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AISI 316L Stainless-Steel Ear Piercing Post Assembly Does Not Cause Dermatitis in Nickel-Sensitive Subjects AISI 316L不锈钢耳穿刺桩组件不会引起镍敏感受试者的皮炎
Pub Date : 2003-07-01 DOI: 10.1159/000076801
A. Ingber, K. Hershko, L. Horev
Twenty-three female and 2 male subjects, documented to be sensitive to nickel by history and diagnostic patch testing, were pierced with American Iron Steel Institute (AISI) 316L stainless-steel ear piercing post assemblies (The Ear Piercing Manufacturers of Europe, UK), AISI 316L having a specification that includes a nickel content of between 10 and 14%. After piercing, the subjects were examined on days 7, 14, 30 and 42. Seven of the ear piercing post assemblies collected at random from the subjects at the end of the study and 10 unused post assemblies selected at random were analysed for nickel content and release. None of the nickel-sensitive patients showed signs of nickel dermatitis during the study. The nickel content of the ear piercing post assemblies collected from patients was reported as being between 11.5 and 12.9%, and the calculated rate of nickel release was below the detection limit of the method, thus recorded at <0.05 µg/cm2/week. By comparison, the nickel content of the unused post assemblies was reported to be between 9.93 and 10.5%, and the calculated rate of nickel release was between 0.11 and 0.21 (mean: 0.15) µg/cm2/week. These results suggest that the AISI 316L stainless-steel ear piercing post assemblies do not elicit adverse reactions to nickel in previously sensitized subjects.
23名女性和2名男性受试者,通过历史记录和诊断贴片测试证明对镍敏感,用美国钢铁协会(AISI) 316L不锈钢耳洞桩组件(欧洲耳洞制造商,英国)穿孔,AISI 316L的规格包括镍含量在10%到14%之间。穿刺后,受试者于第7、14、30、42天接受检查。在研究结束时从受试者中随机收集的七个耳洞桩组件和随机选择的10个未使用的桩组件进行了镍含量和释放分析。在研究期间,没有镍敏感患者出现镍皮炎的迹象。报告患者耳洞桩组件镍含量在11.5 ~ 12.9%之间,计算镍释放率低于该方法的检出限,因此记录为<0.05µg/cm2/week。相比之下,未使用的柱子组件的镍含量在9.93 ~ 10.5%之间,镍释放率在0.11 ~ 0.21之间(平均值:0.15)µg/cm2/week。这些结果表明,AISI 316L不锈钢耳洞桩组件不会引起对镍敏感的受试者的不良反应。
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引用次数: 12
The Role of Patch Testing in Perineal Disorders Affecting Women 贴片试验在影响女性会阴疾病中的作用
Pub Date : 2003-07-01 DOI: 10.1159/000076798
R. Batchelor, H. Young, M. Beck
Background: Many different materials are used in the perineal area, making it liable to contact sensitisation. Objective: We report the results of a retrospective study of patients with perineal dermatoses involving the vulva investigated for possible contact allergy. Methods: 240 female patients with dermatoses in the perineal area, specifically including the vulva, were patch tested to our standard series and a special patch test series devised for perineal problems. Results: 79 out of 240 patients (32.9%) demonstrated relevant positive results. These related to medicaments (49 patients), perfumes (22 patients), cosmetics (5 patients), dyes (4 patients) and rubber (4 patients). Conclusions: Perineal dermatoses involving the vulva may require patch testing to identify suspected and unanticipated contact allergy. An extended comprehensive series of patch test allergens will be necessary in these cases.
