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A 24-year-old woman is evaluated for a 4-day history of a worsening pruritic rash on the chin. She is a kindergarten teacher. Her medical history is unremarkable, and she takes no medications. On physical examination, vital signs are normal. Skin findings are shown.

Which of the following is the most appropriate treatment?

1) Oral doxycycline
2) Topical hydrocortisone
3) Topical mupirocin
4) Topical neomycin/polymyxin B/bacitracin

Answer :

Final answer:

The most appropriate treatment for a 24-year-old woman presenting with a four-day pruritic rash on the chin, which seems to indicate a bacterial skin infection, would be topical mupirocin. This antibiotic ointment targets the bacteria causing the rash, providing not only symptomatic relief but also treating the root cause.

Explanation:

Based on the information provided, it seems the woman might be suffering from a bacterial skin infection given the 4-day history of a worsening pruritic rash on the chin. Considering the different treatment options, while topical hydrocortisone could provide temporary relief, it would mainly address the symptoms, i.e., itching and inflammation, rather than the root cause, i.e., bacterial infection on the skin. Among the treatment options offered, 3) Topical mupirocin seems to be the most appropriate. It's an antibacterial ointment mainly used to treat skin infections caused by bacteria. Treatment with mupirocin would help eliminate the bacteria causing the rash, thereby addressing both the cause and the symptoms.

Learn more about Bacterial Skin Infection Treatment here:

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