A primary care NP is performing a well-child checkup on an adolescent patient and notes approximately 20 papules and comedones and 10 pustules on the patient's face, chest, and back
The patient has not tried any over-the-counter products to treat these lesions. The NP should begin treatment with: a. salicylic acid.
b. topical tretinoin.
c. oral antibiotics.
d. benzoyl peroxide and topical clindamycin.
D
Mild acne consists of a lesion count of less than 30 with less than 15 pustules. Benzoyl peroxide and topical clindamycin are both indicated for treatment of mild to moderate acne and are first-line choices. Topical tretinoin is used as a second-line or third-line treatment. Oral antibiotics are used when topical antibiotics fail. Salicylic acid is an appropriate first-line treatment, but because this patient has pustular lesions, topical antibiotics must be included.
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