A 49-Year-Old Woman Comes to the Physician Requesting Treatment for "This

question 897

Multiple Choice

A 49-year-old woman comes to the physician requesting treatment for "this unattractive redness of my skin."  In the past 3 months, she developed blemishes on her nose, cheeks, and chin.  She now flushes intensely in response to hot or cold temperatures, emotion, and the consumption of spicy foods or alcohol.  She has no history of dermatological problems.  Physical examination shows a reddening of the central face, erythematous papules on the nose, and sporadic telangiectasias on the nose and cheeks as shown below.
Which of the following is the most appropriate treatment for this condition?

• A)Oral griseofulvin
• B)Topical clindamycin
• C)Topical clotrimazole
• D)Topical metronidazole
• E)Topical tretinoin

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