Janus kinase inhibitors and biologics for treatment of livedoid vasculopathy: a systematic review

Purpose: Livedoid vasculopathy (LV) is a chronic microvascular thrombosis disorder with an unclear pathogenesis, potentially involving hypercoagulability and inflammation. This systematic review aims to evaluate the efficacy and safety of Janus kinase (JAK) inhibitors and biologics in the treatment...

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Main Authors: Yu Liu, Tingting Li, Wei Shi
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/09546634.2025.2451804
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author Yu Liu
Tingting Li
Wei Shi
author_facet Yu Liu
Tingting Li
Wei Shi
author_sort Yu Liu
collection DOAJ
description Purpose: Livedoid vasculopathy (LV) is a chronic microvascular thrombosis disorder with an unclear pathogenesis, potentially involving hypercoagulability and inflammation. This systematic review aims to evaluate the efficacy and safety of Janus kinase (JAK) inhibitors and biologics in the treatment of LV.Materials and methods: A comprehensive search was conducted in PubMed, EMBASE, and the Cochrane Library on June 10, 2024, to identify relevant studies evaluating the use of JAK inhibitors and biologics in LV treatment.Results: A total of 15 articles were included in the review. Among the 41 patients treated with biologics and JAK inhibitors, 36 (87.8%) showed positive clinical responses, including significant improvements in pain relief. TNF-α inhibitors were the most commonly used monotherapy, followed by JAK inhibitors. Adverse events were infrequent, suggesting that these treatments generally have a favorable safety profile.Conclusions: JAK inhibitors and biologics appear to be safe and effective alternatives for managing refractory LV. These findings provide a foundation for future studies to further validate their clinical effectiveness and long-term safety.
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issn 0954-6634
1471-1753
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spelling doaj-art-d1e2a43cd89e4d6d9e5bd84e593b96082025-01-20T01:09:39ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532025-12-0136110.1080/09546634.2025.2451804Janus kinase inhibitors and biologics for treatment of livedoid vasculopathy: a systematic reviewYu Liu0Tingting Li1Wei Shi2Department of Dermatology, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Dermatology, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Dermatology, Xiangya Hospital, Central South University, Changsha, ChinaPurpose: Livedoid vasculopathy (LV) is a chronic microvascular thrombosis disorder with an unclear pathogenesis, potentially involving hypercoagulability and inflammation. This systematic review aims to evaluate the efficacy and safety of Janus kinase (JAK) inhibitors and biologics in the treatment of LV.Materials and methods: A comprehensive search was conducted in PubMed, EMBASE, and the Cochrane Library on June 10, 2024, to identify relevant studies evaluating the use of JAK inhibitors and biologics in LV treatment.Results: A total of 15 articles were included in the review. Among the 41 patients treated with biologics and JAK inhibitors, 36 (87.8%) showed positive clinical responses, including significant improvements in pain relief. TNF-α inhibitors were the most commonly used monotherapy, followed by JAK inhibitors. Adverse events were infrequent, suggesting that these treatments generally have a favorable safety profile.Conclusions: JAK inhibitors and biologics appear to be safe and effective alternatives for managing refractory LV. These findings provide a foundation for future studies to further validate their clinical effectiveness and long-term safety.https://www.tandfonline.com/doi/10.1080/09546634.2025.2451804Livedoid vasculopathyJanus Kinase inhibitorsbiologicstreatmentvascular disease
spellingShingle Yu Liu
Tingting Li
Wei Shi
Janus kinase inhibitors and biologics for treatment of livedoid vasculopathy: a systematic review
Journal of Dermatological Treatment
Livedoid vasculopathy
Janus Kinase inhibitors
biologics
treatment
vascular disease
title Janus kinase inhibitors and biologics for treatment of livedoid vasculopathy: a systematic review
title_full Janus kinase inhibitors and biologics for treatment of livedoid vasculopathy: a systematic review
title_fullStr Janus kinase inhibitors and biologics for treatment of livedoid vasculopathy: a systematic review
title_full_unstemmed Janus kinase inhibitors and biologics for treatment of livedoid vasculopathy: a systematic review
title_short Janus kinase inhibitors and biologics for treatment of livedoid vasculopathy: a systematic review
title_sort janus kinase inhibitors and biologics for treatment of livedoid vasculopathy a systematic review
topic Livedoid vasculopathy
Janus Kinase inhibitors
biologics
treatment
vascular disease
url https://www.tandfonline.com/doi/10.1080/09546634.2025.2451804
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AT tingtingli januskinaseinhibitorsandbiologicsfortreatmentoflivedoidvasculopathyasystematicreview
AT weishi januskinaseinhibitorsandbiologicsfortreatmentoflivedoidvasculopathyasystematicreview