Experts' View on the Management of Scalp Seborrheic Dermatitis in Italy

This document presents a structured approach to managing scalp seborrheic dermatitis (SSD) in Italy, based on insights from Italian dermatology experts. Accurate diagnosis involves medical history, clinical evaluation, disease severity assessment, and trichoscopy, with differentiation from similar conditions like psoriasis and eczema. First-line treatment includes topical antifungals to reduce Malassezia colonization. For moderate-to-severe cases, topical anti-inflammatory agents, such as corticosteroids, are recommended but should be used cautiously due to potential side effects. Selenium disulfide is highlighted for its multifaceted benefits and high patient satisfaction, suitable for both acute and long-term management. Systemic antifungals are reserved for refractory cases. This expert consensus integrates clinical experience with scientific evidence to guide SSD management.