Pediatric rheumatology

Treatment with Janus kinase inhibitors in juvenile dermatomyositis: A review of the literature

Semin Arthritis RheumPublished Systematic literature review

Authors' conclusion

Our findings suggest that JAK inhibitors may be a good therapeutic option, particularly in the management of refractory JDM cases with an acceptable safety profile.

Study context

Population
Juvenile dermatomyositis (JDM) patients treated with JAKi; median (min-max) age 4.9 (1–17) years (F/M:1.2)26 articles
Participants
195 patients
Comparison
Tofacitinib vs Ruxolitinib vs Baricitinib
Outcome
Improvement rate by JAKi
Methodological detailsMEDLINE and Scopus, inception to September 1st, 2023
  • MEDLINE and Scopus, inception to September 1st, 2023

Main finding

As reported in the abstract

Further findings

Indication for JAKi use

%

Resistant/recurrent skin involvement
34.7
Resistant/recurrent muscle involvement
28.6

Safety

Patients with adverse events reported
72.1 %
Most common: increase in infections (especially upper respiratory tract infections)

Original publication

Treatment with Janus kinase inhibitors in juvenile dermatomyositis: A review of the literature. Semin Arthritis Rheum. Published 1 March 2024. doi:10.1016/j.semarthrit.2024.152426

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