{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:11:37Z","timestamp":1791231097139,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T00:00:00Z","timestamp":1776729600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100021201","name":"European Academy of Dermatology and Venereology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021201","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>To establish consensus\u2010driven practical recommendations for the clinical management of Seborrheic Dermatitis (SD), covering both acute treatment and long\u2010term maintenance strategies. We conducted a modified Delphi consensus involving 33 dermatology experts under the auspices of the EADV. The process utilized an efficient, two\u2010round, blinded voting structure to iteratively refine an initial list of 84 evidence\u2010based 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\u2010consensus 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\u2010inflammatory strategies for both acute flares and long\u2010term 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.<\/jats:p>","DOI":"10.1111\/jdv.70444","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T13:41:07Z","timestamp":1776778867000},"page":"1460-1468","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Practical recommendations for seborrheic dermatitis management: An expert consensus"],"prefix":"10.1111","volume":"40","author":[{"given":"L.","family":"Naldi","sequence":"first","affiliation":[{"name":"Department of Dermatology San Bortolo Hospital  Vicenza Italy"},{"name":"Study Centre of the Italian Group for the Epidemiologic Research in Dermatology  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3896-0309","authenticated-orcid":false,"given":"A.","family":"Kyrgidis","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery Aristotle University of Thessaloniki, Specialized Cancer Treatment and Reconstruction Center, General Hospital of Thessaloniki \u201cGeorge Papanikolaou\u201d  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. S.","family":"Tiplica","sequence":"additional","affiliation":[{"name":"2nd Department of Dermatology Colentina Clinical Hospital  Bucharest Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. A.","family":"de Rie","sequence":"additional","affiliation":[{"name":"Department of Dermatology Amsterdam University Medical Center  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Tatsis","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery Aristotle University of Thessaloniki, Specialized Cancer Treatment and Reconstruction Center, General Hospital of Thessaloniki \u201cGeorge Papanikolaou\u201d  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1777-9001","authenticated-orcid":false,"given":"P.","family":"Gisondi","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of Verona  Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8997-9889","authenticated-orcid":false,"given":"D.","family":"Ioannides","sequence":"additional","affiliation":[{"name":"1st Department of Dermatology and Venereology Medical School, Aristotle University  Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8400-4310","authenticated-orcid":false,"given":"O.","family":"Chosidow","sequence":"additional","affiliation":[{"name":"AP\u2010HP, H\u00f4pital Universitaire Piti\u00e9\u2010Salp\u00eatri\u00e8re, Facial Dermatosis Clinic, and Paris\u2010Est University  Cr\u00e9teil France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0593-9925","authenticated-orcid":false,"given":"M.","family":"Deleuran","sequence":"additional","affiliation":[{"name":"Department of Dermatology Aarhus University Hospital and Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Delphi SD study experts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,21]]},"reference":[{"issue":"2","key":"e_1_2_16_2_1","article-title":"Seborrheic dermatitis and dandruff: a comprehensive review","volume":"3","author":"Borda LJ","year":"2015","journal-title":"J Clin Investig Dermatol"},{"key":"e_1_2_16_3_1","volume-title":"StatPearls [Internet]","author":"Tucker D","year":"2024"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2013.01.001"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.15908"},{"issue":"3","key":"e_1_2_16_6_1","first-page":"185","article-title":"Diagnosis and treatment of seborrheic dermatitis","volume":"91","author":"Clark GW","year":"2015","journal-title":"Am Fam Physician"},{"issue":"5","key":"e_1_2_16_7_1","article-title":"Topical antifungals for seborrhoeic dermatitis","volume":"5","author":"Okokon EO","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"issue":"5","key":"e_1_2_16_8_1","article-title":"Topical anti\u2010inflammatory agents for seborrhoeic dermatitis of the face or scalp","volume":"2014","author":"Kastarinen H","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp0806464"},{"issue":"1","key":"e_1_2_16_10_1","first-page":"1","article-title":"The Delphi technique: making sense of consensus","volume":"12","author":"Hsu CC","year":"2007","journal-title":"Pract Assess Res Eval"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.im.2003.11.002"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.1684\/ejd.2024.4703"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.1159\/000444682"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2025.1136"}],"container-title":["Journal of the European Academy of Dermatology and Venereology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jdv.70444","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jdv.70444","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jdv.70444","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:05:44Z","timestamp":1787670344000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jdv.70444"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,21]]},"references-count":13,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/jdv.70444"],"URL":"https:\/\/doi.org\/10.1111\/jdv.70444","archive":["Portico"],"relation":{},"ISSN":["0926-9959","1468-3083"],"issn-type":[{"value":"0926-9959","type":"print"},{"value":"1468-3083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,21]]},"assertion":[{"value":"2025-08-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}