67.25歲男性有脂漏性皮膚炎，病灶主要在耳部、髮際、鼻唇溝及前額，下列治療何者最適當？
A.diflorasone diacetate 0.05% ointment，使用＞7日
B.diflorasone diacetate 0.05% ointment，使用＜7日
C.hydrocortisone valerate 0.2% cream，使用＞7日
D.hydrocortisone valerate 0.2% cream，使用＜7日
答: D
Especially in thin-skinned areas such as the face, fluorinated corticosteroids are more likely to cause these localized reactions because of their increased-potency than nonfluorinated corticosteroids. Therefore, whenever possible only nonfluorinated topical corticosteroids should be used in thin-skinned areas for the shortest possible time. Because the use of corticosteroids is expected to last less than a week, the risk of developing local complications is minimal with a nonfluorinated product.
Because the lesions are on the face, a nonfluorinated corticosteroid such as
hydrocortisone valerate or mometasone should be used to minimize the potential for
adverse effects in this thin-skinned area.
由於病變位於面部(耳部、髮際、鼻唇溝及前額)，因此應使用nonfluorinated corticosteroid，例如hydrocortisone valerate or mometasone，以盡量減少對該薄皮膚區域產生不利影響的可能性。
故(D)為最佳解答
參照Applied Therapeutics: The Clinical Use of Drugs (11 Edition) P816