AI Article Synopsis

  • - Vitiligo is an autoimmune skin disorder that causes loss of pigment, and new treatments like Janus Kinase inhibitors are showing promise for managing it.
  • - A case study involving a 61-year-old man with resistant vitiligo showed significant improvement after using oral Abrocitinib, a JAK inhibitor, for 2 months after prior treatments plateaued.
  • - More research, including ongoing clinical trials, is essential to evaluate the long-term effectiveness and safety of these oral Janus Kinase inhibitors for treating vitiligo.

Article Abstract

Vitiligo is a common, autoimmune, depigmenting disorder of the skin. Janus Kinase inhibitors have emerged as promising topical and oral therapeutic options for vitiligo. There have been no reports of vitiligo being treated with oral Abrocitinib, a selective Janus Kinase 1 inhibitor approved for the treatment of moderate to severe atopic dermatitis. Here, we present a 61-year-old male with acrofacial vitiligo who had repigmentation plateau with twice daily tacrolimus 0.1% ointment, oral ginkgo biloba, and oral minipulse prednisone × 4 months; however, they had significant improvement after taking abrocitinib 100 mg per day for 2 months. He was able to transition topical tacrolimus twice weekly monotherapy for maintenance. This report shows that oral Janus Kinase inhibitors may be a useful option for the treatment of recalcitrant vitiligo. Results of ongoing randomized control trials are needed to determine the durability and safety of oral Janus Kinase inhibitors long-term.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10868506PMC
http://dx.doi.org/10.1177/2050313X241231527DOI Listing

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