If you have to go on accutane and have any questions, this forum is a great place. I was scared to but have been doing well on it for a month and a half. Good luck with whatever treatment you decide on!
ER won't do anything for it. They aren't skin specialists which is what you need. Just see the derm when you can and go from there. They will give you cortisone shots as needed. I have had them and they helped moderately... Don't worry though because its pretty small overall. Mine is pretty much all over my entire chin and most of my forehead. Just be proactive and positive!