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Arash Mostaghimi highlighted the scientific journey that led to Janus kinase (JAK) inhibitors becoming a treatment avenue for alopecia areata, beginning with a case report by Brett King in which a patient with psoriatic arthritis receiving tofacitinib experienced complete scalp hair regrowth despite also having AA.

The expert clinician examined the multidisciplinary approach to alopecia areata care, with the board-certified dermatologist serving as the central coordinator, supported by pediatricians and family practice providers for early recognition and timely referral, dermatopathologists for cases requiring biopsy, and specialists in endocrinology, rheumatology, and psychiatry or psychology for management of associated comorbidities and psychosocial needs.

MS was not linked to worse cardiovascular surgery outcomes, though routine home discharge was lower in this population.

The panelist discussed the SALT scoring system, which divides the scalp into four regions — the frontal parietal scalp, bilateral preauricular and postauricular scalp, and posterior scalp — and evaluates the percentage of hair loss in each area to produce a composite score ranging from 0 to 100, with a score below 20 serving as the primary efficacy benchmark in JAK inhibitor clinical trials.

The panelist examined the wide-ranging burden of alopecia areata on patients and their families, including the challenges of accessing specialist care, navigating prior authorization processes, and the financial strain faced by uninsured or underinsured patients who cannot access the three FDA-approved Janus kinase (JAK) inhibitors now available for this condition.

Dr. Amy McMichael highlighted the clinical presentation of alopecia areata, describing the characteristic patchy, round hair loss that can progress to more extensive forms including ophiasis, alopecia totalis, and alopecia universalis, with associated symptoms such as burning, stinging, conjunctivitis, and worsening allergic reactions from loss of eyelash and nasal hairs.

In patients with NSCLC, 3+1 lymph node sampling was not linked to higher postoperative complications, supporting guideline adherence.







