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Treatment of Crohn's Disease and Concomitant Alopecia Areata With Tofacitinib.
ACG Case Rep J. 2021 Nov; 8(11):e00690.AC

Abstract

Alopecia areata (AA) is a type of immune-mediated hair loss and is reported in patients with inflammatory bowel disease. This suggests that there might be a shared molecular pathway in the pathogenesis of AA and inflammatory bowel disease. In addition, tumor necrosis factor-alpha antagonists are also rarely associated with new-onset AA. We present a patient with Crohn's disease treated with adalimumab who developed AA that rapidly progressed to alopecia totalis and universalis. We describe the use of tofacitinib, a Janus kinase 1/3 inhibitor, to not only successfully treat the AA but also maintain her Crohn's disease.

Authors+Show Affiliations

Section of Gastroenterology, Hepatology, and Nutrition, University of Chicago Medicine Inflammatory Bowel Disease Center, Chicago, IL.Section of Gastroenterology, Hepatology, and Nutrition, University of Chicago Medicine Inflammatory Bowel Disease Center, Chicago, IL.Section of Gastroenterology, Hepatology, and Nutrition, University of Chicago Medicine Inflammatory Bowel Disease Center, Chicago, IL.Section of Gastroenterology, Hepatology, and Nutrition, University of Chicago Medicine Inflammatory Bowel Disease Center, Chicago, IL.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

34840997

Citation

Akiyama, Shintaro, et al. "Treatment of Crohn's Disease and Concomitant Alopecia Areata With Tofacitinib." ACG Case Reports Journal, vol. 8, no. 11, 2021, pp. e00690.
Akiyama S, Lin A, Traboulsi C, et al. Treatment of Crohn's Disease and Concomitant Alopecia Areata With Tofacitinib. ACG Case Rep J. 2021;8(11):e00690.
Akiyama, S., Lin, A., Traboulsi, C., & Rubin, D. T. (2021). Treatment of Crohn's Disease and Concomitant Alopecia Areata With Tofacitinib. ACG Case Reports Journal, 8(11), e00690. https://doi.org/10.14309/crj.0000000000000690
Akiyama S, et al. Treatment of Crohn's Disease and Concomitant Alopecia Areata With Tofacitinib. ACG Case Rep J. 2021;8(11):e00690. PubMed PMID: 34840997.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of Crohn's Disease and Concomitant Alopecia Areata With Tofacitinib. AU - Akiyama,Shintaro, AU - Lin,Austin, AU - Traboulsi,Cindy, AU - Rubin,David T, Y1 - 2021/11/24/ PY - 2020/12/21/received PY - 2021/05/07/accepted PY - 2021/11/29/entrez PY - 2021/11/30/pubmed PY - 2021/11/30/medline SP - e00690 EP - e00690 JF - ACG case reports journal JO - ACG Case Rep J VL - 8 IS - 11 N2 - Alopecia areata (AA) is a type of immune-mediated hair loss and is reported in patients with inflammatory bowel disease. This suggests that there might be a shared molecular pathway in the pathogenesis of AA and inflammatory bowel disease. In addition, tumor necrosis factor-alpha antagonists are also rarely associated with new-onset AA. We present a patient with Crohn's disease treated with adalimumab who developed AA that rapidly progressed to alopecia totalis and universalis. We describe the use of tofacitinib, a Janus kinase 1/3 inhibitor, to not only successfully treat the AA but also maintain her Crohn's disease. SN - 2326-3253 UR - https://www.unboundmedicine.com/medline/citation/34840997/Treatment_of_Crohn's_Disease_and_Concomitant_Alopecia_Areata_With_Tofacitinib_ DB - PRIME DP - Unbound Medicine ER -
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