Future directions
The new capabilities of measuring the state of the scalp
skin physiology with biomolecular markers facilitate a
greater understanding of pathophysiology of the D/SD
condition. New non-invasive measures will continue
to be developed in the future that can shed more light
on interactions between Malassezia and the epidermis.
There is still much to learn, for example, why does D/
SD of the scalp require a physical covering of hair?
Another critical question is why a commensal organismorganism
such as Malassezia triggers D/SD in some but
not others.