Successful Management of Lupus‐Associated Autoimmune Myelofibrosis with Tofacitinib: A Case Report

We report a case of a 34-year-old woman with systemic lupus erythematosus (SLE) who developed thrombocytopenia and was diagnosed with lupus-associated autoimmune myelofibrosis. She was treated with hydroxychloroquine, tofacitinib (5 mg twice daily), intravenous Ig, and prednisone (5 mg twice daily, tapered to 5 mg daily after one month). After 10 months of this regimen, her bone marrow showed complete resolution of myelofibrosis. This case highlights the effectiveness of tofacitinib in the treatment of autoimmune myelofibrosis associated with SLE.

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Publication Details

Journal
ACR Open Rheumatology
Published
2025-03-01
DOI
https://doi.org/10.1002/acr2.70017
Primary Topic
Myeloproliferative Neoplasms: Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
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article

Successful Management of Lupus‐Associated Autoimmune Myelofibrosis with Tofacitinib: A Case Report

Hamidreza Soltani, Ali Dehghan
ACR Open Rheumatology
Myeloproliferative Neoplasms: Diagnosis and Treatment
article

Successful Management of Lupus‐Associated Autoimmune Myelofibrosis with Tofacitinib: A Case Report

Hamidreza Soltani, Ali Dehghan
article en

Abstract

We report a case of a 34-year-old woman with systemic lupus erythematosus (SLE) who developed thrombocytopenia and was diagnosed with lupus-associated autoimmune myelofibrosis. She was treated with hydroxychloroquine, tofacitinib (5 mg twice daily), intravenous Ig, and prednisone (5 mg twice daily, tapered to 5 mg daily after one month). After 10 months of this regimen, her bone marrow showed complete resolution of myelofibrosis. This case highlights the effectiveness of tofacitinib in the treatment of autoimmune myelofibrosis associated with SLE.

ACR Open RheumatologyVol. 7(3)
Shahid Sadoughi University of Medical Sciences and Health Services (IR)
Good health and well-being
Openalex Percentile: Top 94%
Myeloproliferative Neoplasms: Diagnosis and Treatment
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