背景:会阴区域使用了许多不同的材料,使其容易接触致敏。目的:我们报告了一项回顾性研究的结果会阴皮肤病涉及外阴调查可能的接触性过敏的患者。方法:对240例女性会阴区皮肤病(包括外阴)患者进行标准系列和专门针对会阴问题设计的系列贴片试验。结果:240例患者中有79例(32.9%)出现相关阳性结果。其中涉及药物(49例)、香水(22例)、化妆品(5例)、染料(4例)和橡胶(4例)。结论:会阴皮肤病累及外阴可能需要进行贴片试验,以确定疑似和未预料到的接触性过敏。在这些情况下,有必要进行一系列全面的斑贴试验。
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引用次数: 3
Problems in the Diagnosis of Contact Dermatitis by Tattooing 刺青诊断接触性皮炎的若干问题
Pub Date : 2003-04-24 DOI: 10.1159/000069883
J. Vilaplana, J. M. Chimenos, A. Fernández, N. Pereira-Veiga, C. Romaguera
The knowledge of the chemical composition of the most commonly used pigments is necessary for the diagnosis of some cases of contact eczemas caused by tattoos. Several techniques of chemical analysis and characterization were used to study the materials involved in a permanent tattooing process such as pigments, solvents, needles and specially in the metals contained in them. A battery of patch tests is proposed that includes some substances characterized in the analysed pigments.
了解最常用颜料的化学成分对于诊断一些由纹身引起的接触性湿疹是必要的。使用了几种化学分析和表征技术来研究永久性纹身过程中涉及的材料,如颜料、溶剂、针,特别是其中所含的金属。提出了一组贴片试验,其中包括在分析色素中表征的一些物质。
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引用次数: 6
Are There Any Differences in Skin Barrier Function, Integrity and Skin Blood Flow between Different Subpopulations of Asians and Caucasians? 亚洲人和高加索人不同亚群的皮肤屏障功能、完整性和皮肤血流量是否存在差异?
Pub Date : 2003-04-24 DOI: 10.1159/000069882
G. Yosipovitch, A. Goon, Y. Chan, C. Goh
Background: There are few studies with a limited number of subjects examining whether there are population differences in skin barrier function between Asian skin and Caucasian skin. Objectives: To study skin barrier function and integrity in different subpopulations of Asian skin: Chinese, Malay, Indian and Caucasian. Methods: Transepidermal water loss (TEWL) and laser Doppler perfusion imaging (LDPI) were measured at baseline, after tape stripping and during recovery 3 h after stripping. Barrier integrity was assessed by counting the number of tape strippings required to cause an average TEWL of 20 g/m2/h. Results: There was no statistically significant difference in basal, poststripping and 3-hour recovery TEWL and LDPI readings between the 4 ethnic groups. Neither was there any statistically significant difference in recovery rate of TEWL and LDPI reading after tape stripping. There was also no difference in barrier integrity between the ethnic groups. All parameters did not differ when skin type was analyzed. Females had a better skin integrity; however, the barrier repair was similar. Conclusion: There is no evidence to support any real difference in skin barrier function between the 4 ethnic groups and the different skin types. Females seem to have a better integrity than males.
背景:关于亚洲皮肤和高加索皮肤之间的皮肤屏障功能是否存在人群差异的研究很少,受试者数量有限。目的:研究不同亚洲皮肤亚群:中国人、马来人、印度人和白种人的皮肤屏障功能和完整性。方法:分别在基线、撕带后和撕带后恢复3 h测量经皮失水(TEWL)和激光多普勒灌注成像(LDPI)。通过计算导致平均TEWL为20 g/m2/h所需的胶带剥离次数来评估屏障的完整性。结果:4个民族患者的TEWL、LDPI基础、剥脱后及3小时恢复值差异均无统计学意义。撕带后TEWL和LDPI读数的恢复率也无统计学差异。种族群体之间的屏障完整性也没有差异。分析皮肤类型时,所有参数均无差异。女性有更好的皮肤完整性;然而,屏障修复是相似的。结论:没有证据支持4个民族和不同皮肤类型之间的皮肤屏障功能存在真正的差异。女性似乎比男性更正直。
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引用次数: 10
Contents Vol. 1, 2002 目录2002年第1卷
Pub Date : 2003-04-24 DOI: 10.1159/000070690
H. D. Bang, M. H. Shin, J. Chung, K. Cho, Karen Kim, H. Eun, L. Bankova, S. Lindenau, S. Fuchs, J. Tittelbach, T. Fischer, P. Elsner, G. Yosipovitch, A. Goon, Y. Chan, C. Goh, Christine M. Lee, H. Maibach, U. Wollina, M. Heide, Maximilan Swerev, N. Béchetoille, J. Valladeau, F. Geissmann, S. Dumont, S. Maréchal, S. Gofflo, V. André, D. Schmitt, E. Perrier, C. Dezutter‐Dambuyant, T. Gambichler, J. Laperre, P. Altmeyer, K. Hoffmann, J. Vilaplana, J. M. Chimenos, A. I. Fernández, N. Pereira-Veiga, C. Romaguera
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引用次数: 0
