» Articles » PMID: 38524393

A Case of Vitiligo Combined with Systemic Lupus Erythematosus Treated with Tofacitinib

Overview
Publisher Dove Medical Press
Specialty Dermatology
Date 2024 Mar 25
PMID 38524393
Authors
Affiliations
Soon will be listed here.
Abstract

Vitiligo is a skin depigmentation disease resulting from melanocyte destruction and often co-occurring with autoimmune disorders like hyperthyroidism, alopecia areata, pernicious anemia, and systemic lupus erythematosus (SLE). Although various traditional treatments exist for vitiligo, their effectiveness varies considerably. This report presents a unique case of a vitiligo patient with concomitant systemic lupus erythematosus. Remarkably, after a 30-day course of treatment with tofacitinib, complete repigmentation of the white macular rash was achieved, and there were no adverse drug reactions. These findings provide compelling evidence for the efficacy and safety of oral JAK inhibitors, such as tofacitinib, in vitiligo treatment. Additionally, JAK inhibitors can yet be regarded as a promising new treatment option for vitiligo patients with concurrent autoimmune diseases.

Citing Articles

Identifying the Genetic Associations Between Diabetes Mellitus and the Risk of Vitiligo.

Zhao L, Hu M, Li L Clin Cosmet Investig Dermatol. 2024; 17:2261-2271.

PMID: 39421797 PMC: 11484772. DOI: 10.2147/CCID.S480199.

References
1.
Frisoli M, Essien K, Harris J . Vitiligo: Mechanisms of Pathogenesis and Treatment. Annu Rev Immunol. 2020; 38:621-648. DOI: 10.1146/annurev-immunol-100919-023531. View

2.
Craiglow B, King B . Tofacitinib Citrate for the Treatment of Vitiligo: A Pathogenesis-Directed Therapy. JAMA Dermatol. 2015; 151(10):1110-2. DOI: 10.1001/jamadermatol.2015.1520. View

3.
Hasni S, Gupta S, Davis M, Poncio E, Temesgen-Oyelakin Y, Carlucci P . Phase 1 double-blind randomized safety trial of the Janus kinase inhibitor tofacitinib in systemic lupus erythematosus. Nat Commun. 2021; 12(1):3391. PMC: 8185103. DOI: 10.1038/s41467-021-23361-z. View

4.
Rothstein B, Joshipura D, Saraiya A, Abdat R, Ashkar H, Turkowski Y . Treatment of vitiligo with the topical Janus kinase inhibitor ruxolitinib. J Am Acad Dermatol. 2017; 76(6):1054-1060.e1. DOI: 10.1016/j.jaad.2017.02.049. View

5.
Lee J, Ju H, Seo J, Almurayshid A, Kim G, Ezzedine K . Comorbidities in Patients with Vitiligo: A Systematic Review and Meta-Analysis. J Invest Dermatol. 2022; 143(5):777-789.e6. DOI: 10.1016/j.jid.2022.10.021. View