Question of the Week

For May 21, 2019

A 21-year-old man presents with a facial rash that developed abruptly during the past 48 hours and has been slightly tender to the touch. The patient has been afebrile and has no associated systemic symptoms. He has no significant medical history and no recent unusual exposures.

Skin examination reveals multiple moist erythematous lesions on the face with overlying crust (figure); no vesicles or bullous lesions are evident. The rest of the examination is normal.

Which one of the following treatments is most appropriate for this patient?

Terbinafine 1% cream
Mupirocin 2% ointment
Doxycycline by mouth
Acyclovir by mouth
Prednisone by mouth