A Case of Pityriasis Lichenoides Chronica Successfully Treated With Upadacitinib.

Q3 Medicine
Case Reports in Dermatological Medicine Pub Date : 2026-04-06 eCollection Date: 2026-01-01 DOI:10.1155/crdm/1118647
Olivia R Noble, David J Cohen, Lynn Cooper
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引用次数: 0

Abstract

Pityriasis lichenoides chronica (PLC) is a chronic cutaneous disorder of unknown cause that is thought to be a proliferation of T-cells in response to an antigen or infection. We introduce a case of a 62-year-old female who presented with an erythematous nonpainful eruption of well-demarcated annular and polycyclic papules and plaques with fine whitish peripheral scale distributed on the back, shoulders, chest, arms, and legs. Skin biopsy was consistent with PLC. After minimal improvement with systemic and topical corticosteroids, oral upadacitinib 15 mg once daily was started. Following 1 month of treatment with oral upadacitinib, the complete remission of PLC was observed. Thus, upadacitinib as a Janus kinase (JAK) inhibitor may be a novel treatment for PLC. However, more studies are needed to explore the efficacy and safety of JAK inhibitors for lichenoid disorders, such as PLC and others.

Upadacitinib成功治疗慢性地衣样糠疹1例。
慢性苔藓样糠疹(PLC)是一种病因不明的慢性皮肤病,被认为是t细胞对抗原或感染的反应。我们介绍一个62岁的女性病例,她表现为红斑性无痛的皮疹,分布在背部、肩部、胸部、手臂和腿部,有清晰划分的环状和多环丘疹和斑块,周围有白色的细鳞屑。皮肤活检结果与PLC相符。在使用全身和局部皮质类固醇改善甚微后,开始口服upadacitinib 15mg,每日一次。口服upadacitinib治疗1个月后,观察到PLC完全缓解。因此,upadacitinib作为Janus激酶(JAK)抑制剂可能是一种新的PLC治疗方法。然而,需要更多的研究来探索JAK抑制剂对地衣素类疾病(如PLC等)的有效性和安全性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.50
自引率
0.00%
发文量
24
审稿时长
15 weeks
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