Autumn is a transitional period characterized by decreasing temperatures, lower humidity, reduced ultraviolet exposure, and changes in daily routines. These environmental shifts affect skin hydration, immune regulation, and the cutaneous microbiome. After the heat and intense sunlight of summer, the skin begins to lose moisture more rapidly, while inflammatory pathways may become more active. Clinical observations and epidemiological data from dermatology practice show that several skin conditions tend to emerge or worsen during autumn. Among the most commonly encountered are seborrheic dermatitis, psoriasis vulgaris exacerbations, and pityriasis versicolor.
Why Does Seborrheic Dermatitis Often Flare in Autumn?
Seborrheic dermatitis is a chronic, relapsing inflammatory skin condition that primarily affects areas rich in sebaceous glands, such as the scalp, face, and upper trunk. It is closely associated with the proliferation of Malassezia species and an abnormal inflammatory response to these yeasts. In autumn, the combination of a weakened skin barrier and changes in sebum composition provides an ideal environment for Malassezia to induce an inflammatory response.
Clinically, seborrheic dermatitis presents as erythematous patches with greasy, yellowish scales. On the scalp, it manifests as dandruff or diffuse scaling, while facial involvement commonly affects the nasolabial folds and eyebrows. The condition is not contagious, but it tends to recur and may significantly affect quality of life due to visible scaling and pruritus.

How Does Psoriasis Vulgaris Change During Autumn?
Psoriasis vulgaris is a chronic immune-mediated disease characterized by hyperproliferation of keratinocytes and persistent inflammation. Many patients experience seasonal variation, with improvement during summer and worsening in autumn and winter. Reduced exposure to natural sunlight in autumn is a major contributing factor, as ultraviolet radiation has well-established immunomodulatory effects that suppress psoriatic inflammation.
In autumn, patients may notice the gradual reappearance or thickening of plaques. Classic lesions are well-demarcated, erythematous plaques covered by silvery-white scales, most commonly on the scalp, elbows, knees, and lower back.

Why Does Pityriasis Versicolor Become Apparent in the Autumn?
Pityriasis versicolor is a superficial fungal infection caused by an overgrowth of Malassezia species, the same genus involved in seborrheic dermatitis. While the condition often develops during warm and humid months, it is frequently diagnosed in autumn when residual lesions become more apparent. After summer tanning fades, the contrast between affected and unaffected skin becomes more noticeable.
The disease presents as hypo- or hyperpigmented macules with fine scaling, commonly distributed on the upper trunk, neck, and proximal arms. Inflammation is usually minimal, and symptoms such as itching are mild or absent. Although pityriasis versicolor is benign, its pigmentary changes can persist for months, leading patients to seek medical evaluation in autumn.

How Can the IBOOLO DE-4100 PRO Differentiate These Conditions?
Accurate diagnosis is essential because the treatment for a fungal infection like pityriasis versicolor differs fundamentally from the treatment for inflammatory conditions like psoriasis. Dermoscopy can enable visualization of subsurface skin structures, including vascular patterns and scale distribution, which are not visible to the naked eye. The IBOOLO DE-4100 PRO dermatoscope is a powerful diagnostic tool that allows clinicians to distinguish between these conditions through high-resolution visualization.
(1) Seborrheic Dermatitis
Under the IBOOLO DE-4100 PRO, seborrheic dermatitis typically displays a disorganized vascular pattern consisting of thin, dotted, or short linear vessels over a yellowish-pink background. The 10X magnification is particularly effective at highlighting the “greasy” yellow scales clustered around hair follicles.
(2) Psoriasis Vulgaris
In contrast, psoriasis presents a highly regular profile. The clinician will observe uniform red dots (glomerular vessels) distributed evenly across the entire lesion. The polarized light mode of the IBOOLO device is especially useful for visualizing the “silvery-white” scales, which appear bright and prominent.
(3) Pityriasis Versicolor
The IBOOLO DE-4100 PRO offers a distinct advantage for diagnosing pityriasis versicolor through its integrated UV light mode. Under UV light, the Malassezia yeast often exhibits a characteristic golden-yellow or orange-copper fluorescence. This allows the physician to confirm a fungal origin quickly and non-invasively.

How Can Autumn Skin Conditions Be Prevented or Minimized?
Preventing autumn skin exacerbations requires a proactive approach to barrier maintenance. As the humidity begins to drop, individuals should switch to richer, emollient-based moisturizers that contain barrier-repairing ingredients such as ceramides and fatty acids. This prevents micro-cracking.
For seborrheic dermatitis and pityriasis versicolor, maintaining a balanced skin microbiome is key. The use of antifungal cleansers once or twice a week can help keep yeast populations under control. For psoriasis patients, avoiding triggers such as harsh soaps is crucial. Since natural UV light is scarce, some patients may benefit from medically supervised phototherapy to replace the lost sunlight of summer.
Lifestyle factors also play a role. Managing stress, maintaining regular sleep patterns, and addressing intercurrent infections support immune balance during seasonal transitions. Although not all autumn skin conditions can be fully prevented, early intervention significantly reduces disease burden.






