Objective: The in vitro antifungal activity of lithium succinate has b
een evaluated against 46 different Malassezia furfur strains, isolated
from patients suffering from dandruff, seborrheic dermatitis, and pit
yriasis versicolor. Methods: Minimum inhibitory concentrations of lith
ium succinate were measured by the agar dilution technique. Results: L
ithium succinate was found to be able to inhibit growth of all investi
gated M. furfur isolates in vitro but at much higher concentrations th
an those which are normally used for susceptibility testing, Minimum i
nhibitory concentrations between 1,250 and 10,000 mu g/ml were determi
ned. When compared to the 8% lithium succinate ointment, the investiga
ted concentrations are even far below this 8% value, Conclusions: It i
s suggested that the effect of lithium succinate ointment in seborrhei
c dermatitis therapy in vivo may be at least partly due to an antifung
al activity of the agent.