Several studies have evaluated the role of individual nutrients on psoriasis. Only a few of them have evaluated the benefits of healthy dietary patterns and the effect of the Mediterranean diet on psoriasis with promising results. Moderate–severe psoriasis is associated with chronic systemic inflammation and increased cardiovascular risk. In this study the present authors measure the adherence to the Mediterranean diet to determine the grade of association with severity of psoriasis, a cardiovascular profile, and systemic inflammation. Our aim was to determine a cut‐off point that approximates the real clinical practice by differentiating patients with systemic or biological treatment.

Hand eczema (HE) presents a high prevalence and severe impact on the quality of life of the patients. HE is a worldwide problem recognized for his high socio‐occupational involvement. Treatment is mainly based on adequate recommendations for hand care together with topical anti‐inflammatory treatments. Frequently, patients require systemic treatments such alitretinoin, among others. The comorbidities of the patients and the side effects of the treatments sometimes require prescribing other treatments off label on the technical data. This role in immunomodulation has led to the development of new studies that investigate what role does apremilast have in eczematous diseases, such as atopic dermatitis. We present this case for the quick and complete response of HE with apremilast, and the effective control of hepatogenic pruritus. These finding open a new possibility and alternative treatment of this complex and difficult of control with the treatments already described in the literature.

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The persistent head and neck eruption pattern in patients with atopic dermatitis has been published in several articles, 1 especially after the introduction of dupilumab as a treatment for this dermatoses. Possible causes include seborrheic dermatitis, rosacea and allergic contact dermatitis (ACD). Eyelid involvement is a guiding sign to suspect ACD, indicating patch testing. The most common allergens are fragrances and preservatives, although others such as surfactants should be patched as well.

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