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Practical recommendations for seborrheic dermatitis management: An expert consensus.

L Naldi1,2, A Kyrgidis3, G S Tiplica4

  • 1Department of Dermatology, San Bortolo Hospital, Vicenza, Italy.

Journal of the European Academy of Dermatology and Venereology : JEADV
|April 21, 2026
PubMed
Summary
This summary is machine-generated.

This study established expert consensus for managing Seborrheic Dermatitis (SD). Key recommendations emphasize combined antifungal and anti-inflammatory treatments for acute flares and maintenance.

Keywords:
Delphi techniqueantifungal agentsguidelinepractical recommendationscalp dermatosesseborrheic dermatitis

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Area of Science:

  • Dermatology
  • Clinical Consensus
  • Evidence-Based Practice

Background:

  • Seborrhoeic dermatitis (SD) requires effective clinical management strategies.
  • Existing guidelines may lack comprehensive approaches for acute and long-term care.
  • Expert consensus is needed to provide practical, actionable recommendations.

Purpose of the Study:

  • To develop consensus-driven practical recommendations for Seborrheic Dermatitis (SD) management.
  • To cover both acute treatment and long-term maintenance strategies for SD.
  • To provide guidance for therapeutic escalation in refractory cases.

Main Methods:

  • Modified Delphi consensus methodology involving 33 dermatology experts.
  • Two-round, blinded voting structure to refine evidence-based statements.
  • Iterative process to achieve convergence of expert opinion on clinical questions.

Main Results:

  • Consensus achieved on 44 statements, with near-consensus on 6 additional statements.
  • Demonstrated efficiency of the Delphi method in harmonizing expert opinion.
  • Established clear, clinically actionable recommendations for SD management.

Conclusions:

  • Prioritize combined antifungal and anti-inflammatory strategies for acute SD flares and maintenance.
  • Provides a structured framework for escalating therapy to systemic agents when needed.
  • Offers practical guidance for managing extensive or refractory Seborrheic Dermatitis cases.