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The essential histologic feature is perivascular aggregation of cells rather selectively in the white matter

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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

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