Oliel Sarah, Moussa Sarah, Stanciu Monica, Netchiporouk Elena
Faculty of Medicine, McGill University, Montréal, Québec, Canada.
Centre for Dermatology and Psoriasis, Montréal, Quebec, Canada.
SAGE Open Med Case Rep. 2023 Nov 29;11:2050313X231213135. doi: 10.1177/2050313X231213135. eCollection 2023.
Alopecia universalis is a severe, difficult to treat variant of alopecia areata that results in loss of hair on the scalp, eyebrows, eyelashes, and extremities. Deucravacitinib, a selective TYK2 inhibitor, has been recently approved in Canada, opening the door to novel uses of the drug. We present the case of a patient known for psoriasis who developed alopecia universalis resistant to many interventions (topical minoxidil and topical, intralesional, and systemic corticosteroids). We report the first case of successful rapid hair regrowth after starting deucravacitinib, which should prompt further inquiry into the use of TYK2 inhibitors in the management of alopecia areata.
全秃是斑秃的一种严重且难以治疗的变体,会导致头皮、眉毛、睫毛和四肢毛发脱落。度普利尤单抗,一种选择性酪氨酸激酶2(TYK2)抑制剂,最近在加拿大获得批准,为该药物的新用途打开了大门。我们报告了一例以银屑病为病史的患者,该患者出现了对多种干预措施(外用米诺地尔以及外用、皮损内注射和全身使用皮质类固醇)均耐药的全秃。我们报道了首例在开始使用度普利尤单抗后成功实现快速毛发再生的病例,这应促使人们进一步探究TYK2抑制剂在斑秃治疗中的应用。