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CASE REPORT article

Front. Med.

Sec. Dermatology

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1648732

This article is part of the Research TopicExploring Innovative Therapies for Rare Inflammatory Skin DiseasesView all 18 articles

Effective Treatment of Dystrophic Epidermolysis Bullosa Pruriginosa with Tofacitinib

Provisionally accepted
  • Aoyang Hospital, Zhangjiagang, China

The final, formatted version of the article will be published soon.

Epidermolysis bullosa (EB) is a heterogeneous group of hereditary skin diseases caused by mutations in structural proteins at the dermal-epidermal junction. Dystrophic epidermolysis bullosa (DEB), one of its main types, is characterized by recurrent pruritic blisters, bullae, atrophy, and scarring, often accompanied by nail dystrophy. Dystrophic epidermolysis bullosa pruriginosa, also known as epidermolysis bullosa pruriginosa (EBP), is a rare clinical subtype of DEB. In addition to the common manifestations of skin blisters and ulcers, patients with EBP also present severe pruritus. Traditional treatments for EBP have limited efficacy. Here, we report a 59-year-old male patient with EBP who showed significant improvement in skin lesions and pruritus after 10 months of treatment with tofacitinib, a pan-JAK inhibitor. This case highlights the potential of JAK inhibitors in treating EBP, although long-term safety requires further investigation.

Keywords: Epidermolysis Bullosa, Dystrophic epidermolysis bullosa, Dystrophic epidermolysis bullosa pruriginosa, JAK inhibitor, Tofacitinib

Received: 17 Jun 2025; Accepted: 14 Oct 2025.

Copyright: © 2025 Sun, Wu and Yu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Zhenze Yu, yzz_aoyang@163.com

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