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A red rash on the face

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A 28-year-old man came to the office with a rash on his face. He reported he has had this rash on and off for 3 years. The rash sometimes itches around his moustache, and it gets worse with stress—he has been under increasing stress for the past 2 months. He is in good health and does not have any other symptoms, and he denies any risk factors for human immunodeficiency virus (HIV).

Physical examination reveals erythema and scale across his eyebrows, cheeks, and near his moustache. On close inspection, the scale is visible under his moustache and eyebrows as well.

FIGURE 1
Erythema on the face

This patient has a red, itchy rash across his eyebrows, cheeks, and near his moustache.

FIGURE 2
Close-up of erythema

The rash around the patient’s mustache.

What is the diagnosis?
What are the management options?

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