What is your approach to managing Grover's Disease (Transient Acantholytic Dermatosis) that has failed topical steroids?

I'm a big fan of low-dose naltrexone for Grover's Disease (and Hailey-Hailey and Darier's Disease). It's a safe and effective treatment that I've seen work very well. The dose ranges between 1-5mg daily. It seems like 3mg is often the sweet spot. Patients sometimes report more trouble sleeping and/o...

Oral minocycline or doxycycline can help along with topical calcipotriene. Nb-UVB can also work for grovers if patients have access to treatment.

IM Kenalog q 3-4 months.

For resistant persistent cases, Dupilumab has been effective and pretty safe.