March 2, 2026 · Journal of lower genital tract disease · DOI: 10.1097/LGT.0000000000000941

Upadacitinib for the Treatment of Recalcitrant Vulvar Lichen Sclerosus

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The authors investigate the efficacy of oral upadacitinib as a treatment for recalcitrant vulvar lichen sclerosus, a condition with limited treatment options beyond topical steroids. In a retrospective case series involving three patients, all experienced clinical improvement and reduced symptoms with minimal side effects. The study suggests that upadacitinib may be a promising alternative for managing this challenging condition, though further research is necessary to confirm its effectiveness.

Courtney M Kenyon, Jamie W Rhoads, Margaret M Cocks

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