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This review offers a clinically focused update on the diagnosis and management of acute and chronic cutaneous GVHD in pediatric patients. We highlight recent advances in clinical classification systems and therapeutic options, including newly FDA\u2010approved treatments for steroid\u2010refractory disease. Given the risk of long\u2010term morbidity, multidisciplinary care and consistent dermatologic follow\u2010up are essential. Future research should focus on pediatric\u2010specific diagnosis and treatment to address age\u2010specific presentation, drug response, and safety, as well as the potential of less immunosuppressive therapies for select cutaneous GVHD phenotypes.<\/jats:p>","DOI":"10.1111\/pde.70105","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T02:55:55Z","timestamp":1764903355000},"page":"267-277","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric Cutaneous Graft\u2010Versus\u2010Host Disease: Clinical Presentations, Management, and Emerging Therapies"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8035-7357","authenticated-orcid":false,"given":"Grant J.","family":"Riew","sequence":"first","affiliation":[{"name":"Department of Dermatology Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston 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