The spectrum of disease known as dandruff/seborrhoeic dermatitis has been shown to be due to infection of the skin by the Pityrosporon species of fungus. Ketoconazole shampoo has been shown to suppress effectively both the organism's growth and the symptoms and signs of the clinical disorder.Dandruff and seborrhoeic dermatitis are different expressions of the same disease spectrum. Dandruff is characterised by white, dry, loose scaling and mild pruritus of the scalp. These symptoms can occur in isolation or together. Seborrhoeic dermatitis can be defined as an acute, subacute or chronic scaly disease affecting the areas of sebaceous activity. It can affect the scalp, hairline and forehead; the face, in particular the nasolabial folds, and hair-bearing areas; the sternum and interscapular regions, and the retroauricular area and external ear canal. The most frequent symptom is scaling, which may be dry, grey and flaky or yellowish and greasy; it is also often associated with pruritus and erythema. Over-production of sebum does not occur. On the scalp seborrhoeic dermatitis is characterised by diffuse, yellowish, greasy scales, which may form crusts and extend to the hairline and forehead. It is simply a severe form of dandruff and, as such, has proved until recently a difficult disorder to treat. Increasing evidence as to the cause of this spectrum has, however, improved the outlook for all cases.