Emedinews:Makesure: A patient presents with recurrent scaling and itching of the scalp not responding to antikeratolytic agents.

Situation: A patient presents with recurrent scaling and itching of the scalp not responding to antikeratolytic agents.
Reaction: Oh my God! I forgot to prescribe antifungal agents.
Lesson: Make sure that patients with dandruff and seborrhoeic dermatitis are prescribed antifungal medications. Recent studies implicate pityrosporium yeast infection as the underlying cause.