Archer USMLE Step 3 Blog

A 45-year-old woman is very concerned about an eruption on her face. She has developed lesions on the cheeks and forehead over the last few months. They are not associated with itching.  The eruptions are worsened with by prologed exposure to sun, excessive stress and hot drinks. She denies any history of alcoholism. Physical examination reveals a papular eruptions with assocaited erythema, telangiectasia and  pustules. There are no lesions in any other areas except on her face.

The Most Likely Diagnosis :

A.Nodulo cystic acne

B. Rosacea

C.Porphyria Cutanea Tarda

D. Seborrheic Dermatitis

E. Cutaneous Lupus

The most apprpriate next step in management :

A) Topical Corticosteroid

B) Topical Benzoyl Peroxide

C) Oral Isotretinoin

D) Topical Metronidazole

E) Oral Doxycycline

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Filed under: USMLE Test Prep |