A 29-year-old with acne nodulocystica fails oral antibiotics plus topical therapy. Pregnancy tests are negative and contraception is reliable. Which i...

Question

A 29-year-old with acne nodulocystica fails oral antibiotics plus topical therapy. Pregnancy tests are negative and contraception is reliable. Which is appropriate next step?

Accepted Answer

Start oral isotretinoin under specialist supervision

Answer

Long-term oral steroids

Answer

Topical retinoid alone

Answer

Add oral tetracycline indefinitely

Answer

No further treatment options

mrcgp akt MCQ (SBA): Nodulocystic acne

A 29-year-old with acne nodulocystica fails oral antibiotics plus topical therapy. Pregnancy tests are negative and contraception is reliable. Which is appropriate next step?