Alopecia Areata with Good Response to Tofacitinib

    October 2020 in “ Der Hautarzt
    A. Maksimow, David Stintzing, Johannes Wohlrab
    From the encyclopedia
    Alopecia Areata →

    autoimmune disorder causing patchy hair loss

    Tofacitinib →

    a JAK inhibitor for alopecia areata and other autoimmune conditions

    Studysummary This case study demonstrated that off-label tofacitinib treatment led to full regrowth of scalp hair after 18 months in a patient with alopecia areata universalis, following unsuccessful therapies.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    The document presented a case study of a 46-year-old woman with active inflammatory alopecia areata universalis who experienced full regrowth of scalp hair after being treated with 2 × 5 mg per day of tofacitinib for 18 months. Previous treatments with topical and systemic glucocorticoids, cream PUVA therapy, and dithranol were unsuccessful. Hair growth began after 4-6 months of tofacitinib treatment, which was well tolerated. This case demonstrated that the off-label use of tofacitinib could be a potential therapeutic option for alopecia areata.
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