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MSRACLIN4-028

Mary is a 50 year old lady who presents to the GP with a 4 month history of facial flushing. Past medical history is unremarkable and she admits spicy foods and alcohol tend to trigger the symptoms. She denies any eye symptoms. The appearance does not trouble her too much as she finds make-up helpful.

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You review her skin and discuss her likely condition. She agrees to avoid trigger factors, use sunscreen, and review again in 3 weeks. When she returns, she is now troubled by multiple spots on her cheeks and is keen to commence treatment.

Based on her likely diagnosis, which one of the below management options would be most appropriate?

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