The correct answer is A. Oral tetracycline.

Note this patient with periorificial dermatitis, which was likely worsened by the use of topical corticosteroids. This reaction should prompt the cessation of topical steroids and the use of treatments like oral tetracyclines, which can provide rapid improvement.

The other options may be considered for other pathologies of the face, but they are not indicated for periorificial dermatitis.

References: Tolaymat L, Hall MR. Perioral Dermatitis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; September 4, 2023.