A 29-year-old man attends your clinic with a 4-year history of a recurrent and itchy facial eruption that he feels is unsightly. He notices the eruption is worse in the winter and tends to improve over the summer. He is currently studying for business exams and feels the associated stress has triggered the current flare. He avoids soaps, which make his face sore, and recently has reduced his alcohol intake to improve his eruption. He is otherwise well and on no medication.
Examination
A full examination is unremarkable except for the skin of his face, neck, central chest and scalp. There are poorly defined erythematous patches with overlying adherent greasy scale affecting his nasolabial folds and extending onto his cheeks. His eyebrows, scalp, nape of his neck and central chest are similarly affected.
Like
Answers
Save
Share