Pattern hair loss distribution: a novel presentation for alopecia areata

    Jundong Huang, Wei Shi
    TLDR Tofacitinib helped regrow hair in a teen with a unique pattern of alopecia areata.
    This case report discusses a 17-year-old patient with a novel presentation of alopecia areata (AA) that mimics androgenic alopecia (AGA). Despite a family history of AA and a 6-year history of diffuse hair loss, the patient showed a unique 'U' pattern hair loss and did not respond to minoxidil treatment. However, significant hair regrowth was observed after 3 months of treatment with tofacitinib, a Janus kinase (JAK) inhibitor, supporting the diagnosis of AA. The report highlights the potential for JAK inhibitors in treating AA with pattern hair loss and suggests further studies to explore this clinical phenotype.
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