35 guides
Condition protocols for adults
How Dr. Harlan typically treats adult patients for a wide range of chronic, recurring skin conditions.
- Actinic DermatitisHow Dr. Harlan treats adult actinic dermatitis: sun-damaged facial and scalp skin with redness and sandpaper-like rough spots, using SmartLotion twice a day for up to two weeks, then a taper.
- Atopic Dermatitis / EczemaDr. Harlan's comprehensive protocol for treating atopic dermatitis and eczema in adults with SmartLotion, including body and facial application guides.
- Brachioradial PruritusBrachioradial pruritus causes itching, stinging, or burning on the outer forearms, upper arms, and shoulder tops. Dr. Harlan has patients follow his neurogenic-itch instructions.
- Combination SkinTreat combination skin irritation from acne treatments or harsh products with Dr. Harlan's SmartLotion protocol for adults. Dosing and taper guide.
- Contact DermatitisTreat contact dermatitis—a red, itchy rash from allergens or irritants—with Dr. Harlan's SmartLotion protocol for adults. Includes dosing and taper guide.
- DermatomyositisTreat dermatomyositis—dark red rash on face and eyelids with muscle weakness—with Dr. Harlan's SmartLotion protocol. Includes dosing and taper guide.
- Disseminated Superficial Actinic Porokeratosis (DSAP)How Dr. Harlan treats adult DSAP, reddish-brown scaly spots caused by abnormal sun sensitivity: SmartLotion twice a day for up to four weeks, plus a cholesterol cream from a compounding pharmacy.
- Dyshidrotic EczemaTreat dyshidrotic eczema—tiny fluid-filled blisters on hands and feet—with Dr. Harlan's SmartLotion protocol. Includes dosing and tapering guide.
- Flexure Rash, Intertrigo or Flexure PsoriasisTreat flexure rash, intertrigo, or flexure psoriasis in adults—commonly found in underarms, groin, and skin folds—with Dr. Harlan's SmartLotion protocol.
- Follicular Inflammation (Shaving Rashes)Dr. Harlan's SmartLotion protocol for adult shaving rashes and follicular inflammation from mechanical irritation, yeast and bacterial overgrowth, or all three. Seborrheic dermatitis or psoriasis can contribute.
- FolliculitisHow Dr. Harlan treats adult folliculitis, heat-related bumps from irritated follicles, including yeast and bacteria: SmartLotion twice a day for up to two weeks, less sweating, and daily moisturizer.
- Grover's DiseaseFor adult Grover's disease, sudden red, raised, sometimes very itchy spots around the mid-body, Dr. Harlan finds SmartLotion twice a day helpful for management.
- Guttate PsoriasisHow Dr. Harlan treats guttate, a rare drop-shaped psoriasis, in adults: SmartLotion four times a day for up to four weeks.
- Heat RashTreat heat rash with SmartLotion. Dr. Harlan recommends 2-3x daily application for up to 2 weeks, then tapering to 1x per day for prevention.
- HeliodermatitisHow Dr. Harlan treats adult heliodermatitis, chronic sun damage that stays red, rough, or scaly, with SmartLotion twice a day for up to two weeks and then a taper.
- Hidradenitis SuppurativaHow Dr. Harlan uses SmartLotion for adult hidradenitis: twice a day for irritation and redness from inflamed, infected sweat glands where skin rubs, such as the armpits, groin, and buttocks.
- HivesHow Dr. Harlan treats adult hives, itchy raised red or skin-colored welts: apply SmartLotion up to four times a day, or less, until the hives are gone.
- Keratosis Pilaris (KP)Dr. Harlan's treatment for keratosis pilaris (KP) in adults: rough, red bumps on upper arms and thighs treated with SmartLotion and moisturizing.
- Lichen Planus / Lichen Simplex ChronicusTreatment protocol for lichen planus and lichen simplex chronicus—purplish, itchy flat-topped bumps—using SmartLotion as directed by Dr. Harlan.
- Lupus RashHow Dr. Harlan treats an adult lupus rash, including the butterfly rash on the cheeks and nose: SmartLotion three to four times a day for two to three weeks.
- NeurodermatitisTreat neurodermatitis—a large, raised, bumpy, thickened itchy patch of skin—with Dr. Harlan's SmartLotion protocol. Dosing and taper guide included.
- Neurogenic ItchDr. Harlan's protocol for neurogenic itch: moisturizing, ice therapy, antihistamines, and SmartLotion application to manage itching without rash.
- Nummular DermatitisTreat nummular dermatitis—small, scaly, coin-shaped rashes or sores—with Dr. Harlan's SmartLotion protocol for adults. Dosing and taper guide included.
- Perioral DermatitisTreat perioral dermatitis—facial patchy redness with small bumps around the mouth—with Dr. Harlan's SmartLotion protocol. Dosing and taper guide included.
- Perivascular DermatitisTreat perivascular dermatitis—clusters of inflamed skin cells around blood vessels—with Dr. Harlan's SmartLotion protocol for adults. Dosing guide included.
- Polymorphous Light Eruption (PMLE)Treat polymorphous light eruption (PMLE)—a sun-triggered rash with possible fever and chills—with Dr. Harlan's SmartLotion protocol for adults.
- PsoriasisFor adult psoriasis, Dr. Harlan uses SmartLotion twice a day to help primary treatments work better, and once a day for long-term prevention. He says it works great with biologic therapy.
- Rhus DermatitisHow Dr. Harlan treats adult rhus dermatitis from poison ivy, oak, or sumac: SmartLotion two to four times a day for up to two weeks. Avoid re-exposure and heavy exercise; antihistamines can ease itch.
- RosaceaTreat rosacea—facial redness with swollen bumps and visible blood vessels—with Dr. Harlan's SmartLotion protocol. Dosing and taper instructions included.
- Scalp PsoriasisHow Dr. Harlan treats adult scalp psoriasis: alternate a salicylic acid shampoo with a ketoconazole or tar shampoo, and apply SmartLotion to the scalp at night. Patients typically improve dramatically within four weeks.
- Scalp Scaling / ItchingFor chronic scalp scaling and itching, including scalp seborrheic dermatitis: rotate DHS Zinc and ketoconazole shampoo daily. If needed, apply SmartLotion to the scalp once a night for up to four weeks.
- Seborrheic DermatitisTreat seborrheic dermatitis—scaling skin, redness, and itching—with Dr. Harlan's SmartLotion protocol for adults. Includes application and taper guide.
- Spongiotic DermatitisTreat spongiotic dermatitis—red, itchy areas from fluid buildup in the skin—with Dr. Harlan's SmartLotion protocol. Dosing and tapering guide included.
- Stasis DermatitisHow Dr. Harlan treats adult stasis dermatitis, itching and discoloration of the ankles or shins: SmartLotion three times a day for up to three weeks, moisturizer, Ace wraps, and keeping the legs elevated.
- Topical Steroid Withdrawal (TSW)Dr. Harlan's approach to topical steroid withdrawal (TSW) using SmartLotion, which is safe for long-term use and helps speed recovery from TSW symptoms.
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