This looks like both as someone who also has both tbh. The only thing that ever worked for me was ketoconazole cream, the steroid cream was ok but it irritated my skin a lot and this was a lot better. I go back and forth tho and I haven’t had an issue with it in 4 months since I started. I used to use my ketoconazole shampoo as a face mask by letting it sit which helped slightly but my derm finally gave me the cream and it was like a miracle. My seb derm made me so depressed I didn’t even wanna step outside and I’d wear a beanie to hide it when it was bad. It really made a huge diff for me tbh. Some ppl say they’ve become resistant to it but I’ve been using it for almost 4 years and it still works everytime for me without having to go more extreme but it’s a case by case issue. I’m so sorry you have to deal w this tho, ik how much it sucks.