Baricitinib Successfully Treated a Teenager with Refractory Livedoid Vasculopathy: A Case Report and Literature Review

Chenxi Liu, Ying-Ying Jin, Xiqiong Han, Hua Huang, Shengfang Bao, Xuemei Xu, Liping Wang, Yanliang Jin Department of Rheumatology and Immunology, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, People’s Republic of ChinaCorrespondence: Yanliang...

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Main Authors: Liu C, Jin YY, Han X, Huang H, Bao S, Xu X, Wang L, Jin Y
Format: Article
Language:English
Published: Dove Medical Press 2025-02-01
Series:Journal of Inflammation Research
Subjects:
Online Access:https://www.dovepress.com/baricitinib-successfully-treated-a-teenager-with-refractory-livedoid-v-peer-reviewed-fulltext-article-JIR
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author Liu C
Jin YY
Han X
Huang H
Bao S
Xu X
Wang L
Jin Y
author_facet Liu C
Jin YY
Han X
Huang H
Bao S
Xu X
Wang L
Jin Y
author_sort Liu C
collection DOAJ
description Chenxi Liu, Ying-Ying Jin, Xiqiong Han, Hua Huang, Shengfang Bao, Xuemei Xu, Liping Wang, Yanliang Jin Department of Rheumatology and Immunology, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, People’s Republic of ChinaCorrespondence: Yanliang Jin, Email jinyanliang@scmc.com.cnBackground: The pathogenesis is of livedoid vasculopathy (LV)—a rare, chronic, and recurrent cutaneous vascular obstructive disease—is not fully understood. Conventional anticoagulant therapy sometimes exhibits limited efficacy, and although JAK inhibitors have demonstrated some efficacy in the treatment of refractory LV, the evidence remains insufficient.Case Presentation: This study reports a case of a 14-year-old girl who were failed to maintain remission following treatment with oral rivaroxaban combined with external use of heparin sodium cream. However, the symptoms improved significantly 2 weeks after treatment with baricitinib, and remission was maintained during its gradual reduction.Conclusion: Successful treatment of this refractory patient with baricitinib provides another evidence for the potential therapeutic effect of JAK1/JAK2 inhibitors in LV, and also offers a reference for the dosage tapering regime of baricitinib in LV.Keywords: livedoid vasculopathy, refractory, baricitinib
format Article
id doaj-art-5db7785177254ebea3cd71bea5017842
institution Kabale University
issn 1178-7031
language English
publishDate 2025-02-01
publisher Dove Medical Press
record_format Article
series Journal of Inflammation Research
spelling doaj-art-5db7785177254ebea3cd71bea50178422025-02-02T15:59:40ZengDove Medical PressJournal of Inflammation Research1178-70312025-02-01Volume 181471147799812Baricitinib Successfully Treated a Teenager with Refractory Livedoid Vasculopathy: A Case Report and Literature ReviewLiu CJin YYHan XHuang HBao SXu XWang LJin YChenxi Liu, Ying-Ying Jin, Xiqiong Han, Hua Huang, Shengfang Bao, Xuemei Xu, Liping Wang, Yanliang Jin Department of Rheumatology and Immunology, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, People’s Republic of ChinaCorrespondence: Yanliang Jin, Email jinyanliang@scmc.com.cnBackground: The pathogenesis is of livedoid vasculopathy (LV)—a rare, chronic, and recurrent cutaneous vascular obstructive disease—is not fully understood. Conventional anticoagulant therapy sometimes exhibits limited efficacy, and although JAK inhibitors have demonstrated some efficacy in the treatment of refractory LV, the evidence remains insufficient.Case Presentation: This study reports a case of a 14-year-old girl who were failed to maintain remission following treatment with oral rivaroxaban combined with external use of heparin sodium cream. However, the symptoms improved significantly 2 weeks after treatment with baricitinib, and remission was maintained during its gradual reduction.Conclusion: Successful treatment of this refractory patient with baricitinib provides another evidence for the potential therapeutic effect of JAK1/JAK2 inhibitors in LV, and also offers a reference for the dosage tapering regime of baricitinib in LV.Keywords: livedoid vasculopathy, refractory, baricitinibhttps://www.dovepress.com/baricitinib-successfully-treated-a-teenager-with-refractory-livedoid-v-peer-reviewed-fulltext-article-JIRlivedoid vasculopathyrefractorybaricitinib
spellingShingle Liu C
Jin YY
Han X
Huang H
Bao S
Xu X
Wang L
Jin Y
Baricitinib Successfully Treated a Teenager with Refractory Livedoid Vasculopathy: A Case Report and Literature Review
Journal of Inflammation Research
livedoid vasculopathy
refractory
baricitinib
title Baricitinib Successfully Treated a Teenager with Refractory Livedoid Vasculopathy: A Case Report and Literature Review
title_full Baricitinib Successfully Treated a Teenager with Refractory Livedoid Vasculopathy: A Case Report and Literature Review
title_fullStr Baricitinib Successfully Treated a Teenager with Refractory Livedoid Vasculopathy: A Case Report and Literature Review
title_full_unstemmed Baricitinib Successfully Treated a Teenager with Refractory Livedoid Vasculopathy: A Case Report and Literature Review
title_short Baricitinib Successfully Treated a Teenager with Refractory Livedoid Vasculopathy: A Case Report and Literature Review
title_sort baricitinib successfully treated a teenager with refractory livedoid vasculopathy a case report and literature review
topic livedoid vasculopathy
refractory
baricitinib
url https://www.dovepress.com/baricitinib-successfully-treated-a-teenager-with-refractory-livedoid-v-peer-reviewed-fulltext-article-JIR
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AT jinyy baricitinibsuccessfullytreatedateenagerwithrefractorylivedoidvasculopathyacasereportandliteraturereview
AT hanx baricitinibsuccessfullytreatedateenagerwithrefractorylivedoidvasculopathyacasereportandliteraturereview
AT huangh baricitinibsuccessfullytreatedateenagerwithrefractorylivedoidvasculopathyacasereportandliteraturereview
AT baos baricitinibsuccessfullytreatedateenagerwithrefractorylivedoidvasculopathyacasereportandliteraturereview
AT xux baricitinibsuccessfullytreatedateenagerwithrefractorylivedoidvasculopathyacasereportandliteraturereview
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