Oral Tofacitinib for the Management of Moderate to Severe Alopecia Areata in Children and Adolescents: A Retrospective Study of 36 Patients.

IF 1.2 4区 医学 Q3 DERMATOLOGY Pediatric Dermatology Pub Date : 2025-02-06 DOI:10.1111/pde.15882
Rahul Mahajan, Hitaishi Mehta, Dipankar De, Sanjeev Handa
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Abstract

Background: Oral tofacitinib shows promise for pediatric alopecia areata (AA), but more data on its efficacy and safety are needed.

Methods: We analyzed 36 patients aged ≤ 16 years with moderate to severe AA (SALT score > 20) who received at least 6 months of oral tofacitinib.

Results: SALT75 was achieved in 72.2% (26/36) and SALT100 in 52.8% (19/36) within 4.1 ± 1.7 and 6.7 ± 2.8 months, respectively; 27.8% (10/36) were non-responders. Nine patients had adverse events, with two requiring treatment discontinuation.

Conclusion: Tofacitinib is effective for pediatric AA, with rapid regrowth in responders. The durability of benefit and need for long term maintenance therapy require further investigation.

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口服托法替尼治疗儿童和青少年中重度斑秃36例回顾性研究
背景:口服托法替尼(tofacitinib)治疗小儿斑秃(AA)有希望,但需要更多关于其疗效和安全性的数据。方法:我们分析了36例年龄≤16岁的中重度AA患者(SALT评分bbb20),接受了至少6个月的口服托法替尼。结果:在4.1±1.7和6.7±2.8个月内,72.2%(26/36)和52.8%(19/36)的患者分别达到了SALT75和SALT100;无应答者占27.8%(10/36)。9例患者出现不良事件,2例需要停药。结论:托法替尼治疗儿童AA有效,且应答者再生快。疗效的持久性和长期维持治疗的需要需要进一步的研究。
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来源期刊
Pediatric Dermatology
Pediatric Dermatology 医学-皮肤病学
CiteScore
3.20
自引率
6.70%
发文量
269
审稿时长
1 months
期刊介绍: Pediatric Dermatology answers the need for new ideas and strategies for today''s pediatrician or dermatologist. As a teaching vehicle, the Journal is still unsurpassed and it will continue to present the latest on topics such as hemangiomas, atopic dermatitis, rare and unusual presentations of childhood diseases, neonatal medicine, and therapeutic advances. As important progress is made in any area involving infants and children, Pediatric Dermatology is there to publish the findings.
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