Efficacy of Tofacitinib in Treatment of Alopecia Universalis in Two Patients

    Aditya K. Gupta, Jessie Carviel, William Abramovits
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    TLDR Tofacitinib was effective in treating hair loss in two patients with alopecia universalis.
    In a 2016 study, two patients with alopecia universalis (AU) were treated with tofacitinib citrate at a dosage of 5 mg twice daily for eight months. The first patient, a 42-year-old male, showed significant beard growth by 3 months, hair growth throughout the body by 6 months, and the development of eyebrows and eyelashes by 8 months. The second patient experienced noticeable scalp hair regrowth after just 1 month, significant scalp regrowth by 4 months, and regrowth of eyelashes, eyebrows, beard, axillary, and isolated leg hair by 8 months. Neither patient reported significant adverse side effects. The study concluded that tofacitinib was effective in treating AU in these patients and suggested further research to confirm its safety and efficacy.
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      A woman with alopecia universalis shares her positive experience of being bald, finding it freeing and less worrisome. She also discusses her skincare routine using Korean products.

      community 22F. Should I even bother getting a biopsy? Is there any point?

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      A woman who has been experiencing hair loss for several years, and her question of whether there is any benefit to getting a biopsy to check if it's AGA or diffuse alopecia areata when no cure or very effective treatment exists. Treatments such as spironolactone and Minoxidil/finasteride/RU58841 have previously been discussed.

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      in Chat  36 upvotes 1 month ago
      Key treatments for hair preservation include minoxidil, finasteride/dutasteride, and microneedling, with additional options like specific shampoos, oils, biotin, zinc, tretinoin, clascoterone, and low-level laser therapy. Maintaining a healthy lifestyle, reducing stress, and addressing nutrient deficiencies can also support hair health.

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