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一种多功能的JAK:JAK抑制剂在离心性环状红斑患者中的应用。

A JAK of All Trades: The Use of JAKi in a Patient With Erythema Annulare Centrifugum.

作者信息

Romisher Alison, Kopelson Jordyn, Milgraum Sandy

机构信息

Dermatology, Robert Wood Johnson University Hospital, New Brunswick, USA.

Dermatology, Cooper Medical School of Rowan University, Camden, USA.

出版信息

Cureus. 2025 Jul 24;17(7):e88684. doi: 10.7759/cureus.88684. eCollection 2025 Jul.

DOI:10.7759/cureus.88684
PMID:40861773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12374785/
Abstract

Erythema annulare centrifugum (EAC) is a type of figurate erythema with an unclear etiology, often thought to be a delayed hypersensitivity reaction to various antigens. While many cases resolve spontaneously, chronic and refractory presentations can be challenging to manage. We report a case of EAC unresponsive to traditional treatments but demonstrating rapid improvement with upadacitinib, a selective Janus kinase (JAK) inhibitor. This case highlights a novel use for JAK inhibitors in treating EAC.

摘要

离心性环状红斑(EAC)是一种病因不明的环状红斑,通常被认为是对各种抗原的迟发型超敏反应。虽然许多病例可自发缓解,但慢性和难治性病例的治疗可能具有挑战性。我们报告了一例对传统治疗无反应,但使用选择性 Janus 激酶(JAK)抑制剂乌帕替尼后迅速改善的 EAC 病例。该病例突出了 JAK 抑制剂在治疗 EAC 中的新用途。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a15/12374785/93bc446ca64e/cureus-0017-00000088684-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a15/12374785/2742fbe0f2f7/cureus-0017-00000088684-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a15/12374785/93bc446ca64e/cureus-0017-00000088684-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a15/12374785/2742fbe0f2f7/cureus-0017-00000088684-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a15/12374785/93bc446ca64e/cureus-0017-00000088684-i02.jpg

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本文引用的文献

1
Upadacitinib: Mechanism of action, clinical, and translational science.乌帕替尼:作用机制、临床和转化科学。
Clin Transl Sci. 2024 Jan;17(1):e13688. doi: 10.1111/cts.13688. Epub 2023 Dec 18.
2
A case of erythema annulare centrifugum cleared with upadacitinib.1例离心性环状红斑患者使用乌帕替尼后症状缓解。
JAAD Case Rep. 2023 Oct 8;42:20-22. doi: 10.1016/j.jdcr.2023.09.028. eCollection 2023 Dec.
3
Update on the role of upadacitinib in the treatment of adults with moderately to severely active ulcerative colitis.乌帕替尼在中度至重度活动性溃疡性结肠炎成年患者治疗中作用的最新进展。
Therap Adv Gastroenterol. 2023 Mar 11;16:17562848231158235. doi: 10.1177/17562848231158235. eCollection 2023.
4
Figurate erythemas - update and diagnostic approach.图形红斑:更新与诊断方法。
J Dtsch Dermatol Ges. 2021 Jul;19(7):963-972. doi: 10.1111/ddg.14450. Epub 2021 May 28.