Experts' View on the Management of Scalp Seborrheic Dermatitis in Italy
March 2026
in “
Journal of Dermatological Treatment
”
TLDR Use topical antifungals and selenium disulfide for scalp seborrheic dermatitis, with corticosteroids for severe cases.
The document outlines expert recommendations for managing scalp seborrheic dermatitis (SSD) in Italy, highlighting the importance of accurate diagnosis and treatment tailored to disease severity. Topical antifungals are recommended as the primary treatment, with selenium disulfide noted for its effectiveness in symptom control and maintenance. Corticosteroids may be used for moderate-to-severe cases but with caution due to side effects. Systemic antifungals are reserved for severe cases, requiring careful monitoring. The proposed treatment algorithm emphasizes maintenance therapy to prevent relapse. While based on expert opinion, these guidelines offer practical advice for Italian dermatologists, with a call for future research to validate the algorithms and investigate the scalp microbiome's role in SSD.