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September 2, 2026Anais Brasileiros de DermatologiaOpen Access

Successful treatment of coexisting alopecia areata and hidradenitis suppurativa with upadacitinib

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Authors

PGPatrícia Moreira GomesRCRúben CostaAPAna Pedrosa

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Overview

Case report demonstrates successful management of coexisting alopecia areata and hidradenitis suppurativa with upadacitinib, suggesting shared therapeutic utility of JAK inhibition.

Key Points

  • To document the therapeutic response to the selective Janus kinase inhibitor upadacitinib in a patient with concurrent, refractory alopecia areata and hidradenitis suppurativa.
  • Clinical case evaluation of a 24-year-old woman with Down syndrome, hypothyroidism, and concurrent refractory alopecia areata and hidradenitis suppurativa (N=1).
  • Assessment of disease history following multiple failed treatments, including systemic antibiotics, surgical excision, topical immunotherapies, and corticosteroids.
  • Upadacitinib therapy achieved successful clinical improvement in both chronic inflammatory skin conditions.
  • Dual response indicates that selective JAK-STAT pathway inhibition effectively dampens the dysregulated innate and adaptive immune cascades driving both follicular disorders.

Cite This Study

Gomes et al. (2026) studied this question.

synapsesocial.com/papers/6a97e28dc562ede874ec6ba3https://doi.org/10.1016/j.abd.2026.501453
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Upadacitinib for Severe Refractory Hidradenitis Suppurativa After Failure of Multiple Systemic Therapies: A Case Report2026
  2. 2Secukinumab Plus Upadacitinib for the Treatment of Severe Hidradenitis Suppurativa and Associated Immune-Mediated Comorbidities: A Case Series2025
  3. 3Alopecia Areata – Effects of Treatment with Upadacitinib – Two Case Reports2026
  4. 4The Successful Use of Upadacitinib as Monotherapy for Hidradenitis Suppurativa and Ulcerative Colitis in the Setting of Refractory Disease2024 · 9 citations
  5. 5Psoriasiform Dermatitis Following JAK Inhibitor Therapy for Hidradenitis Suppurativa and Crohn’s Disease2026