PMID- 34462967 OWN - NLM STAT- MEDLINE DCOM- 20211103 LR - 20211103 IS - 1346-8138 (Electronic) IS - 0385-2407 (Linking) VI - 48 IP - 11 DP - 2021 Nov TI - Safety considerations of systemic Janus kinase inhibitors in atopic dermatitis applications. PG - 1631-1639 LID - 10.1111/1346-8138.16116 [doi] AB - Janus kinase (JAK) inhibitors are emerging treatments for atopic dermatitis (AD). Due to this novel role as a therapeutic option for patients with AD, we aimed to review current evidence on the pathophysiology and the safety and adverse effects (AEs) of oral JAK inhibitors for the treatment of AD utilizing the key terms atopic dermatitis, JAK inhibitors, and adverse effect or event. Our study indicated that oral JAK inhibitors have a moderate safety profile for use in AD in several reviews and phase II or III clinical trials. Headaches, nausea, and nasopharyngitis are the most commonly reported systemic AEs. Furthermore, acne, herpes simplex, herpes zoster, and eczema herpeticum are the most commonly recorded dermatological AEs. Current evidence indicates JAK inhibitors may also have less association with some of the serious AEs, although there is potential for increased risk of asthma, acute pancreatitis, neutropenia, and thrombocytopenia. Whereas data remain limited for the long-term safety of JAK inhibitor use in patients with AD, many ongoing clinical trials have promising preliminary results. CI - (c) 2021 Japanese Dermatological Association. FAU - Chang, Po-Hsiung AU - Chang PH AUID- ORCID: 0000-0003-1561-7786 AD - School of Medicine, Taipei Medical University, Taipei City, Taiwan. AD - Department of Pediatrics, Far Eastern Memorial Hospital, New Taipei City, Taiwan. FAU - Huang, Sheng-Fen AU - Huang SF AD - Department of Education and Learning Technology, National Tsing Hua University, Hsinchu, Taiwan. AD - Graduate Institute of Medical Education & Bioethics, National Taiwan University College of Medicine, Taipei City, Taiwan. FAU - Chang, Po-Sheng AU - Chang PS AD - Department of Pediatrics, Far Eastern Memorial Hospital, New Taipei City, Taiwan. AD - Division of Pediatric Gastroenterology, Department of Pediatrics, Far-Eastern Memorial Hospital, New Taipei City, Taiwan. FAU - Yu, Yu AU - Yu Y AUID- ORCID: 0000-0002-8341-5994 AD - Department of Dermatology, Cathay General Hospital, Taipei City, Taiwan. AD - Department of Dermatology, Sijhih Cathay General Hospital, New Taipei City, Taiwan. LA - eng PT - Journal Article PT - Review DEP - 20210830 PL - England TA - J Dermatol JT - The Journal of dermatology JID - 7600545 RN - 0 (Janus Kinase Inhibitors) RN - EC 2.7.10.2 (Janus Kinase 1) SB - IM MH - Acute Disease MH - *Dermatitis, Atopic/drug therapy MH - *Eczema MH - Humans MH - Janus Kinase 1 MH - *Janus Kinase Inhibitors/adverse effects MH - *Pancreatitis OTO - NOTNLM OT - Janus kinase inhibitor OT - adverse effect OT - atopic dermatitis OT - infection OT - malignancy OT - randomized control trial OT - systemic review OT - thromboembolism EDAT- 2021/09/01 06:00 MHDA- 2021/11/04 06:00 CRDT- 2021/08/31 06:52 PHST- 2021/07/28 00:00 [revised] PHST- 2021/06/15 00:00 [received] PHST- 2021/07/31 00:00 [accepted] PHST- 2021/09/01 06:00 [pubmed] PHST- 2021/11/04 06:00 [medline] PHST- 2021/08/31 06:52 [entrez] AID - 10.1111/1346-8138.16116 [doi] PST - ppublish SO - J Dermatol. 2021 Nov;48(11):1631-1639. doi: 10.1111/1346-8138.16116. Epub 2021 Aug 30.