Question

A patient comes to the clinic today with complaints of a "sun rash". She noticed the rash began after swimming in the pool with her daughter. The patient does not have any other complaints. Upon assessment the nurse practitioner notes multiple hypopigmented round macules on the chest, shoulder, and back. A KOH slide reveals hyphae and spores. The most appropriate treatment option for this patient is:

a. Hydrocortisone 2.5%
b. Ketoconazole (Nizoral)
c. Tazarotene
d. Nystatin cream

Answer 1

The most appropriate treatment option for the patient's sun rash with hypopigmented round macules is Ketoconazole (Nizoral).

Step-by-step explanation:

The most appropriate treatment option for this patient is Ketoconazole (Nizoral).

Based on the patient's symptoms of a "sun rash" with hypopigmented round macules on the chest, shoulder, and back, and the presence of hyphae and spores on a KOH slide, the likely diagnosis is tinea versicolor. Tinea versicolor is a fungal infection caused by the yeast Malassezia furfur. Ketoconazole is an antifungal medication that is effective in treating tinea versicolor.

Hydrocortisone 2.5%, Tazarotene, and Nystatin cream are not appropriate for treating tinea versicolor, as they do not target the fungal infection.