In addition to gentle washing of the face two times a day, what is the most appropriate treatment step for this patient who is prone to dry skin?

A. Start Adapalene 0.1 gel nightly to every other night after wash

B. Aggressive exfoliation daily

C. Start doxycycline 100 mg by mouth two times a day with food and water

D. Monotherapy with clindamycin lotion every morning after wash

E. Start isotretinoin after checking labs and a pregnancy test

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