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乌帕替尼用于不同背景下斑秃的病例系列研究

Upadacitinib for Alopecia Areata in Different Backgrounds: A Case Series.

作者信息

He Xin, Yang Dongyue, Lai Lingyao, Lang Jing, Wei Kebo, Xiao Min

机构信息

Department of Dermatology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, People's Republic of China.

School of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, People's Republic of China.

出版信息

Clin Cosmet Investig Dermatol. 2024 Mar 9;17:565-571. doi: 10.2147/CCID.S458592. eCollection 2024.

DOI:10.2147/CCID.S458592
PMID:38482177
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10936532/
Abstract

Alopecia Areata is a hair disorder influenced by factors such as genetics, immune system, and environmental triggers. The pathogenesis of this condition is still unclear, leading to unsatisfactory current treatments and causing a large number of patients to suffer from it. Janus kinase inhibitors are a new class of drugs that have emerged in recent years and are expected to be promising therapeutic tools for alopecia areata. We report five patients with varying backgrounds and severity of alopecia areata. All of them had received conventional therapy without success. Five patients took Upadacitinib at a dose of 15 mg once daily, and all of them achieved satisfactory efficacy. No adverse events were observed during the treatment of 5 patients.

摘要

斑秃是一种受遗传、免疫系统和环境触发因素等影响的毛发疾病。这种病症的发病机制仍不清楚,导致目前的治疗效果不尽人意,使大量患者深受其害。Janus激酶抑制剂是近年来出现的一类新型药物,有望成为治疗斑秃的有效工具。我们报告了5例背景和斑秃严重程度各异的患者。他们均接受过传统治疗但未获成功。5例患者每日服用一次15毫克的乌帕替尼,均取得了满意的疗效。在5例患者的治疗过程中未观察到不良事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c14/10936532/a10112985357/CCID-17-565-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c14/10936532/a10112985357/CCID-17-565-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c14/10936532/a10112985357/CCID-17-565-g0001.jpg

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本文引用的文献

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Am J Clin Dermatol. 2023 Nov;24(6):895-912. doi: 10.1007/s40257-023-00808-1. Epub 2023 Aug 22.
2
Improvement of severe alopecia areata after 9-month baricitinib treatment followed by subsequent use of upadacitinib in a patient with atopic dermatitis.一名特应性皮炎患者在接受9个月的巴瑞替尼治疗后严重斑秃得到改善,随后使用乌帕替尼。
J Dermatol. 2023 Nov;50(11):e392-e393. doi: 10.1111/1346-8138.16893. Epub 2023 Jul 23.
3
Dual efficacy of upadacitinib in a patient with concomitant severe atopic dermatitis and alopecia areata.
乌帕替尼对一名同时患有重度特应性皮炎和斑秃患者的双重疗效。
Ann Dermatol Venereol. 2023 Dec;150(4):281-283. doi: 10.1016/j.annder.2023.03.010. Epub 2023 Jun 27.
4
Beneficial effects of upadacitinib on alopecia areata associated with atopic dermatitis: A multicenter retrospective study.乌帕替尼对特应性皮炎相关斑秃的有益作用:一项多中心回顾性研究。
J Am Acad Dermatol. 2023 Dec;89(6):1251-1253. doi: 10.1016/j.jaad.2023.05.001. Epub 2023 May 9.
5
Upadacitinib for management of recalcitrant alopecia areata: A retrospective case series.乌帕替尼治疗顽固性斑秃:一项回顾性病例系列研究。
JAAD Case Rep. 2023 Mar 8;35:38-42. doi: 10.1016/j.jdcr.2023.02.019. eCollection 2023 May.
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J Am Acad Dermatol. 2023 Jul;89(1):137-138. doi: 10.1016/j.jaad.2022.12.056. Epub 2023 Feb 15.
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