Considerations for the Treatment Strategy of Relapse After Tofacitinib Therapy in Alopecia Areata

    July 2025 in “ Journal of Cosmetic Dermatology ”
    Lynne Yao, Rongqiao He, N C Lan, Yongmei Lv
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    TLDR Alternative treatments are needed when Tofacitinib alone fails for alopecia areata.
    Alopecia areata (AA) is an autoimmune disorder that can be treated with JAK inhibitors like tofacitinib, but relapse is common, affecting 58% of patients. A case study of a 26-year-old female with alopecia universalis showed initial improvement with tofacitinib, but hair loss resumed, leading to a switch to ritlecitinib. The study suggests that personalized treatment strategies and combination therapies are necessary to maintain remission. JAK inhibitors work by suppressing immune attacks and promoting hair follicle stem cell proliferation. Monitoring biomarkers related to immune response and hair follicle signaling pathways can help evaluate treatment efficacy. Strategies to manage relapse include combined drug therapy, increasing the tofacitinib dose, or switching to other JAK inhibitors, while considering the risks of serious side effects.
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      community What else is good. Besides the big 3.

      in Chat  35 upvotes 1 year 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.

      community IGE Hair Loss and Miniaturization

      in Chat  3 upvotes 6 months ago
      A 23-year-old male is experiencing diffuse hair loss and miniaturization, possibly due to high IGE levels after using tofacitinib. He seeks advice and has not yet consulted a dermatologist.

      community Topical solution recommendation

      in Treatment  1 upvotes 2 months ago
      The user is using finasteride 1mg every other day and seeks a topical solution excluding minoxidil. They are considering various combinations of ingredients like finasteride, dutasteride, and tofacitinib, with options for nourishing oils and other additives.

      community Topical solution recommendation

      in Product  1 upvotes 2 months ago
      The user is using finasteride 1mg every other day and seeks a topical solution to complement it, excluding minoxidil. They are considering various combinations of ingredients like finasteride, dutasteride, and tofacitinib, with options for nourishing oils and other additives.

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