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, Christian J Song, BA Corresponding author: Christian J. Song, BA, USA (christian.j.song.mil@health.mil). Search for other works by this author on: Oxford Academic Christopher A Riley, MD, FAAD Department of Medicine, Dermatology Service, Eisenhower Army Medical Center , Fort Gordon, GA 30905, USA Search for other works by this author on: Oxford Academic Bart D Wilkison, MD, FAAD Department of Dermatology, Lyster Army Health Clinic , Fort Novosel, AL 36362, USA Search for other works by this author on: Oxford Academic Sunghun Cho, MD Department of Dermatology, Uniformed Services University of the Health Sciences , Bethesda, MD 20814, USA Search for other works by this author on: Oxford Academic
https://orcid.org/0009-0001-7221-1259 Military Medicine, usae291, https://doi.org/10.1093/milmed/usae291
Published:
07 June 2024
Article history
Received:
27 February 2024
Editorial decision:
25 March 2024
Accepted:
22 May 2024
Corrected and typeset:
07 June 2024
Published:
07 June 2024
An update has been published: Military Medicine, usae292, https://doi.org/10.1093/milmed/usae292
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Christian J Song, Christopher A Riley, Bart D Wilkison, Sunghun Cho, Letter to the Editor: A Review of JAK Inhibitors for Treatment of Alopecia Areata in the Military Healthcare System, Military Medicine, 2024;, usae291, https://doi.org/10.1093/milmed/usae291
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Dear Editor,
Regarding the review article titled “A Review of JAK Inhibitors for Treatment of Alopecia Areata in the Military Healthcare System” by Christian Song, Dr. Christopher Riley, Dr. Bart Wilkison, and Dr. Sunghun Cho published in Military Medicine, we, as the authors, would like to offer additional context regarding the creation of the manuscript.
As discussed in the review article, alopecia areata (AA) is a disease that causes not only disfigurement, but is also strongly associated with decreased quality of life, psychiatric conditions, and functional impairment. Those receiving care in the military health care system (MHS) are currently unable to use baricitinib and ritlecitinib, two Janus kinase (JAK) inhibitors, for treatment of severe refractory AA. Current regulations prevent treatment for the purpose of hair regrowth; TRICARE Policy Manual 6010.60 metre Chapter 4, Section1.0 restricts [treatment that is] primarily to improve the physical appearance of a beneficiary, and/or which is performed primarily for psychological purposes, and/or which restores form, but does not correct or materially improve a bodily function.
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