A Case of Pembrolizumab‐Induced Pityriasis Lichenoides‐Like Eruption Treated Successfully With Dupilumab

ABSTRACT Immune‐checkpoint inhibitors (ICIs) have revolutionised melanoma treatment but can often cause severe and long‐standing cutaneous immune‐related adverse events (cirAEs). We report a case of refractory pembrolizumab‐induced pityriasis lichenoides (PL)‐like eruption successfully treated with dupilumab, leading to rapid and sustained remission. This case emphasises that management with the targeted immunomodulatory agent dupilumab, which has minimal adverse impact on ICI efficacy, can be effective for cirAEs, including steroid‐refractory PL‐like eruptions, and may allow for continuation of ICI treatment.

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Publication Details

Journal
JEADV Clinical Practice
Published
2025-10-29
DOI
https://doi.org/10.1002/jvc2.70221
Primary Topic
Cancer Immunotherapy and Biomarkers
Type
article
Field-Weighted Citation Impact
0.00
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article

A Case of Pembrolizumab‐Induced Pityriasis Lichenoides‐Like Eruption Treated Successfully With Dupilumab

Evangelos Christou, Sharon Edwards, Andrew Affleck
JEADV Clinical Practice
Cancer Immunotherapy and Biomarkers
article

A Case of Pembrolizumab‐Induced Pityriasis Lichenoides‐Like Eruption Treated Successfully With Dupilumab

Evangelos Christou, Sharon Edwards, Andrew Affleck
article en

Abstract

ABSTRACT Immune‐checkpoint inhibitors (ICIs) have revolutionised melanoma treatment but can often cause severe and long‐standing cutaneous immune‐related adverse events (cirAEs). We report a case of refractory pembrolizumab‐induced pityriasis lichenoides (PL)‐like eruption successfully treated with dupilumab, leading to rapid and sustained remission. This case emphasises that management with the targeted immunomodulatory agent dupilumab, which has minimal adverse impact on ICI efficacy, can be effective for cirAEs, including steroid‐refractory PL‐like eruptions, and may allow for continuation of ICI treatment.

JEADV Clinical Practice
University of Dundee (GB), King's College London (GB), Ninewells Hospital (GB)
Openalex Percentile: Top 58%
Cancer Immunotherapy and Biomarkers
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