<table><tr><th>From:</th><th>Karyna Shuliak</th></tr><tr><td>Sent:</td><td>Monday, January 9, 2017 8:09 PM</td></tr><tr><td>To:</td><td></td></tr><tr><td>Subject:</td><td>patient question</td></tr></table>

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