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Bispebjerg Hospital - a part of Copenhagen University Hospital
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Evidence-based Danish guidelines for the treatment of Malassezia-related skin diseases

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DOI

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  • Marianne Hald
  • Maiken C Arendrup
  • Else L Svejgaard
  • Rune Lindskov
  • Erik K Foged
  • Ditte Marie L Saunte
  • Danish Society of Dermatology
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Internationally approved guidelines for the diagnosis and management of Malassezia-related skin diseases are lacking. Therefore, a panel of experts consisting of dermatologists and a microbiologist under the auspices of the Danish Society of Dermatology undertook a data review and compiled guidelines for the diagnostic procedures and management of pityriasis versicolor, seborrhoeic dermatitis and Malassezia folliculitis. Main recommendations in most cases of pityriasis versicolor and seborrhoeic dermatitis include topical treatment which has been shown to be sufficient. As first choice, treatment should be based on topical antifungal medication. A short course of topical corticosteroid or topical calcineurin inhibitors has an anti-inflammatory effect in seborrhoeic dermatitis. Systemic antifungal therapy may be indicated for widespread lesions or lesions refractory to topical treatment. Maintenance therapy is often necessary to prevent relapses. In the treatment of Malassezia folliculitis systemic antifungal treatment is probably more effective than topical treatment but a combination may be favourable.

Original languageEnglish
JournalActa Dermatovenereologica
Volume95
Issue number1
Pages (from-to)12-9
Number of pages8
ISSN0001-5555
DOIs
Publication statusPublished - Jan 2015

    Research areas

  • Administration, Cutaneous, Adrenal Cortex Hormones, Anti-Inflammatory Agents, Antifungal Agents, Calcineurin Inhibitors, Dermatitis, Seborrheic, Dermatology, Drug Administration Schedule, Drug Therapy, Combination, Evidence-Based Medicine, Folliculitis, Humans, Malassezia, Time Factors, Tinea Versicolor, Treatment Outcome

ID: 46024101