Acne prevails. - guest78

[ArchivalUser]

An 18-year-old woman is evaluated for pustular acne. Her acne is not associated with her menstrual periods, which are irregular, occurring every 3 to 4 months. The patient has significant hair growth on her chin and around her nipples, but she does not have clitoromegaly or other abnormal hair growth. Her body mass index is 29.
What is the most appropriate therapy for this patient?


A. Oral tetracycline, 500 mg orally twice a day
B. Isotretinoin, 10 mg/d for4 months
C. Spironolactone, 50 mg orally twice a day
D. Combined estrogen and progestin contraceptive
E. Metformin, 500 mg orally twice a day

[ArchivalUser]

D------------

[ArchivalUser]

CCC

[ArchivalUser]

C:

[ArchivalUser]

Why cant it be E?
For PCOS..

[ArchivalUser]

c

[ArchivalUser]

ddddddddddddddd

[ArchivalUser]

DD

[ArchivalUser]

c
pt has PCOS but her problems seem to be due to the hyperandrogenism.OCP will only regularise the periods and not cure hirsutism.it needs anti androgens,weight loss.

[ArchivalUser]

i am really confused now.... after seeing all of you smart doctors responses for this amazing q posted by Dr. Guest!

this pt is being evaluated for pustular acne....
we do not have a diagnosis of PCO as yet...
the mentioned signs/sxs have been picked up on PE/history taking....
so are we going to treat the hirsutism or the acne????

i want to give her tetraacycline.....really! omg... i am so worried abouy dermatology now!