UVA and UVB Transmission of Fabrics: Critical Wavelength Based on Absorbance and Effective Dose 织物对UVA和UVB的传输:基于吸光度和有效剂量的临界波长
Pub Date : 2003-04-24 DOI: 10.1159/000069880
T. Gambichler, J. Laperre, P. Altmeyer, K. Hoffmann
Background: The degree to which a fabric protects the skin from ultraviolet (UV) rays is given as its UV protection factor (UPF) that is predominantly influenced by UVB transmission through the fabric. However, the UVA-blocking properties of a fabric are of significance as UVA plays also a role in photocarcinogenesis, photo-aging and provocation of photosensitive disorders. Objectives: The objective of this study was to present some overall performance of the protection against UVA radiation compared to the protection against UVB radiation of apparel fabrics. For this purpose, we aimed to study the ratio of the average UVA and UVB transmission and to calculate the critical wavelength (CW) of a large collection of fabric materials. Methods: We studied 196 different fabric materials. The fabrics were spectrophotometrically assessed in accordance with the European standard (part 1). We determined the mean UVB (290–320 nm) and UVA (320–400 nm) transmission, mean UVB/UVA ratios, maximum UVA transmission and CW based on absorbance and effective dose (ED). Results: We observed that about 90% of the fabrics had UVB/UVA ratios smaller than 1. This indicates that the average UVA transmission was higher than the average UVB transmission. For 20% of the fabrics, the average UVA transmission was at least twice as high as the average UVB transmission. When calculating the CW based on the absorbance for the sample set, we found that the CW of fabric materials is generally higher than 370 nm and is usually close to 380 nm. When the ED was used, a much smaller CW was found compared to the calculations based on absorbance. Conclusions: UVA transmission through fabrics is usually higher than UVB transmission. Despite a high UPF, increased UVA transmission through clothing may be of significance in triggering photosensitive disorders. The UVB/UVA ratio of fabric materials strongly correlates with the CW based on ED. Because frequently a UG-11 fluorescence filter has to be used in UPF assessment, the CW based on the ED is more relevant and less prone to measurement error.
背景:织物保护皮肤免受紫外线(UV)照射的程度是其紫外线防护系数(UPF),主要受UVB通过织物传输的影响。然而,织物的UVA阻断性能是重要的,因为UVA也在光致癌、光老化和引发光敏疾病中发挥作用。目的:本研究的目的是比较服装面料对UVA辐射的防护效果。为此,我们旨在研究UVA和UVB平均透射率的比例,并计算大量织物材料的临界波长(CW)。方法:研究了196种不同的织物材料。根据欧洲标准(第1部分)对织物进行分光光度测定。我们确定了平均UVB (290-320 nm)和UVA (320-400 nm)透射率,平均UVB/UVA比值,最大UVA透射率和基于吸光度和有效剂量(ED)的CW。结果:90%左右的织物UVB/UVA比值小于1。这说明UVA的平均传输量高于UVB的平均传输量。对于20%的织物,UVA的平均透射率至少是UVB的平均透射率的两倍。在基于吸光度计算样本集的连续波时,我们发现织物材料的连续波一般高于370 nm,通常接近380 nm。当使用ED时,发现与基于吸光度的计算相比,CW要小得多。结论:织物对UVA的透射率通常高于UVB的透射率。尽管UPF很高,但通过衣服的UVA传输增加可能会引发光敏性疾病。织物材料的UVB/UVA比率与基于ED的连续波密切相关。由于在UPF评估中经常必须使用UG-11荧光滤光片,因此基于ED的连续波相关性更强,不易产生测量误差。
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引用次数: 17
Spacer Fabrics – A Potential Tool in the Prevention of Chronic Wounds 间隔织物-预防慢性伤口的潜在工具
Pub Date : 2003-04-24 DOI: 10.1159/000069878
U. Wollina, M. Heide, Maximilan Swerev
Spacer fabrics are special textiles that offer designed qualities for pressure relief as well as regulation of heat and moisture. Investigations of the physical properties of these textiles demonstrate favourable qualities for their potential use in the medical field. The application of spacer fabrics for the prevention of chronic wounds is just beginning. However, typical fields of application are primary prevention of pressure sores in the operation room, secondary prevention of pressure sores for wheelchair drivers and the prevention of plantar ulcers in patients with the diabetic foot syndrome. Spacer-fabric-based bandages seem to be useful in oedema treatment in cases of chronic venous insufficiency and chronic lymphatic insufficiency.
