Successful Treatment of Refractory Generalized Granuloma Annulare with Upadacitinib

Granuloma annulare is a poorly understood dermatosis that, when generalized, can occur in up to 15 percent of patients. In these cases, treatment is frustrating and experimental. We report a case of a 60-year-old woman and a 41-year-old woman who demonstrated resolution of recalcitrant, generalized...

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Main Authors: Alexis Coican (Author), Abigail Meckley (Author), Nathan Sagasser (Author), Melinda Greenfield (Author), Eingun James Song (Author), Jessica El-Bahri (Author)
Format: Book
Published: Hindawi Limited, 2024-01-01T00:00:00Z.
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100 1 0 |a Alexis Coican  |e author 
700 1 0 |a Abigail Meckley  |e author 
700 1 0 |a Nathan Sagasser  |e author 
700 1 0 |a Melinda Greenfield  |e author 
700 1 0 |a Eingun James Song  |e author 
700 1 0 |a Jessica El-Bahri  |e author 
245 0 0 |a Successful Treatment of Refractory Generalized Granuloma Annulare with Upadacitinib 
260 |b Hindawi Limited,   |c 2024-01-01T00:00:00Z. 
500 |a 2090-6471 
500 |a 10.1155/2024/8859178 
520 |a Granuloma annulare is a poorly understood dermatosis that, when generalized, can occur in up to 15 percent of patients. In these cases, treatment is frustrating and experimental. We report a case of a 60-year-old woman and a 41-year-old woman who demonstrated resolution of recalcitrant, generalized granuloma annulare (GA) following oral treatment with upadacitinib. After showing little to no response to other various treatments, such as steroids, antibiotic regimens, and systemic therapies, each patient was started on 15 mg of daily upadacitinib. At 2 months, one patient had complete clearance of all lesions while the other patient experienced noticeable improvement. Within 4 months, the other patient reached total resolution of her lesions. These cases provide evidence of a therapeutic option that may shorten disease duration and provide relief from cutaneous disease. 
546 |a EN 
690 |a Dermatology 
690 |a RL1-803 
655 7 |a article  |2 local 
786 0 |n Case Reports in Dermatological Medicine, Vol 2024 (2024) 
787 0 |n http://dx.doi.org/10.1155/2024/8859178 
787 0 |n https://doaj.org/toc/2090-6471 
856 4 1 |u https://doaj.org/article/c8acd40310ff4c7e8b3ac1c3bca79fe1  |z Connect to this object online.