|
|
|||
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
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.
HOME | SUBSCRIBE | SEARCH | CURRENT ISSUE | PAST ISSUES | COLLECTIONS | PRIVACY | TERMS OF USE | HELP | beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2010 Massachusetts Medical Society. All rights reserved. |