USMLE Forum Archives - USMLE Step 3 - IM: Acne treatment
IM: Acne treatment
meduploader - 05-27-09 15:33
A 23-year-old man has a 5-year history of severe acne with scarring. His acne involves the face, shoulders,
and chest. He has been treated in the past with multiple courses of topical agents, including
retinoids, benzoyl, topical antibiotics, and oral antibiotics for 1 year. His lesions have not improved significantly
through these agents. On physical examination, the patient has multiple large cysts and
abscesses that are confluent and form sinus tracts.
Which of the following options are indicated in the management of this patient?
meduploader - 05-27-09 15:33
A 23-year-old man has a 5-year history of severe acne with scarring. His acne involves the face, shoulders,
and chest. He has been treated in the past with multiple courses of topical agents, including
retinoids, benzoyl, topical antibiotics, and oral antibiotics for 1 year. His lesions have not improved significantly
through these agents. On physical examination, the patient has multiple large cysts and
abscesses that are confluent and form sinus tracts.
Which of the following options are indicated in the management of this patient?
The correct answer and explanation will be available after you answer.
Page 1
#19
Re: IM: Acne treatment conym5 - 04-09-10 08:32 the severe form of acne seen in this patient usually does not respond to topical or antibiotic therapy.these patients usually need oral isotretinoin for lasting improvement.
#26
Re: IM: Acne treatment babbu5508 - 09-30-10 12:23 My answer is: d.
Perform a fungal culture of the lesions to exclude Malassezia folliculitis...since resistant to multiple courses of antibiotics...
#33
Re: IM: Acne treatment andyroddick - 07-03-11 08:50 My answer is: b.
because it is not being treated with oral antibiotics.
#35
Re: IM: Acne treatment youriboy - 07-10-11 16:25 My answer is: b.
cysts,abscesses or nodules,best treatment is isotretinoin orally
#48
Re: IM: Acne treatment mralkhaled - 01-02-12 00:49 My answer is: b.
this is the treatment of cystic acne
Page 1