A 58-year-old man presents for evaluation of a facial rash. He is convinced, from internet research, that he has systemic lupus erythematosus.
A 58-year-old man presents for evaluation of a facial rash. He is convinced, from internet research, that he has systemic lupus erythematosus.
Key point: The eruption does not actually follow the malar area (across the zygoma), but instead goes down the nasolabial folds and also involves the moustache area. There is abundant thick, greasy scale present. This is a classic picture of seborrheic dermatitis, albeit fairly severe.
Treatment: The rash resolved completely following 3 weeks of twice daily application of ketoconazole cream.
Note: This chronic disorder may require periodic application of an azole antifungal or low potency corticosteroid cream to prevent recurrence.
Primary Viewpoints Episode 7: Antidepressants for Back Pain, Osteoarthritis Pain
February 25th 2021Listen to our newest podcast episode where the lead author of a recent meta-analysis shares his findings on the safety and efficacy of antidepressant medications to treat back and osteoarthritis pain.
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May 14th 2012Anxiety is even more common than depression among people who have arthritis, a new study has shown. Here to discuss the implications for diagnosis and treatment is Eilzabeth Lin MD, a family medicine physician who is a longstanding researcher in the field of depression and pain.