chronic inflammatory disorder affecting areas of the head and trunk where sebaceous glands are most prominent. The cause of seborrheic dermatitis remains unknown, although many factors, including hormonal, have been implicated. One of the characteristics of seborrheic dermatitis is dandruff, characterized by a fine, powdery white scale on the scalp. Many patients complain of the scalp itching with dandruff, and because they think that the scale arises from dry skin, they decrease the frequency of shampooing, which allows further scale accumulation. Inflammation then occurs and their symptoms worsen. Hygiene issues play a key role in controlling seborrheic dermatitis. Frequent cleansing with soap removes oils from affected areas and improves seborrhea. Outdoor recreation, especially during summer, will also improve seborrhea, although caution should be taken to avoid sun damage. Apply selsun blue (selenium sulfide 1% ) shampoo 5- to 10-minute application daily initially and then twice weekly as needed. For severe disease, keratolytics such as shampoo containing salicylic acid or coal tar preparations may be used to remove dense scale; then topical steroids may be applied. Other options for removing adherent scale involve applying any of a variety of oils (peanut, olive or mineral) to soften the scale overnight, followed by use of a detergent or coal tar shampoo. Please consult a good dermatologist for proper assessment and treatment. Regards