Rash Decisions

Dermsquared Case Reports

Follow real-world dermatology cases from presentation through management, test your clinical reasoning, and explore the rationale behind key treatment decisions.

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Real-world cases
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Case reports

Where dermatology's toughest calls become teachable moments — real cases, real decisions, from the experts shaping how the specialty practices.

Case ReportOct 19, 20261 min

Tapinarof Cream for Pediatric Atopic Dermatitis: Meeting Patient and Caregiver Treatment Needs

Case author Linda Stein Gold, MD, presents a case of a 9-year-old patient with atopic dermatitis whose treatment was complicated by poor tolerability of previous topical therapy and caregiver concerns.

Linda Stein GoldAuthor
  • Atopic Dermatitis

Case ReportSep 3, 20264 min

Utility of Tapinarof Cream 1% in a Case of Severe and Recalcitrant Atopic Dermatitis In a Pediatric Patient

Case author Naiem T. Issa, MD, PhD, presents a case of a 10-year old white male with a 5-year history of atopic dermatitis, allergic rhinitis and exercise-induced asthma.

Naiem T. Issa, MD, PhDAuthor
  • Atopic Dermatitis

Case ReportSep 3, 20262 min

Tapinarof 1% Cream Effectively Clears Plaques of the Boney Prominences

Case author Brad Glick, DO, MPH, FAAD, presents the case of a 57-year-old female with worsening plaque psoriasis of the elbow who experienced limited responses to multiple therapies.

Brad P. Glick, DO, MPH, FAADAuthor
  • Psoriasis

Case ReportSep 3, 20263 min

Intravenous and subcutaneous spesolimab use in a medically comorbid patient with erythrodermic generalized pustular psoriasis

Case author Angad Arinder Chadha, MD, presents a case of a 72-year-old African American female admitted for management of a generalized pustular psoriasis (GPP) flare.

Angad Arinder Chadha, MDAuthor
  • Generalized Pustular Psoriasis (GPP)

Case ReportSep 3, 20265 min

Effective Primary Management of an Exacerbation of Atopic Dermatitis Using a Non-Steroidal Topical Therapy

Case authors Lisa C. Lopez-Sanglay, APRN, FNP-BC and James Q. Del Rosso, DO, FAAD, FAOCD present a case of a 15-year-old male with a flare of atopic dermatitis primarily affecting his hands and feet and a severely pruritic rash.

James Q. Del Rosso, DO, FAAD, FAOCD and Lisa C. Lopez-Sanglay, APRN, FNP-BCAuthor

Case ReportSep 3, 20266 min

Lifelong Atopic Dermatitis with Idiopathic Sudomotor Failure: Response to Lebrikizumab After Dupilumab Failure

Dr Jenny Murase presents a case of severe, dupilumab-refractory atopic dermatitis with idiopathic sudomotor failure successfully managed with lebrikizumab.

Jenny Murase, MDAuthor
  • Atopic Dermatitis

Case ReportSep 3, 20263 min

When the Hands Don’t Follow the Rest: Managing Chronic Hand Eczema Despite Systemic AD Control

Dr Jenny Murase presents a case of chronic hand eczema persisting despite well-controlled atopic dermatitis on dupilumab, highlighting the role of delgocitinib cream.

Jenny Murase, MDAuthor
  • Chronic Hand Eczema

Case ReportSep 3, 20263 min

Jacked on JAKs: The Therapeutic Impact of Dose Escalation in a Case of Refractory Atopic Dermatitis

Case author Graham Litchman, DO, MS, presents a case of a young adult patient with longstanding atopic dermatitis that remained uncontrolled despite multiple prior therapies, prompting consideration of dose escalation with a JAK inhibitor.

Graham Litchman, DO, MSAuthor
  • JAK Inhibitors

Case ReportSep 3, 20263 min

Rapid Clearance of Recalcitrant Psoriasis With an IL-17 Inhibitor

Mark Lebwohl, MD, presents a case of a 48-year-old female with a 10-year history of psoriasis who was successfully treated with an IL-17 inhibitor after inadequate response to both phototherapy and a TNF blocker.

Mark Lebwohl, MDAuthor

Case ReportSep 3, 20262 min

Subcutaneous Spesolimab Use in a Patient with Chronic Recurrent Generalized Pustular Psoriasis (GPP)

Case author Saakshi Khattri, MD, presents a case of a 61-year-old Asian female with a 30-year history of GPP who experienced a flare after months of remission following intravenous spesolimab, prompting a transition to subcutaneous maintenance therapy.

Saakshi Khattri, MDAuthor
  • Generalized Pustular Psoriasis (GPP)
  • Biologics

Case ReportSep 3, 20265 min

A Remarkable Result after a Lifetime of Disappointment in the Treatment of Severe, Recalcitrant Psoriasis

Case author Danna Calder, MMSc, PA-C presents a case of a 34-year-old male with severe, recalcitrant psoriasis achieving remarkable improvement after decades of treatment challenges.

Danna Calder, MMSc, PA-CAuthor
  • Psoriasis

Case ReportSep 3, 20263 min

Rapid and sustained clearance of severe psoriasis with dual inhibition of IL-17A and IL-17F

Ron Vender, MD, FRCPC, presents the case of a 31-year-old male with an 8-year history of severe psoriasis who was frustrated with the lack of effective treatment options.

Ron Vender, MD, FRCPCAuthor
  • Psoriasis

Case ReportSep 3, 20262 min

A Case of Nonsegmental Vitiligo on the Face and Hands Treated With Combination Topical JAK Inhibitor and Phototherapy

Case authors Mavra Masood, MD, Jennifer Creasor, BSN, and Iltefat Hamzavi, MD, present a case of a 74-year-old female with persistent generalized vitiligo on the face and body.

Mavra Masood, MD [1], Jennifer Creasor, BSN [1], Iltefat Hamzavi, MDAuthor
  • Vitiligo

Case ReportSep 3, 20262 min

Successful Management of Basal Cell Carcinoma in a Challenging Location with a Multimodal Approach

Case author Mark Lebwohl, MD, presents a case of a 86-year-old male with a progressively enlarging erythematous nodular mass with overlying telangiectases.

Mark Lebwohl, MDAuthor
  • Skin Cancer

Case ReportSep 3, 20264 min

Accurately Assessing Prognosis for High-Risk Squamous Cell Carcinoma

Case authors Danny Zakria, MD, MBA, Ryan Rivera-Oyola, MD, and Darrell Rigel, MD, MS, present a case of a 58-year-old male with a history of sun exposure and a skin lesion showing signs of malignancy.

Danny Zakria, MD, MBA, Ryan Rivera-Oyola, MD, Darrell Rigel, MD, MSAuthor
  • Skin Cancer

Case ReportSep 3, 20265 min

Successful Treatment of Nonsegmental Periorbital Vitiligo

Case author Stephen W. Lewellis, MD, PhD, FAAD, presents a case of a 38-year-old female with loss of pigmentation on her forehead, cheeks, and eyelids who did not respond to prior treatment with a topical corticosteroid or calcineurin inhibitor.

Stephen W. Lewellis, MD, PhD, FAADAuthor
  • Vitiligo

Case ReportSep 3, 20263 min

A Life-Saving Treatment in a 60-year Old Patient With Rapid Eruption of Pustules

Case author Boni Elewski, MD and moderator Danny Zakria, MD, MBA, present a case of a 60-year old female who was airlifted in the middle-of-the-night with a rare dermatologic emergency.

Boni Elewski, MDAuthor