From: Sent: To: Subject: Karyna Shuliak Monday, lanuarigillIII IM patient question Dear Dr. Marmur, I am =orry to bother you out of the appointment time. I would greatly =ppreciate your advice when you have a moment please... My skin seem to get =orse every day. It is red overall with multiple red raised spots. The =exture is very rough and bumpy on both cheeks, temples and now the =orehead. It has also been itchy last night and this morning. The new =hing, that I have noticed since yesterday was itchy scalp and dandruff, =hich reminded me of the seborrheic dermatitis issue that you have =rought up at our last appointment. My current =kincare regimen is the following: AM: =racea Previse 1-2 =leanser Soolantra =ream HAS =oisturizer Elta MD UV =aily broad-spectrum SPF 40 PM: Previse 1-2 cleanser =nbsp; Ketoconazole 2% cream =nbsp; HAS moisturizer Please advice how do you think I should =roceed... Thank you very much! Karyna Shuliak 1 EFTA_R1_01157535 EFTA02296424