•Tape strips and surface culture methods only identifysuperficial populations. Some cases withoutelevated surface populations will respond to anti-yeast therapy
•Could ketoconazole have been used to deal with theMalassezia?
•Signs were mild and did not justify ketoconazole anunlicensed product.
•Ketoconazole inhibits steroidogenesis and wouldhave complicated the interpretation of subsequentendocrine assessments