Real-Life Effectiveness and Safety of Baricitinib in Patients with Severe Alopecia Areata: A 24-Week Italian Study

    Bianca Maria Piraccini, Francesca Pampaloni, Stephano Cedirian, Federico Quadrelli, Francesca Bruni, Luca Rapparini, Gemma Caro, Maria Cristina Acri, Lorenzo Ala, Alfredo Rossi, Giovanni Pellacani, Francesco Lacarrubba, Giuseppe Micali, Federica DallʼOglio, Maria Vastarella, Mariateresa Cantelli, Paola Nappa, Laura Diluvio, L. Bianchi, Laura Gnesotto, Andrea Sechi, Luigi Naldi, F. Tassone, K. Peris, Giacomo Caldarola, L. M. Pinto, Giampiero Girolomoni, Federico Marangoni, Francesco Bellinato, Paolo Gisondi, Ilaria Scandagli, Francesca Prignano, Nicola Pimpinelli, Carlo Tomasini, Stefania Barruscotti, Edoardo De Simoni, Oriana Simonetti, Francesca Ambrogio, Caterina Foti, Valeria Boccaletti, Alessandro Fraghì, Angelo Valerio Marzano, Maria A. Mattioli, La Rocca, Mattia Barbareschi, Silvia Ferrucci, Giuseppe Gallo, Simone Ribero, Pietro Quaglino, Riccardo Balestri, Tommaso Ioris, Raffaele Dante Caposiena, Iris Zalaudek, Emanuele Vagnozzi, Maria Concetta Fargnoli, Chiara Caponio, Pietro Rubegni, Élisa Cinotti, Emanuele Trovato, M. Romanelli, Valentina Dini, Flavia Manzo Margiotta, Claudio Feliciani, Maria Beatrice De Felici Del Giudice, Laura Atzori, Silvia Sanna, Serena Lembo, Annunziata Raimondo, Michela Magnano, Michela Starace
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    TLDR Baricitinib effectively reduces hair loss in severe alopecia areata with mild side effects.
    The study assessed the effectiveness and safety of baricitinib in treating severe alopecia areata over 24 weeks in 118 Italian patients. Results showed significant hair regrowth, with 70% achieving a 50% improvement in the SALT score. The mean SALT score decreased from 96.6 to 48, with 42.3% achieving SALT 30, 31.3% achieving SALT 20, and 20.3% achieving SALT 10. Mild adverse events were reported in 12.7% of patients, with no drop-outs. The study supports baricitinib as a promising treatment for severe alopecia areata, especially in early stages, and recommends trichoscopy for early response detection.
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