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A review of <scp>JAK</scp> and <scp>IL</scp>‐23 inhibitors to treat vitiligo

Henry Lee, Timothy Cowan, Benjamin S. Daniel, Dédée F. Murrell

2023Australasian Journal of Dermatology14 citationsDOIOpen Access PDF

Abstract

Vitiligo is an autoimmune skin disorder resulting in the depigmentation of skin characterised by patches of varying sizes and shapes. A common disorder of pigmentation that affects 0.5%-2% of the global population. Despite its well-understood autoimmune pathogenesis, the targets for effective cytokine intervention remain unclear. Current first-line treatments include oral or topical corticosteroids, calcineurin inhibitors and phototherapy. These treatments are limited, have varying efficacies, and are associated with significant adverse events or can be time-consuming. Therefore, biologics should be explored as a potential treatment for vitiligo. There are currently limited data for the use of JAK and IL-23 inhibitors for vitiligo. A total of 25 studies were identified in the review. There is promising evidence regarding the use of JAK and IL-23 inhibitors for the treatment of vitiligo.

Topics & Concepts

VitiligoMedicineDepigmentationCalcineurinCytokineDermatologyAdverse effectPopulationImmunologyInterleukin 23PharmacologyInterleukin 17Internal medicineTransplantationEnvironmental healthmelanin and skin pigmentationSkin Protection and AgingMast cells and histamine
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