7th August 2020

A 36-year-old female presents with a 6-week history of mild rash on the centre of her face

A 36-year-old female presents with a 6-week history of mild rash on the centre of her face. She complains that her face has been very sensitive to the sunlight. Despite wearing sunscreen and a hat for extra protection, her symptoms are not improved but have worsened over time. Otherwise, she has been fit and well; she does not smoke, but she drinks 16 units of alcohol per week. On skin examination, there is an erythematous rash on her cheeks across the nasal bridge, with some pustules on her nose.

Which of the following would be the first-line treatment for her underlying condition? Select the SINGLE most appropriate option from the list below. Select ONE option only.