Question

An otherwise healthy 15 year old male comes to his physician with the complaint of facial acne. He has tried multiple over-the-counter acne washes without improvement, and he and his mother are hopeful that a medication will help. The patient's diet is acceptable but does include large amounts of fast food. He is under a moderate amount of stress juggling school and his competitive traveling soccer team, but both he and his mom feel that he is handling this well. On physical exam, the patient's face has scattered open and closed comedones and a few small papules. No scarring is noted, and his back and upper arms are not affected. What is the most appropriate initial step in the management of this patient?

A. Isotretinoin
B. Topical retinoid
C. Oral erythromycin
D. Reassurance
E. Avoidance of greasy foods

Answer 1

The most appropriate initial step in the management of this patient with facial acne is topical retinoid.

Step-by-step explanation:

The most appropriate initial step in the management of this patient with facial acne is topical retinoid. Acne is a skin condition that occurs due to the overproduction of sebum and blockage of hair follicles. Topical retinoids help to reduce inflammation and promote the shedding of dead skin cells, which can help to unclog the pores. They are considered as first-line treatment for mild to moderate acne.