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托法替布治疗毛发红糠疹:一例报告

Tofacitinib for Pityriasis Rubra Pilaris: A Case Report.

作者信息

Tan Hongyan, Zhang Bin, Kang Xiawei, Wang Lvyao, Qiu Xiao, Hu Xiangyu

机构信息

Department of Dermatology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, 400011, People's Republic of China.

出版信息

Clin Cosmet Investig Dermatol. 2024 Aug 26;17:1917-1920. doi: 10.2147/CCID.S470170. eCollection 2024.

DOI:10.2147/CCID.S470170
PMID:39220289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11363948/
Abstract

PURPOSE

At present, we have entered the era of using biological agents and small molecule targeted drugs to treat diseases. Although there have been many reports of biological agents treating pityriasis rubra pilaris recently, the clinical application of the JAK inhibitors in the treatment of pityriasis rubra pilaris has been rarely reported, and there is a lack of evidence on the safety and efficacy of these drugs. We explore the use of the JAK inhibitor tofacitinib in the treatment of pityriasis rubra pilaris with significant efficacy and no significant side effects, providing new ideas for the clinical treatment of pityriasis rubra pilaris.

METHODS

We cover a case of pityriasis rubra pilaris treated with the JAK inhibitor tofacitinib, which showed significant efficacy without any adverse effects.

RESULTS

This case report showed that the JAK inhibitor tofacitinib had significant clinical efficacy in the treatment of pityriasis rubra pilaris. We speculated that the treatment of pityriasis rubra pilaris with the JAK inhibitors may be related to blocking the activation of the JAK/STAT pathway, thereby blocking the high expression of cytokines IL-17, IL-12/IL-23, IL-23, TNF-α.

CONCLUSION

The JAK inhibitor tofacitinib can become a new option for treating pityriasis rubra pilaris.

摘要

目的

目前,我们已进入使用生物制剂和小分子靶向药物治疗疾病的时代。尽管最近有许多关于生物制剂治疗毛发红糠疹的报道,但JAK抑制剂在毛发红糠疹治疗中的临床应用报道较少,且缺乏这些药物安全性和有效性的证据。我们探索使用JAK抑制剂托法替布治疗毛发红糠疹,疗效显著且无明显副作用,为毛发红糠疹的临床治疗提供新思路。

方法

我们报道1例使用JAK抑制剂托法替布治疗的毛发红糠疹病例,疗效显著且无任何不良反应。

结果

该病例报告显示,JAK抑制剂托法替布在毛发红糠疹治疗中具有显著临床疗效。我们推测,JAK抑制剂治疗毛发红糠疹可能与阻断JAK/STAT通路的激活有关,从而阻断细胞因子IL-17、IL-12/IL-23、IL-23、TNF-α的高表达。

结论

JAK抑制剂托法替布可成为治疗毛发红糠疹的新选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7967/11363948/0c30ba5a368b/CCID-17-1917-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7967/11363948/0c30ba5a368b/CCID-17-1917-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7967/11363948/0c30ba5a368b/CCID-17-1917-g0001.jpg

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本文引用的文献

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Delayed Presentation of Pityriasis Rubra Pilaris in a Patient on Treatment With Ponatinib.接受波纳替尼治疗的患者出现迟发性红皮病型毛发红糠疹。
Cureus. 2024 Jan 12;16(1):e52155. doi: 10.7759/cureus.52155. eCollection 2024 Jan.
2
A case of pityriasis rubra pilaris treated with tofacitinib after failure with acitretin and ixekizumab.一例阿维A和司库奇尤单抗治疗失败后用托法替布治疗的红皮病型毛发红糠疹病例。
Australas J Dermatol. 2023 Aug;64(3):445-447. doi: 10.1111/ajd.14076. Epub 2023 May 18.
3
Pityriasis rubra pilaris partially responsive to treatment with upadacitinib: A case report.
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SAGE Open Med Case Rep. 2023 Mar 29;11:2050313X231160927. doi: 10.1177/2050313X231160927. eCollection 2023.
4
Juvenile Pityriasis Rubra Pilaris in a 4-year-old Child Treated Successfully with Secukinumab.司库奇尤单抗成功治疗一名4岁儿童的幼年红皮病型毛发红糠疹。
Indian J Dermatol. 2022 Sep-Oct;67(5):601-603. doi: 10.4103/ijd.ijd_1079_21.
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