Treatment of concomitant alopecia areata and systemic lupus erythematosus with ivarmacitinib: a case report and literature review - Takeaways - MDSpire
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Management of Concurrent Alopecia Areata and Systemic Lupus Erythematosus Using Ivarmacitinib: A Case Study and Review of Existing Literature

  • By

  • Wenjie Li

  • Zisheng Zhang

  • Ruoxin Huang

  • Yanni Mei

  • Zhengdong Shen

  • Yongliang Chu

  • September 14, 2026

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  • 1

    A 35-year-old woman with severe patchy hair loss was diagnosed with systemic lupus erythematosus after ineffective treatment for alopecia areata.

  • 2

    Ivarmacitinib, a selective JAK 1 inhibitor, led to marked clinical improvement in the patient's alopecia after previous treatments failed.

  • 3

    Trichoscopy findings after treatment included features consistent with both alopecia areata and lupus-associated alopecia.

  • 4

    The patient achieved an 80% reduction in the Severity of Alopecia Tool (SALT) score after 10 months of ivarmacitinib treatment.

  • 5

    This case highlights the diagnostic challenges of overlapping alopecic disorders and the potential role of JAK inhibitors in treatment.

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