as a fellow long-term seborrheic dermatitis sufferer i can commiserate with you.
the advice given here is the best the medical community has to offer and it may help suppress your symptoms temporarily. unfortunately, it amounts to f*ck all when it comes to curing the condition. in fact, within days of stopping your chronic ketoconazole and steroid application the condition will return, like clockwork. i have been dealing with this for about 5 years - bad seb derm on my face, chest, and other locations on my body.
hate to break it to you man, but the dermatologist is going to be completely useless in getting rid of the condition. after a while, you will tire of putting the same crap on your face realizing that within days of stopping it will return worse than ever. i wish i had an answer for you, as i have been attempting a dietary "get to the root cause" of my skin problems approach after also breaking out in severe acne all of a sudden this summer. let me add i'm in my 30's (strange time to begin acne???), in excellent health, eat a diet completely devoid of refined carbohydrates and rife with anti-inflammatory compounds. it simply makes no sense, and you can probably sense my frustration.
my feelings on the field of dermatology could not be worse. they are both completely clueless and seemingly disinterested in finding the root cause of skin problems. in fact, it would seem in their best financial interest NOT to cure your problems but keep you coming back for prescription refills. i may sound cynical, but after years of poor experiences i have had it with dermatology and am committed to finding a way to get to the root of both my acne and seb derm. it is now clear the mainstream medical community will be of no help in doing so.
Edited by frederickson, 23 October 2008 - 04:45 AM.