间隔织物是特殊的纺织品,提供设计质量的压力释放,以及调节热量和湿度。对这些纺织品的物理性能的研究表明,它们在医疗领域的潜在用途具有良好的品质。间隔织物在慢性伤口预防方面的应用才刚刚开始。但典型的应用领域是手术室压疮一级预防、轮椅司机压疮二级预防、糖尿病足综合征患者足底溃疡预防。基于间隔织物的绷带似乎对慢性静脉功能不全和慢性淋巴功能不全的水肿治疗有用。
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引用次数: 9
Author Index Vol. 1, 2002 作者索引2002年第1卷
Pub Date : 2003-04-24 DOI: 10.1159/000070688
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引用次数: 0
Changes of Cutaneous Antioxidant Enzyme Activity in Allergic Contact Dermatitis in Young and Old Individuals 青年人和老年人变应性接触性皮炎皮肤抗氧化酶活性的变化
Pub Date : 2003-04-24 DOI: 10.1159/000069881
H. D. Bang, M. Shin, J. Chung, K. Cho, K. Kim, H. Eun
Background: Reactive oxygen species, which are believed to play an important role in the aging process, are also found to be related to allergic skin diseases. Skin reactions to allergens are known to affect the antioxidant defense system such as antioxidant enzymes. Objectives: This study was conducted in order to investigate changes of the enzymatic antioxidant defense system in the lesional skin of allergic contact dermatitis (ACD) in vivoand the influence of skin aging on the changes in the enzymatic antioxidant defense system. Methods: Diphenylcyclopropenone (DPCP) application was used to induce ACD in 10 volunteers under 30 years old and in 10 over 70 years old. Antioxidant enzyme assays were performed in 5 young volunteers and 6 elderly volunteers who showed a weakly positive reaction after DPCP application. The activities of catalase, superoxide dismutase (SOD) and glutathione peroxidase (GPx) were measured in the lesional skin of ACD and in normal control skin. The differences between the two age-distinct groups were also compared and analyzed. Results: Compared with the control site, the DPCP-affected skin revealed a significantly lower catalase activity in both the young and the old groups. Reductions in cutaneous catalase activity were not different in the young and old skins. In contrast, SOD and GPx did not show any significant difference with respect to the presence of contact dermatitis or age. Conclusion: The catalase activity of human skin with ACD decreased in both young and old skins. These findings suggest that cutaneous catalase may play an important role in the pathophysiology of ACD.
