When managing isotretinoin-induced acne fulminans, after starting systemic prednisone for 2-4 weeks, do you completely avoid restarting oral isotretinoin, reduce it to guideline-recommended micro-dosing (0.1 mg/kg/day), or start back at a different dose?

After starting systemic prednisone for acute isotretinoin-induced acne fulminans for 2-4 weeks, do you completely avoid restarting isotretinoin, restart at a micro-dose (0.1 mg/kg/day), or restart at a different higher dose?

• Avoid isotretinoin
• Restart isotretinoin at micro-dose 0.1 mg/kg/day
• Restart isotretinoin at a higher dose
• Other