Cutaneous Manifestations of Parry Romberg Syndrome and Complete Resolution with Upadacitinib

Main Article Content

Chrystal Aluya
William C. Lau
Mark Lebwohl

Keywords

parry romberg syndrome,, Janus kinase inhibitor,, upadacitinib

Abstract

Parry Romberg Syndrome (PRS) is a rare, slowly progressive degenerative disorder, marked by the progressive atrophy of facial muscles. Immunosuppressive medications for the treatment of PRS vary in efficacy, and surgical intervention is often utilized for optimal treatment outcomes. Here, we report a case of a 37-year-old female patient with PRS who demonstrated significant improvement after treatment with upadacitinib. The patient presented to the clinic with an indent on the forehead and pain around the area, consistent with Parry Romberg syndrome. Following the initiation of 15mg upadacitnib daily, and a subsequent increase in dosage to 30 mg upadacitinib daily, the indentation on her forehead resolved. This case highlights the utility of Janus kinase inhibitors as an effective treatment for PRS. 

References

1 Yu, BF., Dong, LP., Dai, CC. et al. Genetic variations in patient with Parry–Romberg syndrome. Sci Rep 13, 400 (2023). https://doi.org/10.1038/s41598-023-27597-1

2 Schultz, K. P., Dong, E., Truong, T. A., & Maricevich, R. S. (2019). Parry Romberg Syndrome. Clinics in plastic surgery, 46(2), 231–237. https://doi.org/10.1016/j.cps.2018.11.007

3 Arif, T., Fatima, R., & Sami, M. (2020). Parry-Romberg syndrome: a mini review. Acta dermatovenerologica Alpina, Pannonica, et Adriatica, 29(4), 193–199.

4 Schultz, K. P., Dong, E., Truong, T. A., & Maricevich, R. S. (2019). Parry Romberg Syndrome. Clinics in plastic surgery, 46(2), 231–237. https://doi.org/10.1016/j.cps.2018.11.007

5 Tolkachjov, S. N., Patel, N. G., & Tollefson, M. M. (2015). Progressive hemifacial atrophy: a review. Orphanet journal of rare diseases, 10, 39. https://doi.org/10.1186/s13023-015-0250-9

6 You, H., Xu, D., Zhao, J., Li, J., Wang, Q., Tian, X., Li, M., & Zeng, X. (2020). JAK Inhibitors: Prospects in Connective Tissue Diseases. Clinical reviews in allergy & immunology, 59(3), 334–351. https://doi.org/10.1007/s12016-020-08786-6

7 Mohamed, M. F., Bhatnagar, S., Parmentier, J. M., Nakasato, P., & Wung, P. (2024). Upadacitinib: Mechanism of action, clinical, and translational science. Clinical and translational science, 17(1), e13688. https://doi.org/10.1111/cts.13688

8 McGaugh, S., Kallis, P., De Benedetto, A., & Thomas, R. M. (2022). Janus kinase inhibitors for treatment of morphea and systemic sclerosis: A literature review. Dermatologic therapy, 35(6), e15437. https://doi.org/10.1111/dth.15437

9 Wong, M., Phillips, C. D., Hagiwara, M., & Shatzkes, D. R. (2015). Parry Romberg Syndrome: 7 Cases and Literature Review. AJNR. American journal of neuroradiology, 36(7), 1355–1361. https://doi.org/10.3174/ajnr.A4297

10 Amara, S., Lopez, M., & Lebwohl, M. (2025). Improvement of Suspected Linear Morphea seen with Topical Ruxolitinib. SKIN The Journal of Cutaneous Medicine, 9(1), 2130–2133. https://doi.org/10.25251/skin.9.1.16

11 Flori, E., Cavallo, A., Mosca, S., Kovacs, D., Cota, C., Zaccarini, M., Di Nardo, A., Bottillo, G., Maiellaro, M., Camera, E., & Cardinali, G. (2024). JAK/STAT Inhibition Normalizes Lipid Composition in 3D Human Epidermal Equivalents Challenged with Th2 Cytokines. Cells, 13(9), 760. https://doi.org/10.3390/cells13090760

Most read articles by the same author(s)

<< < 4 5 6 7 8 9 10 11 12 13 > >>