Practical recommendations for seborrheic dermatitis management: An expert consensus

Abstract

To establish consensus-driven practical recommendations for the clinical management of Seborrheic Dermatitis (SD), covering both acute treatment and long-term maintenance strategies. We conducted a modified Delphi consensus involving 33 dermatology experts under the auspices of the EADV. The process utilized an efficient, two-round, blinded voting structure to iteratively refine an initial list of 84 evidence-based statements, facilitating a structured convergence of expert opinion. The iterative Delphi process proved effective in building consensus. After the second round of voting on a refined list of 68 statements, a final consensus was achieved for 44 statements, with near-consensus for another 6. This demonstrates the method's efficiency in harmonizing expert opinion on key clinical questions. This consensus delivers clear, clinically actionable recommendations for managing SD. The key clinical implications include prioritizing combined antifungal and anti-inflammatory strategies for both acute flares and long-term maintenance. Furthermore, the consensus provides a structured framework for therapeutic escalation to systemic agents in extensive or refractory cases, offering practical guidance where formal guidelines are lacking.