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Kottner J, Hillmann K, Fastner A, Conzade R, Heidingsfelder S, Neumann K, Blume-Peytavi U. Effectiveness of a standardized skin care regimen to prevent atopic dermatitis in infants at risk for atopy: a randomized, pragmatic, parallel-group study. J Eur Acad Dermatol Venereol 2022; 37:540-548. [PMID: 36308037 DOI: 10.1111/jdv.18698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Accepted: 10/18/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND It has been proposed that regular emollient application in early life could enhance skin barrier function and prevent atopic dermatitis (AD) especially in predisposed infants. This hypothesis was supported by evidence from exploratory and pilot trials showing protective effects in terms of reduced cumulative atopic dermatitis incidence with the use of daily emollient therapy starting immediately after birth. OBJECTIVES To investigate the effectiveness of a standardized skin care regimen for infants on the development of AD compared to not structured skin care regimen in infants with atopic predisposition. METHODS Prospective, parallel group, randomized, pragmatic, investigator-blinded intervention trial including 160 infants with 52 weeks intervention and 52 weeks follow up phase up to the age of two years. Infants were randomly assigned to receive a standardized skin care regimen including once daily leave-on product application (lipid content 21%) or skin care as preferred by the parents. RESULTS Using the intention to treat approach, the cumulative AD incidence was 10.6% after one year, and 19.5% after two years in the total sample. There were no statistical significant differences between intervention and control groups. Skin barrier parameters between the intervention and control groups were comparable. AD severity was higher and quality of life was more affected in the control group. CONCLUSIONS Regular emollient application during the first year of life does not prevent the development of atopic dermatitis. A standardized skin care regimen does not delay skin barrier development or causes side effects.
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Affiliation(s)
- J Kottner
- Charité - Universitätsmedizin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Clinical Nursing Science, Berlin, Germany
- Charité - Universitätsmedizin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Clinical Research Center for Hair and Skin Science, Department of Dermatology, Venereology and Allergology, Berlin, Germany
| | - K Hillmann
- Charité - Universitätsmedizin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Clinical Research Center for Hair and Skin Science, Department of Dermatology, Venereology and Allergology, Berlin, Germany
| | - A Fastner
- Charité - Universitätsmedizin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Clinical Nursing Science, Berlin, Germany
| | - R Conzade
- HiPP GmbH & Co. Vertrieb KG, Pfaffenhofen, Germany
| | | | - K Neumann
- Charité - Universitätsmedizin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Biometry and Clinical Epidemiology, Berlin, Germany
| | - U Blume-Peytavi
- Charité - Universitätsmedizin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Clinical Research Center for Hair and Skin Science, Department of Dermatology, Venereology and Allergology, Berlin, Germany
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Abstract
The skin is an endocrine organ and a major target of hormones such as estrogens, androgens and cortisol. Besides vasomotor symptoms (VMS), skin and hair symptoms often receive less attention than other menopausal symptoms despite having a significant negative effect on quality of life. Skin and mucosal menopausal symptoms include dryness and pruritus, thinning and atrophy, wrinkles and sagging, poor wound healing and reduced vascularity, whereas skin premalignant and malignant lesions and skin aging signs are almost exclusively caused by environmental factors, especially solar radiation. Hair menopausal symptoms include reduced hair growth and density on the scalp (diffuse effluvium due to follicular rarefication and/or androgenetic alopecia of female pattern), altered hair quality and structure, and increased unwanted hair growth on facial areas. Hormone replacement therapy (HRT) is not indicated for skin and hair symptoms alone due to the risk-benefit balance, but wider potential benefits of HRT (beyond estrogen's effect on VMS, bone, breast, heart and blood vessels) to include skin, hair and mucosal benefits should be discussed with women so that they will be able to make the best possible informed decisions on how to prevent or manage their menopausal symptoms.
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Affiliation(s)
- C C Zouboulis
- Departments of Dermatology, Venereology, Allergology and Immunology, Dessau Medical Center, Brandenburg Medical School Theodor Fontane and Faculty of Health Sciences, Brandenburg, Germany
| | - U Blume-Peytavi
- Department of Dermatology, Venerology and Allergology, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany
| | | | - E Roó
- Clider Clínica Dermatológica Roó, Universidad Francisco de Vitoria, Madrid, Spain
| | | | - D Kerob
- Laboratoires Vichy, Levallois-Perret, France
| | - S R Goldstein
- School of Medicine, New York University Grossman, New York, NY, USA
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Lintzeri DA, Karimian N, Blume-Peytavi U, Kottner J. Epidermal thickness in healthy humans: A systematic review and meta-analysis. J Eur Acad Dermatol Venereol 2022; 36:1191-1200. [PMID: 35366353 DOI: 10.1111/jdv.18123] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 02/01/2022] [Accepted: 03/04/2022] [Indexed: 11/27/2022]
Abstract
Several skin diseases are characterised by epidermal alterations affecting epidermal thickness. Reference values of epidermal thickness in healthy humans and knowledge of possible differences regarding age, sex, skin phototype, and ethnic origin are essential in research and in clinical practice. The objectives of this systematic review were to provide epidermal thickness reference values for healthy human skin and describe possible effects of measurement methods, age, sex, ethnic origin, and skin phototype. A combined search in the databases Medline and Embase, and other sources was conducted. Searches covered a period from 1946 to 3rd June 2020. Included studies were primary observational and interventional studies providing means and spread values of epidermal thickness estimates in healthy humans, with clear reporting of skin area, age and measurement method, and optional reporting of sex, ethnic origin and skin phototype. Data were extracted per skin area and pooled in random-effects models. 142 studies were included in the qualitative synthesis and 133 in the meta-analysis. Pooled epidermal thickness estimates were calculated for 37 skin areas. The lowest epidermal thickness of 31.2 (95% CI 27.8 to 34.6) μm was reported for the penis, and the highest of 596.6 (95% CI 443.9 to 749.3) μm for the plantar aspect of the foot. Differences of epidermal thickness estimates obtained by histology, optical coherence tomography and laser scanning microscopy were minor. High-frequency ultrasonography produces systematically higher values. Epidermis was thinner in aged skin. Differences between sexes and among ethnic origins where minor. Epidermal thickness reference values are provided for 37 skin areas. In conclusion, the epidermis tends to become thinner by ageing and does not seem to be influenced by sex. Histology, optical coherence tomography and laser scanning microscopy might be used interchangeably to measure epidermal thickness, whereas high-frequency ultrasound should not be used.
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Affiliation(s)
- D A Lintzeri
- Department of Dermatology, Venerology and Allergology, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - N Karimian
- Department of Dermatology, Venerology and Allergology, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - U Blume-Peytavi
- Department of Dermatology, Venerology and Allergology, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - J Kottner
- Institute of Clinical Nursing Science, Berlin, Germany
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Turlier V, Mengeaud V, Lauze C, Kottner J, Blume-Peytavi U. Quantitative and physical characterization of normal hair ageing in White European women: a single-centre study. J Eur Acad Dermatol Venereol 2021; 35 Suppl 2:21-23. [PMID: 34668239 DOI: 10.1111/jdv.17246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- V Turlier
- Pierre Fabre Dermo-Cosmétique, Centre de Recherche sur la Peau, Toulouse, France
| | - V Mengeaud
- Medical Affairs Department, Pierre Fabre Laboratories, Lavaur, France
| | - C Lauze
- Pierre Fabre Dermo-Cosmétique, Centre de Recherche sur la Peau, Toulouse, France
| | - J Kottner
- Department of Dermatology, Venerology and Allergology, Clinical Research Center for Hair and Skin Science, Charité - Universitätsmedizin, Berlin, Germany
| | - U Blume-Peytavi
- Department of Dermatology, Venerology and Allergology, Clinical Research Center for Hair and Skin Science, Charité - Universitätsmedizin, Berlin, Germany
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Piraccini BM, Blume-Peytavi U, Scarci F, Jansat JM, Falqués M, Otero R, Tamarit ML, Galván J, Tebbs V, Massana E. Efficacy and safety of topical finasteride spray solution for male androgenetic alopecia: a phase III, randomized, controlled clinical trial. J Eur Acad Dermatol Venereol 2021; 36:286-294. [PMID: 34634163 PMCID: PMC9297965 DOI: 10.1111/jdv.17738] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Accepted: 09/29/2021] [Indexed: 01/02/2023]
Abstract
Background Oral finasteride is a well‐established treatment for men with androgenetic alopecia (AGA), but long‐term therapy is not always acceptable to patients. A topical finasteride formulation has been developed to minimize systemic exposure by acting specifically on hair follicles. Objectives To evaluate the efficacy and safety of topical finasteride compared with placebo, and to analyse systemic exposure and overall benefit compared with oral finasteride. Methods This randomized, double‐blind, double dummy, parallel‐group, 24‐week study was conducted in adult male outpatients with AGA at 45 sites in Europe. Efficacy and safety were evaluated. Finasteride, testosterone and dihydrotestosterone (DHT) concentrations were measured. Results Of 458 randomized patients, 323 completed the study and 446 were evaluated for safety. Change from baseline in target area hair count (TAHC) at week 24 (primary efficacy endpoint) was significantly greater with topical finasteride than placebo (adjusted mean change 20.2 vs. 6.7 hairs; P < 0.001), and numerically similar between topical and oral finasteride. Statistically significant differences favouring topical finasteride over placebo were observed for change from baseline in TAHC at week 12 and investigator‐assessed change from baseline in patient hair growth/loss at week 24. Incidence and type of adverse events, and cause of discontinuation, did not differ meaningfully between topical finasteride and placebo. No serious adverse events were treatment related. As maximum plasma finasteride concentrations were >100 times lower, and reduction from baseline in mean serum DHT concentration was lower (34.5 vs. 55.6%), with topical vs. oral finasteride, there is less likelihood of systemic adverse reactions of a sexual nature related to a decrease in DHT with topical finasteride. Conclusion Topical finasteride significantly improves hair count compared to placebo and is well tolerated. Its effect is similar to that of oral finasteride, but with markedly lower systemic exposure and less impact on serum DHT concentrations.
