Case Report: Reversal of Long-Standing Refractory Diffuse Non-Scarring Alopecia Due to Systemic Lupus Erythematosus Following Treatment With Tofacitinib

    April 2021 in “ Frontiers in Immunology
    Yulan Chen, Lixiong Liu, Qin Huang, Xueying Li, Xiaoping Hong, Dong-Zhou Liu
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    TLDR A patient with lupus and long-term hair loss saw significant hair regrowth after using the drug tofacitinib.
    In 2021, a case report detailed the successful treatment of a 29-year-old patient with systemic lupus erythematosus (SLE) who had suffered from refractory diffuse non-scarring alopecia for 10 years. The patient, who had not responded to standard treatments, experienced significant hair regrowth after treatment with tofacitinib, a Janus kinase (JAK) 1/3 inhibitor. This was the first reported case of an SLE patient with refractory alopecia experiencing significant hair regrowth with tofacitinib therapy. The report also mentioned another JAK1/2 inhibitor, baricitinib, which had shown positive results in a phase II clinical trial for SLE and had successfully treated a similar case of alopecia. However, the authors noted that the efficacy and safety of tofacitinib in SLE patients needed further investigation through randomized controlled trials.
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