Upadacitinib for Management of Recalcitrant Alopecia Areata: A Retrospective Case Series

    March 2023 in “ JAAD case reports
    Leah Johnston, Susan M. Poelman
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    TLDR Upadacitinib cleared scalp alopecia areata in three patients and also improved atopic dermatitis with minimal side effects.
    The document is a retrospective case series of three patients with stubborn alopecia areata (AA) who were successfully treated with upadacitinib, an oral janus kinase 1 inhibitor. All three patients saw complete resolution of AA on the scalp after 3 to 8 months of treatment, with only one patient experiencing mild acne as a side effect. Two patients also had atopic dermatitis (AD), which completely cleared alongside their hair regrowth. The authors suggest upadacitinib as a potential treatment for stubborn AA, particularly in patients with AD, and advocate for further randomized controlled trials to assess its efficacy.
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