A 38-year-old woman with a known history of rosacea presents with small, red, pus-filled bumps on her face. She's currently using a topical antibiotic but hasn't seen any improvement in her symptoms. What is your evaluation and plan?
This patient seems to have papulopustular rosacea that is not responding to the topical antibiotic. She might benefit from oral antibiotics like doxycycline or isotretinoin for more severe cases. The treatment plan should also emphasize the importance of identifying and avoiding triggers, such as certain foods, alcohol, stress, and hot or windy weather.