Snapshot A 40-year-old man with history of HIV infection presents to the clinic with a red, flaky rash around his scalp, face, nose, and ears. He has tried low-dose topical steroids, which have not helped. He would like stronger therapy for his rash. Introduction Common, chronic, inflammatory skin disease that results from login to view 2 more bullets Affects all ages login to view 2 more bullets More severe in login to view 2 more bullets Presentation Symptoms login to view 3 more bullets Physical exam login to view 7 more bullets Evaluation Diagnosis is made by clinical history and exam login to view 1 more bullet KOH prep login to view 1 more bullet Differential Fungal infection Cutaneous lupus Acne rosacea Treatment Medical management login to view 8 more bullets Prevention and Complications Prevention login to view 2 more bullets Complications login to view 1 more bullet Prognosis Most infections respond well to therapy May recur, especially in immunocompromised individuals