Liu Xiaohan, Song Biao, Jin Hongzhong
Department of Dermatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.
State Key Laboratory of Complex Severe and Rare Diseases, Beijing, People's Republic of China.
J Asthma Allergy. 2024 Apr 2;17:305-311. doi: 10.2147/JAA.S458684. eCollection 2024.
Atopic dermatitis (AD) may sometimes be comorbid with alopecia areata (AA). However, traditional treatments for AA show limited efficacy. New treatment options, such as dupilumab and Janus kinase inhibitors, have proven efficacy in addressing both AD and AA. This article highlights the challenging case of a 12-year-old boy experiencing severe refractory AD and comorbid AA treated with oral abrocitinib after dupilumab failure with 1-year follow-up. After 3 months of treatment, his skin manifestations improved and the hair completely regenerated. No adverse reactions were observed during the 1-year follow-up period. This case provides evidence of the efficacy and safety of using abrocitinib to treat pediatric patients with both AD and AA.
特应性皮炎(AD)有时可能与斑秃(AA)合并存在。然而,传统的斑秃治疗方法疗效有限。新的治疗选择,如度普利尤单抗和 Janus 激酶抑制剂,已被证明在治疗 AD 和 AA 方面均有效。本文重点介绍了一名 12 岁男孩的具有挑战性的病例,该男孩患有严重难治性 AD 并合并 AA,在度普利尤单抗治疗失败后接受口服阿布昔替尼治疗,并进行了 1 年的随访。治疗 3 个月后,他的皮肤表现有所改善,头发完全再生。在 1 年的随访期内未观察到不良反应。该病例为使用阿布昔替尼治疗同时患有 AD 和 AA 的儿科患者的疗效和安全性提供了证据。