
Unlocking the Potential of Tofacitinib: New Frontiers in Treating Skin Disorders
In a comprehensive review reported in SKIN: The Journal of Cutaneous Medicine®, the authors describe how tofacitinib works, its current dermatologic uses, and future research opportunities. They also address challenges related to long term safety, accessibility, and treatment resistance while highlighting ongoing clinical trials, new uses and combination therapies.
Problems with a person’s immune system can cause numerous dermatologic conditions including vitiligo, alopecia areata, and atopic dermatitis. Tofacitinib works by blocking a key pathway in the immune system, which helps reduce inflammation and helps stop the disease from getting worse. This allows for the skin to recover such as re-pigmentation in vitiligo or hair regrowth in alopecia areata. The authors stressed the importance in monitoring for potential side effects such as higher cholesterol and the risk of infections, particularly herpes zoster. However, challenges still exist with this drug including an FDA required black box warning regarding risks of blood clots and heart attacks. While tofacitinib has emerged as a promising treatment option for a range of conditions, limited availability and high costs remain significant barriers to prescribing and using the drug.
SKIN: The Journal of Cutaneous Medicine® is a peer-reviewed online medical journal that is the official journal of The National Society for Cutaneous Medicine. The mission of SKIN is to provide an enhanced and accelerated route to disseminate new dermatologic knowledge for all aspects of cutaneous disease.
For more details, please visit www.jofskin.org or contact jofskin@gmail.com.
Nina Schur
Lake Erie College of Osteopathic Medicine
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