Subcorneal Pustular Dermatosis as a Complication of Upadacitinib Therapy in a Patient with Atopic Dermatitis: A Case Report

Authors

  • Fatimah Budair Department of Dermatology, King Fahad University Hospital, Al Khobar, College of Medicine, Imam Abdulrhman bin Faisal University, Dammam, Saudi Arabia
  • Jana AlZamil Collage of Medicine, Imam Abdulrhman bin Faisal University, Dammam, Saudi Arabia https://orcid.org/0009-0005-8594-7264
  • Yara AlNashwan Collage of medicine, Imam Abdulrhman bin Faisal University, Dammam, Saudi Arabia Department of Pathology, King Fahad Hospital of University, Al Khobar, Saudi Arabia

DOI:

https://doi.org/10.2340/actadv.v106.adv-2026-0900

Keywords:

atopic dermatitis, drug-related side effects, eczema, JAK inhibitors, janus kinase inhibitor, adverse drug reaction

Downloads

Download data is not yet available.

References

Molla A, Alahmadi M, Alghamdi S, Humedi A, Alfaraj M, Bakhamees B, et al. The efficacy and safety of upadacitinib in atopic dermatitis: A systematic review and meta-analysis. Medicine (Baltimore) 2025; 104: e45239. DOI: https://doi.org/10.1097/MD.0000000000045239

Ibba L, Falcidia C, Di Giulio S, Bianco M, Valenti M, Facheris P, et al. Real-World effectiveness and safety of upadacitinib and abrocitinib in moderate-to-severe atopic dermEffectiveness and Safety of Upadacitinib and Abrocitinib in Moderate-to-Severe Atopic Dermatitis: A 52-Week Retrospective Study. J Clin Med 2025; 14: 2953. DOI: https://doi.org/10.3390/jcm14092953

Zhang C, Fu Z, Liu J, Li S, Chen X, Zhang Y, et al. Safety profile and dose-dependent adverse events of upadacitinib in randomized clinical trials: a systematic review and meta-analysis. Front Pharmacol 2025; 16: 1598972. DOI: https://doi.org/10.3389/fphar.2025.1598972

Paganini C, Mortato E, Tofani L, Belcastro A, Talamonti M, Di Raimondo C, et al. Rosacea-like eruptions associated with upadacitinib in atopic dermatitis: two case reports and management strategies. Dermatol Reports 2025; 17: 10193. DOI: https://doi.org/10.4081/dr.2025.10193

Guttman-Yassky E, Teixeira HD, Simpson EL, Papp KA, Pangan AL, Blauvelt A, et al. Once-daily upadacitinib versus placebo in adolescents and adults with moderate-to-severe atopic dermatitis (Measure Up 1 and Measure Up 2): results from two replicate double-blind, randomised controlled phase 3 trials. Lancet 2021; 397: 2151–2168. DOI: https://doi.org/10.1016/S0140-6736(21)00588-2

Simpson EL, Sinclair R, Forman S, Wollenberg A, Aschoff R, Cork M, et al. Efficacy and safety of abrocitinib in adults and adolescents with moderate-to-severe atopic dermatitis (JADE MONO-1): a multicentre, double-blind, randomised, placebo-controlled, phase 3 trial. Lancet 2020; 396: 255–266. DOI: https://doi.org/10.1016/S0140-6736(20)30732-7

Kremenevski I, Sander O, Sticherling M, Raithel M. Paradoxical reactions to biologicals in chronic inflammatory systemic diseases. Dtsch Arztebl Int 2022; 119: 88–95. DOI: https://doi.org/10.3238/arztebl.m2022.0067

Zhang Y, Jiang G. Application of JAK inhibitors in paradoxical reaction through immune-related dermatoses. Front Immunol 2024; 15: 1341632. DOI: https://doi.org/10.3389/fimmu.2024.1341632

Pastukhova E, Spurr A, Nakonechny Q, Lipson J. Upadacit inib-induced paradoxical face and scalp dermatitis: A case report of a novel sequela. SAGE Open Med Case Rep 2023; 11: 2050313X231164271. DOI: https://doi.org/10.1177/2050313X231164271

Bhargava S, Kumar U, Kroumpouzos G. Subcorneal pustular dermatosis: Comprehensive review and report of a case presenting during pregnancy. Int J Womens Dermatol 2020; 6: 131–136. DOI: https://doi.org/10.1016/j.ijwd.2020.02.003

Published

2026-10-27

How to Cite

Budair, F., AlZamil, J., & AlNashwan, Y. (2026). Subcorneal Pustular Dermatosis as a Complication of Upadacitinib Therapy in a Patient with Atopic Dermatitis: A Case Report. Acta Dermato-Venereologica, 106, adv–2026. https://doi.org/10.2340/actadv.v106.adv-2026-0900

Issue

Section

Short Communication

Categories