DW Insights & Inquiries


Subacute cutaneous lupus erythematosus has been associated with, or induced by, immune checkpoint inhibitors. Clinicians should be familiar with this information as the number of such cases will likely increase.

Consider using the term “reactive granulomatous dermatitis” (RGD) in your dermatologic practice, prompting search for an underlying associated systemic condition following a thorough review of systems.

Dupilumab may cause a variety of erythematous rashes, usually distributed on the face and neck. Dermatologists have to consider several clinical scenarios before embarking on the appropriate treatment for this adverse reaction.

Facial discoid dermatosis is a recently defined recalcitrant disorder that requires differentiation from psoriasis, tinea, and cutaneous lupus. Most cases suggest a relationship to pityriasis rubra pilaris, but this requires further study.

Nail-biting (onychophagia) is a common problem that can range in severity, with potential complications beyond the nails. Treatment, if desired, must be tailored to the patient with nonpharmacologic and pharmacologic approaches.

Surgical site infections appear most commonly on the lower extremities, which may be more common in a wound healing by secondary intention. We must recognize patients at risk and determine the role of antibiotic prophylaxis.
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The American Academy of Dermatology gratefully acknowledges support from Bristol Myers Squibb.