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Affiliation(s)
- B M Piraccini
- Dermatology Unit, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - U Blume-Peytavi
- Department of Dermatology, Venerology and Allergology, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - F Scarci
- Almirall Research and Development Center, Sant Feliu de Llobregat, Barcelona, Spain
| | - J M Jansat
- Almirall Research and Development Center, Sant Feliu de Llobregat, Barcelona, Spain
| | - M Falqués
- Almirall Research and Development Center, Sant Feliu de Llobregat, Barcelona, Spain
| | - R Otero
- Almirall Research and Development Center, Sant Feliu de Llobregat, Barcelona, Spain
| | - M L Tamarit
- Almirall Research and Development Center, Sant Feliu de Llobregat, Barcelona, Spain
| | - J Galván
- Almirall Global Medical Affairs Department, Barcelona, Spain
| | - V Tebbs
- Island View Consulting Ltd., Dronfield, UK
| | - E Massana
- Almirall Research and Development Center, Sant Feliu de Llobregat, Barcelona, Spain
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Olsen EA, Harries M, Tosti A, Bergfeld W, Blume-Peytavi U, Callender V, Chasapi V, Correia O, Cotsarelis G, Dhurat R, Dlova N, Doche I, Enechukwu N, Grimalt R, Itami S, Hordinsky M, Khobzei K, Lee WS, Malakar S, Messenger A, McMichael A, Mirmirani P, Ovcharenko Y, Papanikou S, Pinto GM, Piraccini BM, Pirmez R, Reygagne P, Roberts J, Rudnicka L, Saceda-Corralo D, Shapiro J, Silyuk T, Sinclair R, Soares RO, Souissi A, Vogt A, Washenik K, Zlotogorski A, Canfield D, Vano-Galvan S. Guidelines for clinical trials of frontal fibrosing alopecia: consensus recommendations from the International FFA Cooperative Group (IFFACG). Br J Dermatol 2021; 185:1221-1231. [PMID: 34105768 DOI: 10.1111/bjd.20567] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/07/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Frontal fibrosing alopecia (FFA) has become one of the most common causes of cicatricial alopecia worldwide. However, there is a lack of clear aetiology and robust clinical trial evidence for the efficacy and safety of agents currently used for treatment. OBJECTIVES To enable data to be collected worldwide on FFA using common criteria and assessment methods. METHODS A multicentre, international group of experts in hair loss was convened by email to create consensus recommendations for clinical trials. Consensus was defined at > 90% agreement on each recommended part of these guidelines. RESULTS Standardized diagnostic criteria, severity rating, staging, and investigator and patient assessment of scalp hair loss and other clinical features of FFA were created. CONCLUSIONS These guidelines should allow the collection of reliable aggregate data on FFA and advance efforts in both clinical and basic research to close knowledge gaps in this condition.
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Affiliation(s)
- E A Olsen
- Duke University Medical Center, Durham, NC, USA
| | - M Harries
- University of Manchester, MAHSC and NIHR Manchester Biomedical Research Centre, Salford Royal NHS Foundation Trust, Salford, UK
| | - A Tosti
- University of Miami Miller School of Medicine, Miami, FL, USA
| | | | | | - V Callender
- Callender Dermatology & Cosmetic Center and Howard University College of Medicine, Washington, DC, USA
| | - V Chasapi
- Andreas Sygros Hospital, Athens, Greece
| | - O Correia
- Centro Dermatologia Epidermis, Porto, Portugal
| | - G Cotsarelis
- University of Pennsylvania, Philadelphia, PA, USA
| | - R Dhurat
- LTM Medical College & Hospital Sion, Mumbai, India
| | - N Dlova
- University of KwaZulu Natal, Durban, South Africa
| | - I Doche
- University of Sao Paulo Medical School, Sao Paulo, SP, Brazil
| | - N Enechukwu
- Nnamdi Azikiwe University Awka, Anambra State, Nigeria
| | - R Grimalt
- Universitat Internacional de Catalunya, Barcelona, Spain
| | - S Itami
- Oita University, Oita, Japan
| | - M Hordinsky
- University of Minnesota Medical School, Minneapolis, MN, USA
| | - K Khobzei
- Kyiv Medical University, Kyiv, Ukraine
| | - W-S Lee
- Yonsei University, Wonju College of Medicine, Wonju, Gangwon-do, Republic of Korea
| | - S Malakar
- Rita Skin Foundation, Kolkata, West Bengal, India
| | | | - A McMichael
- Wake Forest School of Medicine, Winston Salem, NC, USA
| | - P Mirmirani
- Kaiser Permanente Northern California, Vallejo, CA, USA
| | - Y Ovcharenko
- V.N. Karazin Kharkiv National University, Kharkiv, Ukraine
| | | | - G M Pinto
- University of Miami Miller School of Medicine, Miami, FL, USA
| | | | - R Pirmez
- Instituto de Dermatologia Professor Rubem David Azulay - Santa Casa da Misericórdia do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - P Reygagne
- Centre Sabouraud, Hôpital Saint Louis, Paris, France
| | - J Roberts
- Northwest Dermatology Institute, Portland, OR, USA
| | - L Rudnicka
- Medical University of Warsaw, Warsaw, Poland
| | - D Saceda-Corralo
- Ramón y Cajal Hospital, IRYCIS, University of Alcala, Madrid, Spain
| | - J Shapiro
- New York University Grossman School of Medicine, New York, NY, USA
| | - T Silyuk
- Hair Treatment and Transplantation Center Private Practice, Saint Petersburg, Russia
| | - R Sinclair
- University of Melbourne and Sinclair Dermatology, Melbourne, VIC, Australia
| | - R O Soares
- Cuf Descobertas Hospital, Lisbon, Portugal
| | - A Souissi
- Department of Dermatology, University of Tunis El Manar, Tunis, Tunisia
| | - A Vogt
- Charité-Universitaetsmedizin, Berlin, Germany
| | - K Washenik
- Bosley Medical Group, Beverly Hills, CA and New York University Grossman School of Medicine, New York, NY, USA
| | - A Zlotogorski
- Hadassah Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel
| | - D Canfield
- Canfield Scientific, Inc, Parsippany, NJ, USA
| | - S Vano-Galvan
- Ramón y Cajal Hospital, IRYCIS, University of Alcala, Madrid, Spain
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Blume-Peytavi U, Fowler J, Kemény L, Draelos Z, Cook-Bolden F, Dirschka T, Eichenfield L, Graeber M, Ahmad F, Alió Saenz A, Rich P, Tanghetti E. Long-term safety and efficacy of trifarotene 50 μg/g cream, a first-in-class RAR-γ selective topical retinoid, in patients with moderate facial and truncal acne. J Eur Acad Dermatol Venereol 2019; 34:166-173. [PMID: 31306527 PMCID: PMC7004112 DOI: 10.1111/jdv.15794] [Citation(s) in RCA: 39] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2018] [Accepted: 06/27/2019] [Indexed: 12/29/2022]
Abstract
BACKGROUND Treatment for both facial and truncal acne has not sufficiently been studied. OBJECTIVES To evaluate the long-term safety and efficacy of trifarotene in both facial and truncal acne. METHODS In a multicentre, open-label, 52-week study, patients with moderate facial and truncal acne received trifarotene 50 μg/g cream (trifarotene). Assessments included local tolerability, safety, investigator and physician's global assessments (IGA, PGA) and quality of life (QOL). A validated QOL questionnaire was completed by the patient at Baseline, Week 12, 26 and 52/ET. RESULTS Of 453 patients enrolled, 342 (75.5%) completed the study. Trifarotene-related treatment-emergent adverse events (TEAEs) were reported in 12.6% of patients, and none was serious. Most related TEAEs were cutaneous and occurred during the first 3 months. Signs and symptoms of local tolerability were mostly mild or moderate and severe signs, and symptoms were reported for 2.2% to 7.1% of patients for the face and 2.5% to 5.4% for the trunk. Local irritation increased during the first week of treatment on the face and up to Weeks 2 to 4 on the trunk with both decreasing thereafter. At Week 12, IGA and PGA success rates were 26.6% and 38.6%, respectively. Success rates increased to 65.1% and 66.9%, respectively at Week 52. Overall success (both IGA and PGA success in the same patient) was 57.9% at Week 52. At Week 52 visit, 92/171 (53.8%) patients who had completed their assessments had scores from 0 to 1 (i.e. no effect of acne on their QOL) vs. 47/208 (22.6%) patients at Baseline visit. CONCLUSION In this 52-week study, trifarotene was safe, well tolerated and effective in moderate facial and truncal acne.
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Affiliation(s)
- U Blume-Peytavi
- Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - J Fowler
- Division of Dermatology, University of Louisville, Louisville, KY, USA
| | - L Kemény
- Department of Dermatology and Allergy, University of Szeged, Szeged, Hungary
| | - Z Draelos
- Dermatology Consulting Services, PLLC, High Point, NC, USA
| | | | | | - L Eichenfield
- Departments of Dermatology and Pediatrics, University of California San Diego, School of Medicine and Rady Children's Hospital, San Diego, CA, USA
| | - M Graeber
- Galderma Research and Development LLC, Fort Worth, TX, USA
| | - F Ahmad
- Galderma Research and Development LLC, Fort Worth, TX, USA
| | - A Alió Saenz
- Galderma Research and Development LLC, Fort Worth, TX, USA
| | - P Rich
- Oregon Dermatology and Research, Portland, OR, USA
| | - E Tanghetti
- Center for Dermatology and Laser Surgery, Sacramento, CA, USA
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Yamamoto K, Klossek A, Fuchs K, Watts B, Raabe J, Flesch R, Rancan F, Pischon H, Radbruch M, Gruber AD, Mundhenk L, Vogt A, Blume-Peytavi U, Schrade P, Bachmann S, Gurny R, Rühl E. Soft X-ray microscopy for probing of topical tacrolimus delivery via micelles. Eur J Pharm Biopharm 2019; 139:68-75. [PMID: 30849430 DOI: 10.1016/j.ejpb.2019.03.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2018] [Revised: 01/04/2019] [Accepted: 03/04/2019] [Indexed: 12/27/2022]
Abstract
The penetration of topically applied tacrolimus formulated in micelles into murine skin is reported, measured by X-ray microscopy. Tacrolimus and micelles are probed for the first time by this high spatial resolution technique by element-selective excitation in the C 1s- and O 1s-regimes. This method allows selective detection of the distribution and penetration depth of drugs and carrier molecules into biologic tissues. It is observed that small, but distinct quantities of the drug and micelles, acting as a drug carrier, penetrate the stratum corneum. A comparison is made with the paraffin-based commercial tacrolimus ointment Protopic®, where local drug concentrations show to be low. A slight increase in local drug concentration in the stratum corneum is observed, if tacrolimus is formulated in micelles, as compared to Protopic®. This underscores the importance of the drug formulations for effective drug delivery. Time-resolved penetration shows presence of drug in the stratum corneum 100 min after formulation application, with penetration to deeper skin layers at 1000 min. High resolution micrographs give indications for a penetration pathway along the lipid membranes between corneocytes, but also suggest that the compound may penetrate corneocytes.
