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The seborrheic dermatitis‐distributed dermatomyositis: A facial cutaneous lesions sign associated with positive anti‐MDA5 antibody

A 23-year-old otherwise healthy man presented with four-month history of facial itching cutaneous lesions to our allergy department. As per his own description, the lesions only involve the T zones at the onset, and it had been slowly enlarging and spreading to the forehead, glabellum and both cheek areas for four months with obvious itching. He denied the use of multiple cosmetics and used only moisturizers on a daily basis. The physical examination revealed well-demarcated, erythematous patches with greasy-looking, yellowish scales distributed on forehead, glabellum and both cheek areas without typical telangiectasia (Fig,a).