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A 54-year-old white man presented with a facial eruption that had developed during
the preceding week. His primary complaints were worsening erythema and mild pruritus.
On examination, the patient’s face was marked by symmetric areas of blotchy to confluent
macular erythema around his mustache, in the nasolabial folds and nasofacial sulci,
and on his eyebrows (Figure 1). Yellow-tan, coarse scale was evident on his ears. The patient had not attempted to
self-treat with over-the-counter preparations.
Figure 1The patient notes that the erythema began the week before and has been worsening.