Anna K. Allred, BS Nancye K. McCowan, MS, MD Robert Brodell, MD University of Mississippi Medical Center (Ms. Allred); Division of Dermatology, University of Mississippi Medical Center, Jackson (Drs. McCowan and Brodell); University of Rochester School of Medicine and Dentistry, NY (Dr. Brodell) rbrodell@umc.edu
DEPARTMENT EDITOR Richard P. Usatine, MD University of Texas Health Science Center at San Antonio
Ms. Allred and Dr. McCowan reported no potential conflict of interest relevant to this article. Dr. Brodell serves on speaker’s bureaus for Allergan, Galderma, and PharmaDerm, has served as a consultant and on advisory boards for Galderma, and is an investigator/received grant/research support from Genentech.
A 13-year-old African American male presented with a 2-year history of a mildly pruritic central facial rash (FIGURE) and dandruff. Recent treatment with hydrocortisone 1% cream and nystatin cream (100,000 U/gm) for 1 week resulted in no improvement.
The patient had no history to suggest an allergic contact dermatitis or drug allergy. He had confluent scaling and erythema with hypopigmentation in the nasomesial folds and eyebrows, and diffuse scaling and erythema throughout his scalp.
WHAT IS YOUR DIAGNOSIS? HOW WOULD YOU TREAT THIS PATIENT?
