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Opinion

Video

Optimizing Management of Atopic Dermatitis and Alopecia Areata: From First-Line to Second-Line Treatments and Safety Protocols

Robert Bruce Posnick, MD, examines a case of a 55-year-old female patient with a 50-year history of atopic dermatitis, comorbid asthma, and severe alopecia areata, presenting with recurrent patches throughout her body, predominantly affecting her face, hands, trunk, arms, legs, and eyelids.

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      1. What is your impression of this case? What challenges does this case present with, if any?
      2. What co-morbidities do you typically see with Atopic Dermatitis?
      3. Given her history, would you treat systemically? If so, oral JAK or injectable biologic?
      4. Would you consider a topical JAK, ie ruxolitinib? If so, any concern using topical JAK in combo with systemic therapy, if so which ones?
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