Dermatology case discussion: How would you manage this acne patient?

Welcome to a new series of General Dermatology case discussions, presented and moderated by Dr Dianne King and brought to you by La Roche Posay.

In this case, we have a 29-year-old female patient of Indian heritage who works in a restaurant (hot and humid environment) and was diagnosed with PCOS in 2019.

She presents with:

• Moderate papulopustular acne
• Deeper cysts with tenderness
• Comedonal on forehead

In addition:

• Her acne has worsened since immigrating to Australia in 2018.
• She uses daily sunscreen (since immigrating).
• Dairy products worsen her condition.
• She has used Benzac over the counter, but felt worse.

What is your treatment plan for this patient?

Please leave your comments today and check back on Wednesday for the outcome and further discussion from Dr Dianne King.

Update

Dr Dianne King's management plan was:

• Check insulin levels
• Trimethoprim 300 mg bd 6/52
• Blue/red phototherapy for 6/52
• Continue current cleanser and topical Retrieve nocte

At the patient's 8-week review:

• Much improved
• Finished trimethoprim after one month
• Occasional papules
• Less pustulation
• Started using Dermaroller / vitamin C serum at night prior to Retrieve

Follow-up photos after six months:

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