J.E. is a 15 year old girl

J.E. is a 15 year old girl who weighs 110 pounds. She is seeking treatment for facial comedones. These include multiple papules scattered throughout her face, back and chest with some surrounding elevation. She tried various techniques to decrease these outbreaks including vitamin A and over the counter preparations but has had little success. She has no other comorbidities and does not take any medications. She is sexually active and is not on any birth control. 1. What condition does J.E. present with? 2. What would be the first line option for drug therapy? 3. J.E. reports that she is interested in retinoids. Her friend used this medication and it helped her get rid of the comedones. What lifestyle changes would you need to discuss? 4. What side effects would you need to discuss? What instructions would you give to avoid these side effects? 5. J.E. asks if there is risk of toxicity? What would you reply and how can she decrease her risk of toxicity? 6. What initial lab tests would you need to obtain? How often would you need to

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