背景:活性氧被认为在衰老过程中发挥重要作用,也被发现与过敏性皮肤病有关。众所周知,皮肤对过敏原的反应会影响抗氧化防御系统,如抗氧化酶。目的:探讨体内变应性接触性皮炎(ACD)病变皮肤酶促抗氧化防御系统的变化及皮肤老化对酶促抗氧化防御系统变化的影响。方法:应用二苯基环丙烯(DPCP)诱导10例30岁以下志愿者和10例70岁以上志愿者发生ACD。对5名青年志愿者和6名老年志愿者进行了抗氧化酶检测,这些志愿者在应用DPCP后出现弱阳性反应。测定ACD病变皮肤和正常对照皮肤过氧化氢酶、超氧化物歧化酶(SOD)和谷胱甘肽过氧化物酶(GPx)活性。对比分析两组年龄差异的差异。结果:与对照组相比,dcpp影响皮肤的过氧化氢酶活性在年轻人和老年人组中都明显降低。皮肤过氧化氢酶活性的降低在年轻和年老皮肤中没有差异。相比之下,SOD和GPx在接触性皮炎的存在和年龄方面没有显着差异。结论:ACD患者皮肤过氧化氢酶活性在年轻皮肤和老年皮肤中均下降。这些结果提示皮肤过氧化氢酶可能在ACD的病理生理中起重要作用。
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引用次数: 1
Bioengineering Analysis of Water Hydration: An Overview 水水合作用的生物工程分析综述
Pub Date : 2003-04-24 DOI: 10.1159/000069877
Christine M. Lee, H. Maibach
Skin hydration depends on the water-holding capacities of the stratum corneum. One of the techniques used to evaluate skin water content is the water sorption-desorption test. This method involves hydrating the skin with water and then observing the subsequent dehydration activity by means of serial recording with electrical instruments. Currently, three instruments are available to perform such a test: the Skicon® 200, the Corneometer® CM820 and the Nova DPM® 9003. However, each device measures the skin hydration in its own unique parameter, making interexperimental comparisons difficult. Despite this shortcoming, the water sorption-desorption test is a useful tool to measure the dynamic hydration of the skin and the stratum corneum water-holding properties. Pathological skin conditions like atopic dermatitis affect corneum integrity and reduce its ability to hold water. Irritants can also damage the cutaneous barrier and result in decreased hydration. On the contrary, delipidization of the newborn skin with organic solvents increases the water-holding capacity of the stratum corneum. Since the superficial lipid layer covering the skin surface of the newborn limits the sorption of water, its removal allows more water to be absorbed, resulting in a higher water-holding capacity than before. These results have all been determined using the water sorption-desorption test. While the studies produce significant information on skin hydration kinetics, the data are reported in different units. As such, it is difficult to make comparisons between sets of experiments where different electrical instruments are used. Finding a standard parameter unit for measuring skin hydration will benefit dermatological research greatly and allow the results obtained from one instrument to aid in the interpretation of those from another instrument. The high degrees of correlation that exist among the Skicon 200, Corneometer CM820 and Nova DPM 9003 may be the key to future developments of a standardized parameter unit.
皮肤的水合作用取决于角质层的持水能力。用于评估皮肤含水量的技术之一是水的吸附-解吸试验。这种方法包括用水滋润皮肤,然后用电子仪器连续记录观察随后的脱水活动。目前,有三种仪器可用于执行此类测试:Skicon®200,Corneometer®CM820和Nova DPM®9003。然而,每个设备测量皮肤水合作用在其自己独特的参数,使实验间比较困难。尽管有这样的缺点,吸水-解吸试验仍然是测量皮肤动态水化和角质层持水性的有用工具。病理性皮肤状况,如特应性皮炎会影响角质层的完整性,降低其保持水分的能力。刺激物也会破坏皮肤屏障,导致水合作用减少。相反,用有机溶剂对新生皮肤进行脱脂化会增加角质层的持水能力。由于覆盖在新生儿皮肤表面的浅层脂质层限制了水的吸收,它的去除可以吸收更多的水,从而产生比以前更高的持水能力。这些结果都是用水吸附-解吸试验确定的。虽然这些研究产生了关于皮肤水合动力学的重要信息,但这些数据是在不同的单位中报告的。因此,很难在使用不同电气仪器的实验组之间进行比较。找到测量皮肤水合作用的标准参数单位将大大有利于皮肤学研究,并允许从一种仪器获得的结果有助于解释从另一种仪器获得的结果。Skicon 200、Corneometer CM820和Nova DPM 9003之间存在的高度相关性可能是标准化参数单元未来发展的关键。
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引用次数: 23
期刊
Exogenous Dermatology
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