Tofacitinib for celiac disease and microscopic colitis: killing two birds with one stone

Acta Gastroenterol Belg. 2023 Apr-Jun;86(2):374-376. doi: 10.51821/86.2.11639.

Abstract

Microscopic colitis is a chronic inflammatory condition of the colon. Firstline treatment consists of budesonide, with the consideration of biological agents in refractory cases. Celiac disease is a chronic immune mediated and gluten-induced enteropathy, with treatment consisting of a gluten-free diet. There is an association between microscopic colitis and instead of xand celiac disease, especially in refractory cases they can coincide. In this manuscript, we report for the first time the efficacy of tofacitinib, a pan Janus kinase inhibitor, in the treatment of concomitant microscopic colitis and celiac disease, resulting in persistent clinical and histological remission.

Keywords: celiac disease; janus kinase inhibitor; microscopic colitis; tofacitinib.

Publication types

  • Case Reports

MeSH terms

  • Celiac Disease* / complications
  • Celiac Disease* / drug therapy
  • Colitis, Microscopic* / complications
  • Colitis, Microscopic* / drug therapy
  • Humans
  • Piperidines / pharmacology
  • Piperidines / therapeutic use
  • Pyrimidines / pharmacology
  • Pyrimidines / therapeutic use

Substances

  • tofacitinib
  • Piperidines
  • Pyrimidines