A 79-year-old white man presented with an ulcerated chest wall lesion developing from an existing mole. After definitive surgery, it proved to be a malignant melanoma and staged as T4N1M0. He received 1 year of adjuvant therapy with nivolumab. Starting on the last month of adjuvant nivolumab treatment, he developed itchy erythematous patches on his left posterior shoulder that spread over his trunk, arms, and thighs.
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