mrcem2-0248

A 35-year-old weightlifter who admits to heavy use of anabolic steroids presents with extremely severe acne. He has numerous disfiguring, ulcerated, nodular lesions covering his face, back, and chest. Many of the lesions have bleeding crusts, and he has significant scarring. Some of the lesions have also connected and formed sinuses. He is also experiencing general malaise, joint pain, and a feverish feeling. You take his temperature and it is currently 39°C.
What is the MOST appropriate course of action for managing this patient?