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Affiliation(s)
- K Yamamoto
- Physikalische Chemie, Freie Universität Berlin, Arnimallee 22, 14195 Berlin, Germany
| | - A Klossek
- Physikalische Chemie, Freie Universität Berlin, Arnimallee 22, 14195 Berlin, Germany
| | - K Fuchs
- Apidel SA, c/o The Business Harbour, 29 Quai du Mont Blanc, 1201 Geneva, Switzerland
| | - B Watts
- Swiss Light Source, Paul Scherrer Institut, Forschungsstraße 111, 5232 Villigen PSI, Switzerland
| | - J Raabe
- Swiss Light Source, Paul Scherrer Institut, Forschungsstraße 111, 5232 Villigen PSI, Switzerland
| | - R Flesch
- Physikalische Chemie, Freie Universität Berlin, Arnimallee 22, 14195 Berlin, Germany
| | - F Rancan
- Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 10117 Berlin, Germany
| | - H Pischon
- Institute of Veterinary Pathology, Freie Universität Berlin, Robert-von-Ostertag-Str. 15, 14163 Berlin, Germany
| | - M Radbruch
- Institute of Veterinary Pathology, Freie Universität Berlin, Robert-von-Ostertag-Str. 15, 14163 Berlin, Germany
| | - A D Gruber
- Institute of Veterinary Pathology, Freie Universität Berlin, Robert-von-Ostertag-Str. 15, 14163 Berlin, Germany
| | - L Mundhenk
- Institute of Veterinary Pathology, Freie Universität Berlin, Robert-von-Ostertag-Str. 15, 14163 Berlin, Germany
| | - A Vogt
- Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 10117 Berlin, Germany
| | - U Blume-Peytavi
- Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 10117 Berlin, Germany
| | - P Schrade
- Abteilung für Elektronenmikroskopie at CVK, 13353 Berlin, Germany
| | - S Bachmann
- Abteilung für Elektronenmikroskopie at CVK, 13353 Berlin, Germany
| | - R Gurny
- Apidel SA, c/o The Business Harbour, 29 Quai du Mont Blanc, 1201 Geneva, Switzerland
| | - E Rühl
- Physikalische Chemie, Freie Universität Berlin, Arnimallee 22, 14195 Berlin, Germany
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Akdeniz M, Gabriel S, Lichterfeld-Kottner A, Blume-Peytavi U, Kottner J. 健康成人中的 TEWL 参考值. Br J Dermatol 2018. [DOI: 10.1111/bjd.17229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Lichterfeld-Kottner A, Lahmann N, Blume-Peytavi U, Mueller-Werdan U, Kottner J. Dry skin in home care: A representative prevalence study. J Tissue Viability 2018; 27:226-231. [DOI: 10.1016/j.jtv.2018.07.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 05/30/2018] [Accepted: 07/01/2018] [Indexed: 10/28/2022]
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Akdeniz M, Gabriel S, Lichterfeld-Kottner A, Blume-Peytavi U, Kottner J. Transepidermal water loss in healthy adults: a systematic review and meta-analysis update. Br J Dermatol 2018; 179:1049-1055. [DOI: 10.1111/bjd.17025] [Citation(s) in RCA: 66] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/17/2018] [Indexed: 12/12/2022]
Affiliation(s)
- M. Akdeniz
- Charité-Universitätsmedizin Berlin; Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Berlin Germany
| | - S. Gabriel
- Charité-Universitätsmedizin Berlin; Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Berlin Germany
| | - A. Lichterfeld-Kottner
- Charité-Universitätsmedizin Berlin; Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Berlin Germany
| | - U. Blume-Peytavi
- Charité-Universitätsmedizin Berlin; Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Berlin Germany
| | - J. Kottner
- Charité-Universitätsmedizin Berlin; Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Berlin Germany
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13
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Lünnemann L, Ludriksone L, Schario M, Sawatzky S, Stroux A, Blume-Peytavi U, Garcia Bartels N. Noninvasive monitoring of plant-based formulations on skin barrier properties in infants with dry skin and risk for atopic dermatitis. Int J Womens Dermatol 2018; 4:95-101. [PMID: 29872684 PMCID: PMC5986260 DOI: 10.1016/j.ijwd.2017.10.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2017] [Revised: 10/18/2017] [Accepted: 10/19/2017] [Indexed: 12/01/2022] Open
Abstract
Background Dry skin and the associated impaired epidermal barrier function are postulated to constitute a major element in the development of atopic dermatitis. Objective The aim of this study was to evaluate the effect of two plant-based formulations on the epidermal barrier function in a defined cohort of infants with a predisposition for atopic dermatitis. Methods Over a period of 16 weeks, 25 infants who were ages 3 to 12 months and had an atopic predisposition and dry skin received two emollients that contained pressed juice of the ice plant. The infants received both cream and lotion on the forearm, only cream on the face, and only lotion on the leg. Stratum corneum hydration (SCH), transepidermal water loss (TEWL), skin surface pH, and sebum were assessed on the infants’ forehead, leg, and forearm. The Scoring Atopic Dermatitis (SCORAD) index was used for the clinical assessment. Results SCH significantly increased in all body regions that were assessed. The forearm and leg revealed stable levels of pH and TEWL, but a decline in pH (week 16) and TEWL (week 4) was noted on the forehead. At week 16, sebum levels were lower on the forehead compared with those at baseline. SCORAD scores improved significantly during the study. Conclusion A daily application of both emollients was associated with increased SCH levels and a stable course of TEWL, pH, and sebum on the forehead except for the forehead when compared with the forearm and leg. Clinically, improved SCORAD scores were noted.
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Affiliation(s)
- L Lünnemann
- Dermatologic Practice Mahlow, Berlin, Germany
| | - L Ludriksone
- Clinical Research Center for Hair and Skin Science, Department for Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - M Schario
- Clinical Research Center for Hair and Skin Science, Department for Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - S Sawatzky
- Clinical Research Center for Hair and Skin Science, Department for Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - A Stroux
- Clinical Research Center for Hair and Skin Science, Department for Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany.,Department of Medical Statistics and Clinical Epidemiology, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - U Blume-Peytavi
- Clinical Research Center for Hair and Skin Science, Department for Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - N Garcia Bartels
- Clinical Research Center for Hair and Skin Science, Department for Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Berlin, Germany
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14
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Kanti V, Messenger A, Dobos G, Reygagne P, Finner A, Blumeyer A, Trakatelli M, Tosti A, Del Marmol V, Piraccini BM, Nast A, Blume-Peytavi U. Evidence-based (S3) guideline for the treatment of androgenetic alopecia in women and in men - short version. J Eur Acad Dermatol Venereol 2017; 32:11-22. [PMID: 29178529 DOI: 10.1111/jdv.14624] [Citation(s) in RCA: 113] [Impact Index Per Article: 16.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2017] [Accepted: 09/25/2017] [Indexed: 12/28/2022]
Abstract
Androgenetic alopecia is the most common hair loss disorder, affecting both men and women. Initial signs of androgenetic alopecia usually develop during teenage years leading to progressive hair loss with a pattern distribution. Moreover, its frequency increases with age and affects up to 80% Caucasian men and 42% of women. Patients afflicted with androgenetic alopecia may undergo significant impairment of quality of life. The European Dermatology Forum (EDF) initiated a project to develop evidence-based guidelines for the treatment of androgenetic alopecia. Based on a systematic literature research the efficacy of the currently available therapeutic options was assessed and therapeutic recommendations were passed in a consensus conference. The purpose of the guideline is to provide dermatologists with an evidence-based tool for choosing an efficacious and safe therapy for patients with androgenetic alopecia.
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Affiliation(s)
- V Kanti
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - A Messenger
- Department of Dermatology, University of Sheffield, Sheffield, UK
| | - G Dobos
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - P Reygagne
- Centre Sabouraud, Hôpital St. Louis, Paris, France
| | - A Finner
- Private Practices, Berlin, Leipzig, Germany
| | | | - M Trakatelli
- Department of Dermatology and Venerology, Papageorgiou Hospital, Aristotle University, Thessaloniki, Greece
| | - A Tosti
- Department of Dermatology and Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FL, USA.,Private Practice, Bologna, Italy
| | - V Del Marmol
- Department of Dermatology, Hopital Erasme, Université Libre de Bruxelles, Brussels, Belgium
| | - B M Piraccini
- Department of Dermatology, University of Bologna, Bologna, Italy
| | - A Nast
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Dermatology and Allergy, Division of Evidence Based Medicine, Berlin, Germany
| | - U Blume-Peytavi
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Berlin, Germany
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15
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Jung S, Lademann J, Darvin M, Richter C, Pedersen C, Richter H, Schanzer S, Kottner J, Blume-Peytavi U, Røpke M. 272 Structural changes in human skin after topical application of glucocorticoids assessed by in vivo imaging technologies. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.02.288] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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16
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Patwardhan SV, Richter C, Vogt A, Blume-Peytavi U, Canfield D, Kottner J. Measuring acne using Coproporphyrin III, Protoporphyrin IX, and lesion-specific inflammation: an exploratory study. Arch Dermatol Res 2017; 309:159-167. [PMID: 28180934 PMCID: PMC5348552 DOI: 10.1007/s00403-017-1718-3] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2016] [Revised: 01/06/2017] [Accepted: 01/17/2017] [Indexed: 01/20/2023]
Abstract
Propionibacterium acnes: (P. acnes) produce Porphyrins; however, fluorescence measurement of Porphyrins from Ultraviolet-A (UVA) images has failed to establish a correlation. Acne clinical research and imaging has ignored the spectral excitation-emission characteristics and the exact pattern of the Porphyrins synthesized by P. acnes. In this exploratory study, for the first time, the possible relationships of Coproporphyrin III (CpIII) and Protoporphyrin IX (PpIX) fluorescence as well as acne lesion-specific inflammation measurements with clinical signs of acne are investigated. Furthermore, the sensitivity of these measurements in tracking and differentiating the known treatment effects of Benzoyl Peroxide (BPO) 5%, and combination of Clindamycin + BPO are also evaluated. Comedonal and papulopustular lesions identified by investigators during a live assessment of 24 mild-to-severe acne subjects were compared with fluorescence and inflammation measurements obtained from analysis of VISIA®-CR images. CpIII fluorescence spots showed a strong correlation (r = 0.69-0.83), while PpIX fluorescence spots showed a weak correlation (r = 0.19-0.27) with the investigators' comedonal lesion counts. A strong correlation was also observed between the investigators' papulopustular lesion counts and acne lesion-specific inflammation (r = 0.76). Our results suggest that CpIII fluorescence and acne lesion-specific-inflammation measurement can provide objective indication of comedonal and papulopustular acne severity, respectively. Furthermore, these measurements may be more sensitive and specific in evaluating treatment effects and early signs of acne lesion progression compared to investigators' lesion counts.
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Affiliation(s)
| | - C Richter
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - A Vogt
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - U Blume-Peytavi
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - D Canfield
- Canfield Scientific Inc., 4 Wood Hollow Road, Parsippany, NJ, 07054, USA
| | - J Kottner
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Berlin, Germany
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17
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Richter C, Trojahn C, Hillmann K, Dobos G, Kanti V, Vogt A, Blume-Peytavi U, Kottner J. Sensitivity to change of the Dermatology Life Quality Index in adult females with facial acne vulgaris: a validation study. J Eur Acad Dermatol Venereol 2017; 31:169-174. [PMID: 27393576 DOI: 10.1111/jdv.13757] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2015] [Accepted: 03/30/2016] [Indexed: 01/01/2023]
Abstract
BACKGROUND The postadolescent form of acne papulopustulosa, also referred to as 'acne tarda' can have substantial negative impact on Quality of Life, especially in adult female patients. OBJECTIVE Although the Dermatology Life Quality Index (DLQI) is widely used, empirical evidence about its performance in adult female acne patients is lacking. METHODS In this prospective cohort study, we have investigated the sensitivity to change of the DLQI in 53 female adult acne patients with mild to moderate facial acne treated with azelaic acid (AzA) 15% gel twice daily over 24 weeks. RESULTS Mean Investigator Static Global Assessment (ISGA) score was 2.3 (SD 0.5) at baseline and ranged from 0.9 (SD 0.3) to 2.1 (SD 0.4) at the end of the study in the 'Highly Improved' and 'Unchanged' responder groups respectively. The mean baseline DLQI score was 5.1 (SD 4.2). The Effect Size in the responder group 'Highly Improved' was 0.66; in group 'Improved' 0.62 and 0.23 in group 'Unchanged'. At the end of study, the mean DLQI score ranged from 1.1 (SD 1.5) in the 'Highly Improved' group to 3.7 (SD 6.0) in the 'Unchanged' group. CONCLUSION The results support the sensitivity to change of the DLQI in this population.
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Affiliation(s)
- C Richter
- Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - C Trojahn
- Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - K Hillmann
- Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - G Dobos
- Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - V Kanti
- Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - A Vogt
- Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - U Blume-Peytavi
- Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - J Kottner
- Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Clinical Research Center for Hair and Skin Science, Berlin, Germany
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18
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Blume-Peytavi U, Tan J, Tennstedt D, Boralevi F, Fabbrocini G, Torrelo A, Soares-Oliveira R, Haftek M, Rossi AB, Thouvenin MD, Mangold J, Galliano MF, Hernandez-Pigeon H, Aries MF, Rouvrais C, Bessou-Touya S, Duplan H, Castex-Rizzi N, Mengeaud V, Ferret PJ, Clouet E, Saint Aroman M, Carrasco C, Coutanceau C, Guiraud B, Boyal S, Herman A, Delga H, Biniek K, Dauskardt R. Fragility of epidermis in newborns, children and adolescents. J Eur Acad Dermatol Venereol 2016; 30 Suppl 4:3-56. [PMID: 27062556 DOI: 10.1111/jdv.13636] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2015] [Revised: 02/10/2016] [Accepted: 02/17/2016] [Indexed: 12/18/2022]
Abstract
Within their first days of life, newborns' skin undergoes various adaptation processes needed to accommodate the transition from the wet uterine environment to the dry atmosphere. The skin of newborns and infants is considered as a physiological fragile skin, a skin with lower resistance to aggressions. Fragile skin is divided into four categories up to its origin: physiological fragile skin (age, location), pathological fragile skin (acute and chronic), circumstantial fragile skin (due to environmental extrinsic factors or intrinsic factors such as stress) and iatrogenic fragile skin. Extensive research of the past 10 years have proven evidence that at birth albeit showing a nearly perfect appearance, newborn skin is structurally and functionally immature compared to adult skin undergoing a physiological maturation process after birth at least throughout the first year of life. This article is an overview of all known data about fragility of epidermis in 'fragile populations': newborns, children and adolescents. It includes the recent pathological, pathophysiological and clinical data about fragility of epidermis in various dermatological diseases, such as atopic dermatitis, acne, rosacea, contact dermatitis, irritative dermatitis and focus on UV protection.
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Affiliation(s)
- U Blume-Peytavi
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin, Berlin, Germany
| | - J Tan
- Department of Medicine, Faculty of Medicine, Schulich School of Medicine and Dentistry, Western University, Windsor campus, Windsor, ON, Canada.,Windsor Clinical Research Inc., Windsor campus, Windsor, ON, Canada
| | - D Tennstedt
- Department of Dermatology, Saint-Luc University Clinics, Brussels, Belgium
| | - F Boralevi
- Pediatric Dermatology, Pellegrin Hospital, Bordeaux, France
| | - G Fabbrocini
- Department of Dermatology, University Hospital of Naples, Naples, Italy
| | - A Torrelo
- Pediatric Dermatology, Hospital del Niño Jesús, Madrid, Spain
| | | | - M Haftek
- University Lyon 1, Lyon, France.,University Lyon 1, EA4169, "Fundamental, clinical and therapeutic aspects of the skin barrier function", Lyon, France
| | - A B Rossi
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Department of Dermatology, Toulouse University hospital, France
| | - M D Thouvenin
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France
| | - J Mangold
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France
| | - M F Galliano
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique Research and Development Center, Pharmacology Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - H Hernandez-Pigeon
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - M F Aries
- Pierre Fabre Dermo-Cosmétique Research and Development Center, Pharmacology Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - C Rouvrais
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France
| | - S Bessou-Touya
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique Research and Development Center, Pharmacology Division, Toulouse, France.,Medical Department, Pierre Fabre Research and Laboratoires Dermatologiques A-Derma, Lavaur, France.,Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - H Duplan
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique Research and Development Center, Pharmacology Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - N Castex-Rizzi
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique Research and Development Center, Pharmacology Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - V Mengeaud
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique Research and Development Center, Pharmacology Division, Toulouse, France
| | - P J Ferret
- Pierre Fabre Dermo-Cosmétique Research & Development, Toxicology Division, Vigoulet-Auzil, France.,Pierre Fabre Dermo-Cosmétique Research & Developement Center, Toxicology division, Vigoulet, France
| | - E Clouet
- Pierre Fabre Dermo-Cosmétique Research & Development, Toxicology Division, Vigoulet-Auzil, France.,Pierre Fabre Dermo-Cosmétique Research & Developement Center, Toxicology division, Vigoulet, France
| | | | - C Carrasco
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique Research and Development Center, Pharmacology Division, Toulouse, France.,Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - C Coutanceau
- Medical Department, Pierre Fabre Research and Laboratoires Dermatologiques A-Derma, Lavaur, France
| | - B Guiraud
- Pierre Fabre Dermo-Cosmétique Research & Development, Clinical Division, Toulouse, France
| | - S Boyal
- Windsor Clinical Research Inc., Windsor campus, Windsor, ON, Canada
| | - A Herman
- Department of Dermatology, Saint-Luc University Clinics, Brussels, Belgium
| | - H Delga
- Pierre Fabre Dermo-Cosmétique, Pierre Fabre Research and Development Center, Pharmacology Division, Toulouse, France
| | - K Biniek
- Department of Materials Science and Engineering, Stanford University hospital, Stanford, CA, USA
| | - R Dauskardt
- Department of Materials Science and Engineering, Stanford University hospital, Stanford, CA, USA
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19
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Yamamoto K, Klossek A, Flesch R, Rancan F, Weigand M, Bykova I, Bechtel M, Ahlberg S, Vogt A, Blume-Peytavi U, Schrade P, Bachmann S, Hedtrich S, Schäfer-Korting M, Rühl E. Influence of the skin barrier on the penetration of topically-applied dexamethasone probed by soft X-ray spectromicroscopy. Eur J Pharm Biopharm 2016; 118:30-37. [PMID: 27998691 DOI: 10.1016/j.ejpb.2016.12.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 10/06/2016] [Accepted: 12/14/2016] [Indexed: 12/27/2022]
Abstract
The penetration of dexamethasone into human skin ex vivo is reported. X-ray microscopy is used for label-free probing of the drug and quantification of the local drug concentration with a spatial resolution reaching 70±5nm. This is accomplished by selective probing the dexamethasone by X-ray absorption. Varying the penetration time between 10min and 1000min provides detailed information on the penetration process. In addition, the stratum corneum has been damaged by tape-stripping in order to determine the importance of this barrier regarding temporally resolved drug penetration profiles. Dexamethasone concentrations distinctly vary, especially close to the border of the stratum corneum and the viable epidermis, where a local minimum in drug concentration is observed. Furthermore, near the basal membrane the drug concentration strongly drops. High spatial resolution studies along with a de-convolution procedure reveal the spatial distribution of dexamethasone in the interspaces between the corneocytes consisting of stratum corneum lipids. These results on local drug concentrations are interpreted in terms of barriers affecting the drug penetration in human skin.
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Affiliation(s)
- K Yamamoto
- Physikalische Chemie, Freie Universität Berlin, Takustr. 3, 14195 Berlin, Germany
| | - A Klossek
- Physikalische Chemie, Freie Universität Berlin, Takustr. 3, 14195 Berlin, Germany
| | - R Flesch
- Physikalische Chemie, Freie Universität Berlin, Takustr. 3, 14195 Berlin, Germany
| | - F Rancan
- Klinisches Forschungszentrum für Haut- und Haarforschung, Charité Universitätsmedizin, Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - M Weigand
- Max-Planck-Institut für Metallforschung, Heisenbergstraβe 3, 70569 Stuttgart, Germany
| | - I Bykova
- Max-Planck-Institut für Metallforschung, Heisenbergstraβe 3, 70569 Stuttgart, Germany
| | - M Bechtel
- Max-Planck-Institut für Metallforschung, Heisenbergstraβe 3, 70569 Stuttgart, Germany
| | - S Ahlberg
- Klinisches Forschungszentrum für Haut- und Haarforschung, Charité Universitätsmedizin, Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - A Vogt
- Klinisches Forschungszentrum für Haut- und Haarforschung, Charité Universitätsmedizin, Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - U Blume-Peytavi
- Klinisches Forschungszentrum für Haut- und Haarforschung, Charité Universitätsmedizin, Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - P Schrade
- Abteilung für Elektronenmikroskopie at Campus Virchow Klinikum (CVK), Charité Universitätsmedizin, Augustenburger Platz 1, 13353 Berlin, Germany
| | - S Bachmann
- Abteilung für Elektronenmikroskopie at Campus Virchow Klinikum (CVK), Charité Universitätsmedizin, Augustenburger Platz 1, 13353 Berlin, Germany
| | - S Hedtrich
- Institut für Pharmazie, Freie Universität Berlin, Königin-Luise-Str. 2+4, 14195 Berlin, Germany
| | - M Schäfer-Korting
- Institut für Pharmazie, Freie Universität Berlin, Königin-Luise-Str. 2+4, 14195 Berlin, Germany
| | - E Rühl
- Physikalische Chemie, Freie Universität Berlin, Takustr. 3, 14195 Berlin, Germany.
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20
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Affiliation(s)
- U Blume-Peytavi
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin, Charitéplatz 1, Berlin, 10117, Germany
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21
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Rancan F, Giulbudagian M, Jurisch J, Blume-Peytavi U, Calderón M, Vogt A. Drug delivery across intact and disrupted skin barrier: Identification of cell populations interacting with penetrated thermoresponsive nanogels. Eur J Pharm Biopharm 2016; 116:4-11. [PMID: 27865989 DOI: 10.1016/j.ejpb.2016.11.017] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2016] [Revised: 11/14/2016] [Accepted: 11/15/2016] [Indexed: 10/20/2022]
Abstract
Nanoscaled soft particles, such as nanogels, can be designed to incorporate different types of compounds and release them in a controlled and triggered manner. Thermoresponsive nanogels (tNG), releasing their cargo above a defined temperature, are promising carrier systems for inflammatory skin diseases, where the temperature of diseased skin differs from that of healthy skin areas. In this study a polyglycerol-based tNG with diameter of 156nm was investigated for penetration and release properties upon topical application on ex vivo human skin with intact or disrupted barrier. Furthermore, temperature-triggered effects and the internalization of tNG by skin cells upon translocation to the viable skin layers were analyzed. The investigated tNG were tagged with indodicarbocyanine and loaded with fluorescein, so that fluorescent microscopy and flow cytometry could be used to evaluate simultaneously particle penetration and release of the fluorochrome. Topically applied tNG penetrated into the SC of both intact and disrupted skin explants. Only in barrier-disrupted skin significant amounts of released fluorochrome and tNG penetrated in the epidermis and dermis 2h after topical application. When a thermal trigger was applied by infrared radiation (30s, 3.9mJ/cm2), a significantly higher penetration of tNG in the SC and release of the dye in the epidermis were detected with respect to non-triggered samples. Penetrated tNG particles were internalized by skin cells in both epidermis and dermis. Only few CD1a-positive Langerhans cells associated with tNG were found in the epidermis. However, in the dermis a significant percentage of cells associated with tNG were identified to be antigen presenting cells, i.e. HLA-DR+and CD206+cells. Thus, tNG represent promising carrier systems for the treatment of inflammatory skin diseases, not only because of their improved penetration and controlled release properties, but also because of their ability to effectively reach dermal dendritic cells in barrier-disrupted skin.
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Affiliation(s)
- F Rancan
- Clinical Research Center of Hair and Skin Science, Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany.
| | - M Giulbudagian
- Freie Universität Berlin, Institute for Chemistry and Biochemistry, Takustrasse 3, 14195 Berlin, Germany
| | - J Jurisch
- Clinical Research Center of Hair and Skin Science, Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - U Blume-Peytavi
- Clinical Research Center of Hair and Skin Science, Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - M Calderón
- Freie Universität Berlin, Institute for Chemistry and Biochemistry, Takustrasse 3, 14195 Berlin, Germany
| | - A Vogt
- Clinical Research Center of Hair and Skin Science, Department of Dermatology and Allergy, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany
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Klossek A, Thierbach S, Rancan F, Vogt A, Blume-Peytavi U, Rühl E. Studies for improved understanding of lipid distributions in human skin by combining stimulated and spontaneous Raman microscopy. Eur J Pharm Biopharm 2016; 116:76-84. [PMID: 27864053 DOI: 10.1016/j.ejpb.2016.11.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2016] [Revised: 10/07/2016] [Accepted: 11/07/2016] [Indexed: 11/17/2022]
Abstract
Advanced Raman techniques, such as stimulated Raman spectroscopy (SRS), have become a valuable tool for investigations of distributions of substances in biological samples. However, these techniques lack spectral information and are therefore highly affected by cross-sensitivities, which are due to blended Raman bands. One typical example is the symmetric CH2 stretching vibration of lipids, which is blended with the more intense Raman band of proteins. We report in this work an approach to reduce such cross-sensitivities by a factor of 8 in human skin samples. This is accomplished by careful spectral deconvolutions revealing the neat spectra of skin lipids. Extensive Raman studies combining the complementary advantages of fast mapping and scanning, i.e. SRS, as well as spectral information provided by spontaneous Raman spectroscopy, were performed on the same skin regions. In addition, an approach for correcting artifacts is reported, which are due to transmission and reflection geometries in Raman microscopy as well as scattering of radiation from rough and highly structured skin samples. As a result, these developments offer improved results obtained from label-free spectromicroscopy provided by Raman techniques. These yield substance specific information from spectral regimes in which blended bands dominate. This improvement is illustrated by studies on the asymmetric CH2 stretching vibration of lipids, which was previously difficult to identify due to the strong background signal from proteins. The advantage of the correction procedures is demonstrated by higher spatial resolution permitting to perform more detailed investigations on lipids and their composition in skin.
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Affiliation(s)
- A Klossek
- Physikalische Chemie, Institut für Chemie und Biochemie, Freie Universität Berlin, Takustr. 3, 14195 Berlin, Germany
| | - S Thierbach
- Physikalische Chemie, Institut für Chemie und Biochemie, Freie Universität Berlin, Takustr. 3, 14195 Berlin, Germany
| | - F Rancan
- Klinisches Forschungszentrum für Haut-und Haarforschung, Charité Universitätsmedizin, 10117 Berlin, Germany
| | - A Vogt
- Klinisches Forschungszentrum für Haut-und Haarforschung, Charité Universitätsmedizin, 10117 Berlin, Germany
| | - U Blume-Peytavi
- Klinisches Forschungszentrum für Haut-und Haarforschung, Charité Universitätsmedizin, 10117 Berlin, Germany
| | - E Rühl
- Physikalische Chemie, Institut für Chemie und Biochemie, Freie Universität Berlin, Takustr. 3, 14195 Berlin, Germany.
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23
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Rancan F, Giulbudagian M, Jurisch J, Stanko J, Volkmann H, Blume-Peytavi U, Calderon M, Vogt A. 248 Cell populations interacting with thermoresponsive nanocarriers: targeting of anti-inflammatory drugs to skin. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.06.268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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24
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Yamamoto K, Klossek A, Flesch R, Ohigashi T, Fleige E, Rancan F, Frombach J, Vogt A, Blume-Peytavi U, Schrade P, Bachmann S, Haag R, Hedtrich S, Schäfer-Korting M, Kosugi N, Rühl E. Core-multishell nanocarriers: Transport and release of dexamethasone probed by soft X-ray spectromicroscopy. J Control Release 2016; 242:64-70. [PMID: 27568290 DOI: 10.1016/j.jconrel.2016.08.028] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2016] [Revised: 08/16/2016] [Accepted: 08/23/2016] [Indexed: 11/26/2022]
Abstract
Label-free detection of core-multishell (CMS) nanocarriers and the anti-inflammatory drug dexamethasone is reported. Selective excitation by tunable soft X-rays in the O 1s-regime is used for probing either the CMS nanocarrier or the drug. Furthermore, the drug loading efficiency into CMS nanocarriers is determined by X-ray spectroscopy. The drug-loaded nanocarriers were topically applied to human skin explants providing insights into the penetration and drug release processes. It is shown that the core-multishell nanocarriers remain in the stratum corneum when applied for 100min to 1000min. Dexamethasone, if applied topically to human ex vivo skin explants using different formulations, shows a vehicle-dependent penetration behavior. Highest local drug concentrations are found in the stratum corneum as well as in the viable epidermis. If the drug is loaded to core-multishell nanocarriers, the concentration of the free drug is low in the stratum corneum and is enhanced in the viable epidermis as compared to other drug formulations. The present results provide insights into the penetration of drug nanocarriers as well as the mechanisms of controlled drug release from CMS nanocarriers in human skin. They are also compared to related work using dye-labeled nanocarriers and dyes that were used as model drugs.
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Affiliation(s)
- K Yamamoto
- Physikalische Chemie, Freie Universität Berlin, Takustr. 3, 14195 Berlin, Germany
| | - A Klossek
- Physikalische Chemie, Freie Universität Berlin, Takustr. 3, 14195 Berlin, Germany
| | - R Flesch
- Physikalische Chemie, Freie Universität Berlin, Takustr. 3, 14195 Berlin, Germany
| | - T Ohigashi
- UVSOR Synchrotron Facility, Institute for Molecular Science, Okazaki 444-8585, Japan
| | - E Fleige
- Institut für Chemie und Biochemie, Freie Universität Berlin, Takustr. 3, 14195 Berlin, Germany
| | - F Rancan
- Klinisches Forschungszentrum für Haut- und Haarforschung, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - J Frombach
- Klinisches Forschungszentrum für Haut- und Haarforschung, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - A Vogt
- Klinisches Forschungszentrum für Haut- und Haarforschung, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - U Blume-Peytavi
- Klinisches Forschungszentrum für Haut- und Haarforschung, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - P Schrade
- Abteilung für Elektronenmikroskopie at CVK, 13353 Berlin, Germany
| | - S Bachmann
- Abteilung für Elektronenmikroskopie at CVK, 13353 Berlin, Germany
| | - R Haag
- Institut für Chemie und Biochemie, Freie Universität Berlin, Takustr. 3, 14195 Berlin, Germany
| | - S Hedtrich
- Institut für Pharmazie, Freie Universität Berlin, Königin-Luise-Str. 2-4, 14195 Berlin, Germany
| | - M Schäfer-Korting
- Institut für Pharmazie, Freie Universität Berlin, Königin-Luise-Str. 2-4, 14195 Berlin, Germany
| | - N Kosugi
- UVSOR Synchrotron Facility, Institute for Molecular Science, Okazaki 444-8585, Japan
| | - E Rühl
- Physikalische Chemie, Freie Universität Berlin, Takustr. 3, 14195 Berlin, Germany.
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25
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Lichterfeld A, Lahmann N, Blume-Peytavi U, Kottner J. Dry skin in nursing care receivers: A multi-centre cross-sectional prevalence study in hospitals and nursing homes. Int J Nurs Stud 2016; 56:37-44. [DOI: 10.1016/j.ijnurstu.2016.01.003] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2015] [Revised: 01/06/2016] [Accepted: 01/06/2016] [Indexed: 01/24/2023]
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26
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Abstract
Reactive free radicals can be produced in the skin by the action of environmental factors, such as sun radiation and toxins. These radicals can damage the DNA, proteins and lipids of the living cells. The consequences can be skin aging, immune suppression and even skin cancer. Humans have developed a protective mechanism against the action of free radicals in the form of antioxidant substances. Several of these antioxidants cannot be produced by humans and have to be acquired via food, such as carotenoids. Optical, non-invasive methods, like resonance Raman spectroscopy, allow a qualitative and quantitative online detection of the kinetics of antioxidants such as carotenoids in the skin. By employing this method it has been shown that the uptake of carotenoids in food can lead to an accumulation in the skin. On the other hand, stress, illness and UV-radiation can reduce the concentration of antioxidant substances in the skin. A high concentration of antioxidant substances is protective and associated with a reduction in skin wrinkling.
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Affiliation(s)
- M Darwin
- Center of Experimental and Applied Cutaneous Physiology (CCP), Klinik für Dermatologie, Venerologie und Allergologie, Charité, Universitätsmedizin Berlin
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27
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Richter C, Trojahn C, Dobos G, Blume-Peytavi U, Kottner J. Follicular fluorescence quantity to characterize acne severity: a validation study. Skin Res Technol 2016; 22:451-459. [PMID: 26804729 DOI: 10.1111/srt.12286] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/19/2015] [Indexed: 12/21/2022]
Abstract
BACKGROUND Porphyrins are native fluorophores in the follicle openings, visible under ultraviolet-A light. Acne severity might be associated with increased Propionibacterium acnes colonization and porphyrin production. Aim of this study was to investigate whether the parameter fluorescence quantity can be used to measure acne severity. METHODS A validation study was conducted in 24 patients with acne using split-face design. Acne severity was measured using Investigator Static Global Assessment scores and lesion counts. Reliability, construct validity and sensitivity to change in fluorescence quantity were investigated. RESULTS Mean baseline Investigator Static Global Assessment score was 2.7 (SD 0.1). Mean baseline fluorescence quantities were 24.8 (SD 4.0) on the cheek and 20.3 (SD 4.6) on the chin. On day 25, values ranged from 6.0 (SD 6.0) to 18.1 (SD 18.4) on the cheek and from 2.6 (SD 4.4) to 14.7 (SD 16.2) on the chin. The intraclass correlation coefficients of fluorescence quantity ranged from 0.513 to 0.987. Effect sizes for fluorescence measurements were highest on the chin and cheek ranging from 0.24 to 0.77 and 0.32 to 0.75, respectively. CONCLUSION Fluorescence quantity indicates acne severity, especially on the inner cheek and chin areas. Fluorescence quantity is reliable but is not as sensitive as manual lesion counting.
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Affiliation(s)
- C Richter
- Charité-Universitätsmedizin Berlin, Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Berlin, Germany.
| | - C Trojahn
- Charité-Universitätsmedizin Berlin, Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - G Dobos
- Charité-Universitätsmedizin Berlin, Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - U Blume-Peytavi
- Charité-Universitätsmedizin Berlin, Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Berlin, Germany
| | - J Kottner
- Charité-Universitätsmedizin Berlin, Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Berlin, Germany
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Abstract
BACKGROUND Skin aging is associated with anatomical and physiological changes. These changes are not pathological; nevertheless, reduced functional skin capacity increases the susceptibility to skin diseases and functional disorders. Especially in old age, the clinical manifestation of skin changes differs greatly between individuals. PURPOSE This contribution focuses on a critical reflection of the concept of preventative skin care and skin health promotion in the aged. RESULTS Preventive skin care in the aged includes all activities to cleanse and care for the skin which contribute to health promotion and which reduce the probability developing skin disorders or diseases. Preventive skin care in the aged can be classified into primary, secondary, and tertiary prevention, but the empirical evidence supporting individual interventions is heterogeneous. CONCLUSION There are no formally developed guidelines or recommendations for basic skin care in the aged. Thus, preventive skin care in the elderly is very likely to be underused.
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Affiliation(s)
- J Kottner
- Klinik für Dermatologie, Venerologie und Allergologie, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland,
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29
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Hotz A, Oji V, Bourrat E, Jonca N, Mazereeuw-Hautier J, Betz R, Blume-Peytavi U, Stieler K, Morice-Picard F, Schönbuchner I, Markus S, Schlipf N, Fischer J. Erratum. Acta Derm Venereol 2016. [DOI: 10.2340/00015555-2458] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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30
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Harries M, Tosti A, Bergfeld W, Blume-Peytavi U, Shapiro J, Lutz G, Messenger A, Sinclair R, Paus R. Towards a consensus on how to diagnose and quantify female pattern hair loss - The ‘Female Pattern Hair Loss Severity Index (FPHL-SI)’. J Eur Acad Dermatol Venereol 2015; 30:667-76. [DOI: 10.1111/jdv.13455] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Accepted: 09/16/2015] [Indexed: 12/19/2022]
Affiliation(s)
- M. Harries
- Salford Royal NHS Foundation Trust; The University of Manchester; Manchester UK
| | - A. Tosti
- University of Miami; Miami FL USA
| | | | | | - J. Shapiro
- University of British Columbia; Vancouver Germany
- New York University; New York NY USA
| | | | - A. Messenger
- Royal Hallamshire Hospital; University of Sheffield; Sheffield UK
| | - R. Sinclair
- University of Melbourne; Melbourne Australia
| | - R. Paus
- University of Manchester; Manchester UK
- University of Münster; Münster Germany
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31
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Sterry W, Blume-Peytavi U. Skin aging. GIORN ITAL DERMAT V 2015; 150:663. [PMID: 26513042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- W Sterry
- Clinic of Dermatology, Venerology and Allergology, Charité University Medicine, Berlin, Germany -
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32
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Trojahn C, Dobos G, Blume-Peytavi U, Kottner J. The skin barrier function: differences between intrinsic and extrinsic aging. GIORN ITAL DERMAT V 2015; 150:687-692. [PMID: 26373867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
AIM Transepidermal water loss (TEWL), stratum corneum hydration (SCH), and the skin surface pH are important parameters to characterize the skin barrier function. The aim of this exploratory study was to compare TEWL, SCH and skin surface-pH on sun-protected versus sun-exposed skin areas in relation to age. METHODS Twenty four female subjects with healthy skin were recruited in three age groups. Lifetime sun exposure was assessed using a questionnaire. TEWL, SCH, and skin surface pH were measured on the right upper inner arm, right mid-volar forearm and right dorsal forearm under standardized conditions. RESULTS Mean ages (SD) of the three age groups were 33.5 (2.1), 55.4 (2.7), and 76.6 (1.9) years. There were no TEWL differences between the age groups on either skin area. Significantly lower TEWL values were observed on the dorsal forearm compared to the other skin areas (P<0.05). Mean SCH was comparable between the age groups. Higher SCH values were measured on the volar forearm (P<0.05). Skin surface pH on the upper inner arm was significantly higher in the aged group (P=0.023). The dorsal forearm skin had a lower pH than the upper inner arm. CONCLUSION There seem to be minor changes of TEWL and SCH, but a clear increase of skin surface pH during the course of life. Differences between intrinsically and extrinsically aged skin areas were observed, but results provide no clear evidence for an impairment of the skin barrier function due to photodamage.
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Affiliation(s)
- C Trojahn
- Clinical Research Center for Hair and Skin Science, Department of Dermatology and Allergy,Charité - Universitätsmedizin Berlin, Berlin, Germany -
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33
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Schäfer G, Dobos G, Lünnemann L, Blume-Peytavi U, Fischer T, Kottner J. Using ultrasound elastography to monitor human soft tissue behaviour during prolonged loading: A clinical explorative study. J Tissue Viability 2015; 24:165-72. [DOI: 10.1016/j.jtv.2015.06.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2014] [Revised: 06/14/2015] [Accepted: 06/18/2015] [Indexed: 01/25/2023]
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34
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Kanti V, Nuwayhid R, Lindner J, Hillmann K, Bangemann N, Kleine-Tebbe A, Blume-Peytavi U, Garcia Bartels N. Evaluation of trichodynia (hair pain) during chemotherapy or tamoxifen treatment in breast cancer patients. J Eur Acad Dermatol Venereol 2015; 30:112-8. [DOI: 10.1111/jdv.13396] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Accepted: 07/24/2015] [Indexed: 12/19/2022]
Affiliation(s)
- V. Kanti
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - R. Nuwayhid
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - J. Lindner
- Department of Gynecology and Obstetrics; Ostalb-Hospital; Aalen Germany
| | - K. Hillmann
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - N. Bangemann
- Interdisciplinary Breast Center; Charité -Universitätsmedizin Berlin; Berlin Germany
| | | | - U. Blume-Peytavi
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - N. Garcia Bartels
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
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35
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Kanti V, Hillmann K, Kottner J, Stroux A, Canfield D, Blume-Peytavi U. Effect of minoxidil topical foam on frontotemporal and vertex androgenetic alopecia in men: a 104-week open-label clinical trial. J Eur Acad Dermatol Venereol 2015; 30:1183-9. [PMID: 26387973 DOI: 10.1111/jdv.13324] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Accepted: 07/07/2015] [Indexed: 10/23/2022]
Abstract
BACKGROUND Topical minoxidil formulations have been shown to be effective in treating androgenetic alopecia (AGA) for 12 months. Efficacy and safety in both frontotemporal and vertex regions over longer application periods have not been studied so far. OBJECTIVES To evaluate the effect of 5% minoxidil topical foam (5% MTF) in the frontotemporal and vertex areas in patients with moderate AGA over 104 weeks. METHODS An 80-week, open-label extension phase was performed, following a 24-week randomized, double-blind, placebo-controlled study in men with AGA grade IIIvertex to VI. Group 1 (n = 22) received ongoing 5% MTF for 104 weeks, Group 2 (n = 23) received placebo topical foam (plaTF) until week 24, followed by 5% MTF until week 104 during the extension phase. Frontotemporal and vertex target area non-vellus hair counts (f-TAHC, v-TAHC) and cumulative hair width (f-TAHW, v-TAHW) were assessed at baseline and at weeks 24, 52, 76 and 104. RESULTS In Group 1, f-TAHW and f-TAHC showed a statistically significant increase from baseline to week 52 and week 76, respectively, returning to values comparable to baseline at week 104. No significant differences were found between baseline and week 104 in v-TAHC in Group 1 as well as f-TAHC, v-TAHC, f-TAHW and v-TAHW values in Group 2. CONCLUSIONS 5% MTF is effective in stabilizing hair density, hair width and scalp coverage in both frontotemporal and vertex areas over an application period of 104 weeks, while showing a good safety and tolerability profile with a low rate of irritant contact dermatitis.
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Affiliation(s)
- V Kanti
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - K Hillmann
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - J Kottner
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - A Stroux
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité - Universitätsmedizin Berlin, Berlin, Germany.,Department of Biometrics and Clinical Epidemiology, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - D Canfield
- Canfield Scientific, Inc., Fairfield, NJ, USA
| | - U Blume-Peytavi
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité - Universitätsmedizin Berlin, Berlin, Germany
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36
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Yamamoto K, Flesch R, Ohigashi T, Hedtrich S, Klossek A, Patoka P, Ulrich G, Ahlberg S, Rancan F, Vogt A, Blume-Peytavi U, Schrade P, Bachmann S, Schäfer-Korting M, Kosugi N, Rühl E. Selective Probing of the Penetration of Dexamethasone into Human Skin by Soft X-ray Spectromicroscopy. Anal Chem 2015; 87:6173-9. [DOI: 10.1021/acs.analchem.5b00800] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- K. Yamamoto
- Physikalische
Chemie, Institut für Chemie und Biochemie, Freie Universität Berlin, 14195 Berlin, Takustrasse
3, Germany
| | - R. Flesch
- Physikalische
Chemie, Institut für Chemie und Biochemie, Freie Universität Berlin, 14195 Berlin, Takustrasse
3, Germany
| | - T. Ohigashi
- Institute for Molecular Science, Myodaiji,
Okazaki 444-8585, Japan
| | - S. Hedtrich
- Institut
für Pharmazie, Freie Universität Berlin, 14195 Berlin, Germany
| | - A. Klossek
- Physikalische
Chemie, Institut für Chemie und Biochemie, Freie Universität Berlin, 14195 Berlin, Takustrasse
3, Germany
| | - P. Patoka
- Physikalische
Chemie, Institut für Chemie und Biochemie, Freie Universität Berlin, 14195 Berlin, Takustrasse
3, Germany
| | - G. Ulrich
- Physikalische
Chemie, Institut für Chemie und Biochemie, Freie Universität Berlin, 14195 Berlin, Takustrasse
3, Germany
| | - S. Ahlberg
- Klinisches
Forschungszentrum für Haut-und Haarforschung, Charité Universitätsmedizin, 10117 Berlin, Germany
| | - F. Rancan
- Klinisches
Forschungszentrum für Haut-und Haarforschung, Charité Universitätsmedizin, 10117 Berlin, Germany
| | - A. Vogt
- Klinisches
Forschungszentrum für Haut-und Haarforschung, Charité Universitätsmedizin, 10117 Berlin, Germany
| | - U. Blume-Peytavi
- Klinisches
Forschungszentrum für Haut-und Haarforschung, Charité Universitätsmedizin, 10117 Berlin, Germany
| | - P. Schrade
- Abteilung für
Elektronenmikroskopie at CVK, 13353 Berlin, Germany
| | - S. Bachmann
- Abteilung für
Elektronenmikroskopie at CVK, 13353 Berlin, Germany
| | | | - N. Kosugi
- Institute for Molecular Science, Myodaiji,
Okazaki 444-8585, Japan
| | - E. Rühl
- Physikalische
Chemie, Institut für Chemie und Biochemie, Freie Universität Berlin, 14195 Berlin, Takustrasse
3, Germany
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37
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Dobos G, Trojahn C, Lichterfeld A, D′Alessandro B, Patwardhan SV, Canfield D, Blume-Peytavi U, Kottner J. Quantifying dyspigmentation in facial skin ageing: an explorative study. Int J Cosmet Sci 2015; 37:542-9. [DOI: 10.1111/ics.12233] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2014] [Accepted: 03/25/2015] [Indexed: 12/30/2022]
Affiliation(s)
- G. Dobos
- Clinical Research Center for Hair and Skin Science; Department of Dermatology and Allergy; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - C. Trojahn
- Clinical Research Center for Hair and Skin Science; Department of Dermatology and Allergy; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - A. Lichterfeld
- Clinical Research Center for Hair and Skin Science; Department of Dermatology and Allergy; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - B. D′Alessandro
- Canfield Scientific; 253 Passaic Avenue Fairfield NJ 07004 U.S.A
| | - S. V. Patwardhan
- Canfield Scientific; 253 Passaic Avenue Fairfield NJ 07004 U.S.A
| | - D. Canfield
- Canfield Scientific; 253 Passaic Avenue Fairfield NJ 07004 U.S.A
| | - U. Blume-Peytavi
- Clinical Research Center for Hair and Skin Science; Department of Dermatology and Allergy; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - J. Kottner
- Clinical Research Center for Hair and Skin Science; Department of Dermatology and Allergy; Charité - Universitätsmedizin Berlin; Berlin Germany
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38
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Dobos G, Lichterfeld A, Blume-Peytavi U, Kottner J. Evaluation of skin ageing: a systematic review of clinical scales. Br J Dermatol 2015; 172:1249-61. [PMID: 25363020 DOI: 10.1111/bjd.13509] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/26/2014] [Indexed: 01/18/2023]
Abstract
Clinical scales are widely used in anti-ageing research and practice. More than 100 skin ageing scales exist, which makes it difficult to choose outcome measures and to compare study results. The objectives were to assess and evaluate the quality of measurement properties of available clinical skin ageing scales. A systematic review was conducted. Electronic databases including Medline (1970 to June 2013) and EMBASE (1974 to June 2013) were searched via Ovid SP. To enhance the sensitivity forward searches were conducted in Scopus and Web of Science. We identified 111 scales in 52 included publications. Thirty studies had good methodology for at least one measurement property. Forty-two scales were evaluated for their test-retest or interrater reliability. Nineteen showed high reliability coefficients. A further 15 instruments were partly supported by content and/or structural and/or criterion validity and/or hypotheses-testing evidence. The majority of existing clinical skin ageing scales were developed for evaluating facial characteristics. Many scales quantify similar constructs. In contrast to the high number of available scales there is limited evidence supporting their measurement properties. Recommendations for the use of specific skin ageing scales for clinical studies must be made with caution because of the high number of studies with poor methodology. Development of new instruments should be justified, and existing ones investigated for scale behaviour using appropriate methods. Future research should aim to select and/or adapt existing scales to identify the 'best' to improve clinical research and practice.
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Affiliation(s)
- G Dobos
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany
| | - A Lichterfeld
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany
| | - U Blume-Peytavi
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany
| | - J Kottner
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany
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Hatje LK, Richter C, Blume-Peytavi U, Kottner J. Blistering time as a parameter for the strength of dermoepidermal adhesion: a systematic review and meta-analysis. Br J Dermatol 2014; 172:323-30. [PMID: 25065915 DOI: 10.1111/bjd.13298] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/21/2014] [Indexed: 01/02/2023]
Abstract
Skin ageing is associated with a flattening of the dermoepidermal junction and a less effective anchoring system, predisposing to bulla formation, trauma and shear-type injuries. An artificial and controlled technique for standardized dermoepidermal separation is the suction blister method, whereby the strength of dermoepidermal adhesion is characterized by blistering time. To identify and quantify influencing factors on blistering time in healthy humans. A search in the Medline and Embase databases (1946 to June 2014) and in reference lists was conducted. In total, results of 146 suction blister experiments in 3418 individuals reported in 59 publications were analysed. The median blister diameter was 6 mm (IQR 5-6) and the median suction pressure was -210 mmHg (IQR -200 to -300), resulting in a median blistering time of 75 min (IQR 48-120). In the multivariate model, skin temperature and age were the strongest predictors for suction blistering time (P < 0·001, R(2) adjusted = 0·707). This strong association between temperature and suction blistering indicates that the dermoepidermal junction loses its strength with increasing skin temperature. This finding supports the practice of skin and tissue cooling to prevent injuries. The increased vulnerability of the skin seems to exist irrespectively of applied mechanical loads. We conclude that blistering time is an important and clinically relevant (outcome) parameter measuring the structural and mechanical integrity of deeper cutaneous layers.
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Affiliation(s)
- L K Hatje
- Charité-Universitätsmedizin, Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charitéplatz 1, 10117, Berlin, Germany
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Trojahn C, Dobos G, Schario M, Ludriksone L, Blume-Peytavi U, Kottner J. Relation between skin micro-topography, roughness, and skin age. Skin Res Technol 2014; 21:69-75. [PMID: 24889351 DOI: 10.1111/srt.12158] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/08/2014] [Indexed: 11/28/2022]
Abstract
BACKGROUND The topography of the skin surface consists of lines, wrinkles, and scales. Primary and secondary lines form a network like structure that may be identified as polygons. Skin surface roughness measurements are widely applied in dermatological research and practice but the relation between roughness parameters and their anatomical equivalents are unclear. This study aimed to investigate whether the number of closed polygons (NCP) per measurement field can be used as a reliable parameter to measure skin surface topography. For this purpose, we analysed the relation between skin surface roughness parameters and NCP in different age groups. METHODS Images of the volar forearm skin of 38 subjects (14 children, 12 younger, and 12 older adults) were obtained with the VisioScan VC98. The NCP was counted by three independent researchers and selected roughness parameters were measured. Interrater reliability of counting the number of closed polygons and correlations between NCP, roughness parameters, and age were calculated. RESULTS The mean NCP/mm² in children was 3.1 (SD 1.1), in younger adults 1.0 (SD 0.7), and in older adults 1.0 (SD 0.9). The interrater reliability was 0.9. A negative correlation of NCP/mm² with age was observed, whereas measured roughness parameters were positively associated with age. NCP/mm² was weakly related to skin roughness. CONCLUSION The NCP/mm² is a reproducible parameter for characterizing the skin surface topography. It is proposed as an additional parameter in dermatological research and practice because it represents distinct aspects of the cutaneous profile not covered by established roughness parameters.
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Affiliation(s)
- C Trojahn
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Berlin, Germany
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Trojahn C, Schario M, Dobos G, Blume-Peytavi U, Kottner J. Reliability and validity of two in vivo measurements for skin surface topography in aged adults. Skin Res Technol 2014; 21:54-60. [PMID: 24863685 DOI: 10.1111/srt.12156] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/08/2014] [Indexed: 11/27/2022]
Abstract
BACKGROUND The non-contact optical methods phaseshift rapid in vivo measurement of skin (PRIMOS) and surface evaluation of living skin (SELS) are widely applied for measuring skin surface topography. The aims of the present study were to evaluate reliability and validity of these methods and to compare skin roughness intraindividually. METHODS SELS and PRIMOS measurements were performed on four skin areas of the left and right volar forearms in 12 healthy elderly subjects. Reliability and correlations were analyzed for Visioscan® and PRIMOS roughness parameters. Student's t-tests for estimating differences between contralateral volar forearm sites were applied. RESULTS ICC coefficients of the Visioscan® roughness estimates ranged between 0.50 and 0.95 and of the PRIMOS measurements between 0.01 and 1.00. The Visioscan® parameters SEr, SEsm, Rmax, and Rz, and the PRIMOS parameters Ra, Rz, Smax, Wt, and Sz showed most significant correlations with each other and to additional roughness parameters. Mean roughness differences between contralateral forearm skin areas ranged between 0.0 (SEsc) and 6.7 (Rmax). CONCLUSIONS The Visioscan® parameters SEr, Rmax, and Rz showed most reliable and valid values and were largely comparable on contralateral forearm skin sites in elderly subjects. Rmax, Rz, and Ra should be preferred for measuring skin surface topography with PRIMOS.
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Affiliation(s)
- C Trojahn
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Berlin, Germany
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Kanti V, Bonzel A, Stroux A, Proquitté H, Bührer C, Blume-Peytavi U, Bartels NG. Postnatal maturation of skin barrier function in premature infants. Skin Pharmacol Physiol 2014; 27:234-41. [PMID: 25059975 DOI: 10.1159/000354923] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2013] [Accepted: 08/08/2013] [Indexed: 11/19/2022]
Abstract
BACKGROUND In preterm infants, skin barrier maturation entails regional variability. OBJECTIVES To characterize postnatal skin barrier development in covered, uncovered and diapered regions in healthy premature infants over a longitudinal observation period. METHODS Transepidermal water loss (TEWL), stratum corneum hydration (SCH), pH and sebum were measured at postnatal ages of 1-7 days and 2-7 weeks on the forehead, abdomen, thigh and buttock of preterm infants (gestational age 30-37 weeks; n = 48) under monitored ambient conditions. A standard minimal skin care regimen was practised. RESULTS TEWL increased significantly on the buttock (p = 0.007), while remaining stable on the forehead, abdomen and thigh. SCH and sebum remained stable in all studied body regions with increasing age. On the buttock, pH increased (p = 0.049), while other body regions exhibited a significant decrease (p ≤ 0.019). TEWL (p < 0.001) and SCH (p ≤ 0.002) revealed significantly higher values on the buttock, compared to other body regions. CONCLUSIONS Stable TEWL, SCH and sebum values may indicate a lack of skin barrier maturation. Postnatal decrease in skin pH suggests an adaptation process with acid mantle formation. Differences in skin barrier development were observed between anatomical regions. SCH, TEWL and pH values demonstrated a distinct course in the diaper area, indicating an impaired skin barrier function in this region.
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Affiliation(s)
- V Kanti
- Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Berlin, Germany
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Redler S, Birch P, Drichel D, Hofmann P, Dobson K, Böhmer A, Becker J, Giehl K, Tazi-Ahnini R, Kruse R, Wolff H, Miesel A, Fischer T, Böhm M, Nuwayhid R, Garcia Bartels N, Lutz G, Becker T, Blume-Peytavi U, Nöthen M, Messenger A, Betz R. The oestrogen receptor 2 (ESR2) gene in female-pattern hair loss: replication of association with rs10137185 in German patients. Br J Dermatol 2014; 170:982-5. [DOI: 10.1111/bjd.12756] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- S. Redler
- Institute of Human Genetics; University of Bonn; Sigmund-Freud-Street 25 D-53127 Bonn Germany
| | - P. Birch
- Department of Dermatology; Royal Hallamshire Hospital; Sheffield U.K
| | - D. Drichel
- German Center for Neurodegenerative Diseases (DZNE); Bonn Germany
| | - P. Hofmann
- Institute of Human Genetics; University of Bonn; Sigmund-Freud-Street 25 D-53127 Bonn Germany
- Department of Genomics, Life & Brain Center; University of Bonn; Sigmund-Freud-Street 25 D-53127 Bonn Germany
| | - K. Dobson
- Department of Dermatology; Royal Hallamshire Hospital; Sheffield U.K
| | - A.C. Böhmer
- Institute of Human Genetics; University of Bonn; Sigmund-Freud-Street 25 D-53127 Bonn Germany
- Department of Genomics, Life & Brain Center; University of Bonn; Sigmund-Freud-Street 25 D-53127 Bonn Germany
| | - J. Becker
- Institute of Human Genetics; University of Bonn; Sigmund-Freud-Street 25 D-53127 Bonn Germany
- Department of Genomics, Life & Brain Center; University of Bonn; Sigmund-Freud-Street 25 D-53127 Bonn Germany
| | - K.A. Giehl
- Department of Dermatology; University of Munich; Munich Germany
| | - R. Tazi-Ahnini
- Department of Infection and Immunity; University of Sheffield; Sheffield U.K
| | - R. Kruse
- Dermatological Practice; Paderborn Germany
| | - H. Wolff
- Department of Dermatology; University of Munich; Munich Germany
| | - A. Miesel
- Department of Dermatology; University of Lübeck; Lübeck Germany
| | - T. Fischer
- Department of Dermatology; University of Lübeck; Lübeck Germany
| | - M. Böhm
- Department of Dermatology; Laboratory for Neuroendocrinology of the Skin and Interdisciplinary Endocrinology; University of Münster; Münster Germany
| | - R. Nuwayhid
- Clinical Research Center for Hair and Skin Science; Department of Dermatology and Allergy; Charité-Universitätsmedizin Berlin; Berlin Germany
| | - N. Garcia Bartels
- Clinical Research Center for Hair and Skin Science; Department of Dermatology and Allergy; Charité-Universitätsmedizin Berlin; Berlin Germany
| | - G. Lutz
- Dermatological Practice, Hair & Nail; Wesseling Germany
| | - T. Becker
- German Center for Neurodegenerative Diseases (DZNE); Bonn Germany
- Institute for Medical Biometry Informatics and Epidemiology; University of Bonn; Sigmund-Freud-Street 25 D-53127 Bonn Germany
| | - U. Blume-Peytavi
- Clinical Research Center for Hair and Skin Science; Department of Dermatology and Allergy; Charité-Universitätsmedizin Berlin; Berlin Germany
| | - M.M. Nöthen
- Institute of Human Genetics; University of Bonn; Sigmund-Freud-Street 25 D-53127 Bonn Germany
- Department of Genomics, Life & Brain Center; University of Bonn; Sigmund-Freud-Street 25 D-53127 Bonn Germany
| | - A.G. Messenger
- Department of Dermatology; Royal Hallamshire Hospital; Sheffield U.K
| | - R.C. Betz
- Institute of Human Genetics; University of Bonn; Sigmund-Freud-Street 25 D-53127 Bonn Germany
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Kanti V, Nuwayhid R, Lindner J, Hillmann K, Stroux A, Bangemann N, Kleine-Tebbe A, Blume-Peytavi U, Garcia Bartels N. Analysis of quantitative changes in hair growth during treatment with chemotherapy or tamoxifen in patients with breast cancer: a cohort study. Br J Dermatol 2014; 170:643-50. [DOI: 10.1111/bjd.12716] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/29/2013] [Indexed: 12/11/2022]
Affiliation(s)
- V. Kanti
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - R. Nuwayhid
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - J. Lindner
- Department of Gynecology and Obstetrics; Ostalb-Hospital; Aalen Germany
| | - K. Hillmann
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - A. Stroux
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
- Department of Medical Statistics and Clinical Epidemiology; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - N. Bangemann
- Interdisciplinary Breast Center; Charité - Universitätsmedizin Berlin; Berlin Germany
| | | | - U. Blume-Peytavi
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - N. Garcia Bartels
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
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Kanti V, Bonzel A, Stroux A, Proquitté H, Bührer C, Blume-Peytavi U, Garcia Bartels N. Postnatale Reifung der Hautbarriere bei Frühgeborenen. Z Geburtshilfe Neonatol 2013. [DOI: 10.1055/s-0033-1361465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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46
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Lünnemann L, Ludriksone L, Schario M, Stroux A, Blume-Peytavi U, Garcia Bartels N. Wirkung von Hautpflege auf die Barrierefunktion von Säuglingen mit trockener Haut und atopischer Prädisposition. Z Geburtshilfe Neonatol 2013. [DOI: 10.1055/s-0033-1361452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Kanti V, Ifert C, Stroux A, Bührer C, Blume-Peytavi U, Garcia Bartels N. Einfluss von Sonnenblumenöl auf die Hautbarrierefunktion von Frühgeborenen: eine kontrollierte, randomisierte klinische Studie. Z Geburtshilfe Neonatol 2013. [DOI: 10.1055/s-0033-1361466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Rancan F, Nazemi B, Rautenberg S, Ryll M, Hadam S, Gao Q, Hackbarth S, Haag SF, Graf C, Rühl E, Blume-Peytavi U, Lademann J, Vogt A, Meinke MC. Ultraviolet radiation and nanoparticle induced intracellular free radicals generation measured in human keratinocytes by electron paramagnetic resonance spectroscopy. Skin Res Technol 2013; 20:182-93. [DOI: 10.1111/srt.12104] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/18/2013] [Indexed: 01/18/2023]
Affiliation(s)
- F. Rancan
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - B. Nazemi
- Department of Dermatology and Allergy; Center of Experimental and Applied Cutaneous Physiology; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - S. Rautenberg
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - M. Ryll
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - S. Hadam
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - Q. Gao
- Physikalische Chemie; Institut für Chemie und Biochemie; Freie Universität Berlin; Berlin Germany
| | - S. Hackbarth
- Photobiophysik; Institut für Physik; Humboldt Universität Berlin; Berlin Germany
| | - S. F. Haag
- Department of Dermatology and Allergy; Center of Experimental and Applied Cutaneous Physiology; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - C. Graf
- Physikalische Chemie; Institut für Chemie und Biochemie; Freie Universität Berlin; Berlin Germany
| | - E. Rühl
- Physikalische Chemie; Institut für Chemie und Biochemie; Freie Universität Berlin; Berlin Germany
| | - U. Blume-Peytavi
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - J. Lademann
- Department of Dermatology and Allergy; Center of Experimental and Applied Cutaneous Physiology; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - A. Vogt
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - M. C. Meinke
- Department of Dermatology and Allergy; Center of Experimental and Applied Cutaneous Physiology; Charité - Universitätsmedizin Berlin; Berlin Germany
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Kottner J, Lichterfeld A, Blume-Peytavi U. Maintaining skin integrity in the aged: a systematic review. Br J Dermatol 2013; 169:528-42. [DOI: 10.1111/bjd.12469] [Citation(s) in RCA: 111] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/02/2013] [Indexed: 12/27/2022]
Affiliation(s)
- J. Kottner
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité-Universitätsmedizin Berlin; Charitéplatz 1; 10117; Berlin; Germany
| | - A. Lichterfeld
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité-Universitätsmedizin Berlin; Charitéplatz 1; 10117; Berlin; Germany
| | - U. Blume-Peytavi
- Department of Dermatology and Allergy; Clinical Research Center for Hair and Skin Science; Charité-Universitätsmedizin Berlin; Charitéplatz 1; 10117; Berlin; Germany
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Tan J, Blume-Peytavi U, Ortonne J, Wilhelm K, Marticou L, Baltas E, Rivier M, Petit L, Martel P. An observational cross-sectional survey of rosacea: clinical associations and progression between subtypes. Br J Dermatol 2013; 169:555-62. [DOI: 10.1111/bjd.12385] [Citation(s) in RCA: 74] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/09/2013] [Indexed: 12/01/2022]
Affiliation(s)
| | - U. Blume-Peytavi
- Department of Dermatology and Allergy; Charité-Universitätsmedizin; Charitéplatz 1; 10117; Berlin; Germany
| | - J.P. Ortonne
- Service de Dermatologie; Hôpital L'Archet; 2, BP 3079; Nice 06202; Cedex 3; France
| | | | - L. Marticou
- Luc Marticou Consulting; 19 Rue de Lahire; Orleans; 0033; Loiret; France
| | - E. Baltas
- Department of Dermatology and Allergology; University of Szeged; Szeged; H-6720 Szeged, Korányi fasor 6.; Hungary
| | - M. Rivier
- Galderma R&D; Les Templiers - 2400; route des Colles; Sophia Antipolis; 06410; Biot; France
| | - L. Petit
- Galderma R&D; Les Templiers - 2400; route des Colles; Sophia Antipolis; 06410; Biot; France
| | - P. Martel
- Galderma R&D; Les Templiers - 2400; route des Colles; Sophia Antipolis; 06410; Biot; France
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