Clinical Challenge: A Rash on the Nasolabial Folds, Eyelashes, and Scalp

The patient is a 68-year-old male presenting for treatment of a rash affecting his nasolabial folds, eyelashes, forehead, and scalp. He complains that the condition is itchy and unsightly and that it is most severe in the colder months. Medical history is positive for hypertension, cigarette smoking, and moderate alcohol use. Examination reveals erythema and scaling of the affected areas.