The role of expanded series patch testing in identifying causality of residual facial dermatitis following initiation of dupilumab therapy Raagini Suresh,

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Presentation transcript:

The role of expanded series patch testing in identifying causality of residual facial dermatitis following initiation of dupilumab therapy Raagini Suresh, BS, Jenny E. Murase, MD JAAD Case Reports Volume 4, Issue 9, Pages 899-904 (October 2018) DOI: 10.1016/j.jdcr.2018.08.027 Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 A, Patient 2, pictured at baseline (A) before dupilumab with full facial eczematous dermatitis that extended onto the neck, trunk and extremities. Additional patch testing with advanced series was performed because despite initiation of dupilumab therapy and resolution of disease on the body, there was persistent dermatitis on the forehead and cheeks. B, Two months after the second round of patch testing and allergen avoidance, the patient's facial dermatitis resolved. JAAD Case Reports 2018 4, 899-904DOI: (10.1016/j.jdcr.2018.08.027) Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 A, Patient 3 is pictured at the time of initial patch testing with full facial involvement. B, Marked resolution of the dermatitis and pruritus after 5 months of allergen avoidance and 2 months of dupilumab. JAAD Case Reports 2018 4, 899-904DOI: (10.1016/j.jdcr.2018.08.027) Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions