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Typical features include: Winter flares, improving in summer following sun exposure Minimal itch most of the time Combination oily and dry mid-facial skin Ill-defined localised scaly patches or diffuse scale in the scalp Blepharitis: scaly red eyelid margins Salmon-pink, thin, scaly, and ill-defined plaques in skin folds on both sides of the face Petal or ring-shaped flaky patches on the hairline and on anterior chest Rash in the armpits, under the breasts, in the groin folds, and genital creases Malassezia folliculitis (inflamed hair follicles) on the cheeks and upper trunk

This is a sign of childhood that is observed until middle school age: But, if, due to the development of the correct position of the tongue on the palate, a person doesnt develope the adult type of swallowing (in which the maxillae move forward and upward and expand, forming a triangle of youth, and not a childs plate-moon) , then these cute childrens cheeks, losing their tone, then they simply turn into jowls: And thus, the transformation from the child type of face to the old age pyramid immediately occurs

Month 12: Bloodwork comprehensive panel including B12, MMA, homocysteine

doi:10.17245/jdapm.2022.22.2.97 Sikiric P, Seiwerth S, Rucman R, et al

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