A 21-year-old male was referred from a private clinic to a dermatology outpatient clinic with a clinical picture of acne on his face. The image is presented/attached for your reference. He had been on isotretinoin 40 mg/day for two months , but his acne lesions became worse and more extensive. His past medical history was unremarkable, and he had no comorbidities. Initial examination report Normal vital signs Extensive papules, nodules, and cystic lesions on his face A culture and sensitivity test was done using a pus swab sample that showed no bacterial growth.

What is your diagnosis? What can be the probable treatment for the patient who is unresponsive to isotretinoin? (Answer is posted in the comment section below!) *This patient case is from the Docplexus Editorial Team for educative purposes only. Source: Oman Medical Journal Suggested reading Acne Vulgaris Management…