o. in week 2 and 0.25 g/day p.o. in week 3.
Supplements (dietary supplements; vital substances)
Suitable supplements for skin, hair and nails should contain the following vital substances:
- Vitamins (A, C, D3, E, B1, B2, B3, B5, B6, B12, folic acid, biotin).
- Trace elements (iron, copper, manganese, molybdenum, selenium, zinc).
- Fatty acids (omega-3 fatty acids: eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA); omega-6 fatty acids: gamma-linolenic acid (GLA)).
- Secondary plant compounds (eg, beta-carotene; green tea, grape seed / olive polyphenols; lycopene).
- Other vital substances (silica; coenzyme Q10).
Note: The listed vital substances are not a substitute for drug therapy. Food supplements are intended to supplement the general diet in the particular life situation.
