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Previous Volume 360:387-396 January 22, 2009 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 35-year-old man reports itching, redness, and scaling in his scalp, eyebrows, and external auditory canal. He has tried several over-the-counter dandruff shampoos, with only temporary relief, and he is increasingly embarrassed by this problem. Physical examination reveals greasy scaling on the scalp and erythema with yellowish scales in the nasolabial creases. How should his case be managed?

The Clinical Problem

Seborrheic dermatitis is a . . . [Full Text of this Article]

Strategies and Evidence

Diagnosis

Management

            Topical Antifungal Agents

            Topical Corticosteroids

            Selenium Sulfide Preparations

            Topical Lithium Salts

            Topical Calcineurin Inhibitors

            Other Topical Therapies

            Phototherapy

            Systemic Antifungal Therapy

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Dermatology (L.N.) and Centro Studi Gruppo Italiano Studi Epidemiologici in Dermatologia (L.N., A.R.), Ospedali Riuniti, Bergamo; and the Section of Dermatology, Department of Endocrinologic and Medical Sciences, University of Genoa, Genoa (A.R.) — both in Italy.

An audio version of this article is available at NEJM.org.

Address reprint requests to Dr. Naldi at Centro Studi GISED, Ospedali Riuniti, Largo Barozzi 1, 24128 Bergamo, Italy, or at luigi.naldi@gised.it.

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