Atopic dermatitis (AD) is a common chronic inflammatory skin disease, etiol. is not known but a central role of IL-4 and IL-13 has been discovered.First case is a 26-yr-old man, who came in our department for severe AD, the patient already experienced this therapy with cyclosporine (4 mg/kg) without results, after an informed consent, we prescribed dupilumab, we have continued for 40 wk with high resolution of clinic manifestation when a sudden facial relapse occurred.First, we tried with systemic and topical steroids, but after 6 wk, no benefits were gained, so we switched to upadacitinib, 15 mg by twice day, when patient returned after 1 mo just a mild eczema was visible.Second case is a 38-yr-old woman with AD and other allergic comorbidities, previous treatments include UV-B narrowband phototherapy, systemic steroid and cyclosporine, after 6 wk of dupilumab, improvement was observed, meanwhile the patient developed an itchy eczema on her face and neck which were suspected for to be dupilumab-related regional dermatosis.In addition, in literature, it is reported that dupilumab could worsen or cause facial and periorbital eczema; taking this into account, upadacitinib may be a good option for AD involving the face area.Summing up selective JAK1 inhibitors like upadacitinib could be available for AD for those patients who are not responsive or compliant to dupilumab.