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Propylene Glycol Today 今天的丙二醇
Pub Date : 2004-07-01 DOI: 10.1159/000092606
J. Vilaplana, M. Alsina, J. Coll, J. Reig, G. Campos, C. Trullás, C. Pelejero, M. Recasens, D. Costa, C. Romaguera
Propylene glycol (PG) has been described as responsible for contact allergy and irritant reactions, but there are a lot of non-conclusive studies reporting a different percentage of patients irritated, with diverse concentrations and doses applied. As this substance is contained in a large amount of products, we reviewed its irritant capacity and the appropriate concentration to be tested. PG from two different origins was tested in 230 healthy volunteers. We applied 25 µl of PG at two different concentrations (70 and 100%). PG from origin B (PGB) was tested furthermore with two different qualities. Biophysical measurements were performed in those subjects patch-tested with PGB and its acute dermal irritation was tested in human skin culture. After 48 h results did not show any difference between PG from both origins and qualities. After 96 h PGB was slightly more irritant than PGA. Biophysical measurements only increased significantly in the subjects with a positive allergic reaction and there were no differences in the in vitro test. PG is not valid as pattern of irritation even at 100% concentration because it irritates a small percentage of patients. The recommended concentration should be between 30 and 70% in water, and the 100% concentration could be used in non-reactive patients.
丙二醇(PG)被描述为接触性过敏和刺激反应的原因,但有很多非结论性研究报告了不同比例的患者受到刺激,使用不同的浓度和剂量。由于该物质在产品中含有大量,我们审查了其刺激能力和适当的测试浓度。来自两种不同来源的PG在230名健康志愿者中进行了测试。我们以两种不同浓度(70%和100%)应用25µl PG。进一步对B产地PG (PGB)进行了两种不同品质的检测。对这些受试者进行了PGB贴片试验的生物物理测量,并在人体皮肤培养中测试了其急性皮肤刺激。48 h后的结果显示,不同产地和品质的PG之间没有任何差异。96 h后,PGB的刺激性略大于PGA。生物物理测量值仅在过敏反应阳性的受试者中显著增加,在体外试验中没有差异。即使在100%浓度下,PG也不能作为有效的刺激模式,因为它会刺激一小部分患者。在水中的推荐浓度为30 - 70%,100%浓度可用于无反应的患者。
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引用次数: 1
Immunologic Patterns in Allergic and Irritant Contact Dermatitis: Similarities 过敏性和刺激性接触性皮炎的免疫模式:相似之处
Pub Date : 2004-07-01 DOI: 10.1159/000087149
E. Dika, Nara Branco, H. Maibach
Long-standing tradition (and standard textbooks) suggest that separating irritation and allergic contact dermatitis (and their biologies) is straightforward. This overview examines this dogma, stressing that the similarities (at least in the efferent limbs) may be as great as the mechanistic differences.
长期以来的传统(和标准教科书)表明,区分刺激性和过敏性接触性皮炎(及其生物学)是很简单的。这篇综述考察了这一教条,强调相似性(至少在传出肢体上)可能与机制上的差异一样大。
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引用次数: 2
Stratum Corneum: An Ideal Osmometer? 角质层:理想的渗透器?
Pub Date : 2004-07-01 DOI: 10.1159/000093798
F. Pirot, F. Falson, C. Pailler-Mattéi, H. Maibach
Water and osmolyte homeostasis is an essential biological function. Remarkably devoid of aquaporin (i.e., water channel protein) expression, the stratumcorneumavoids a substantial transepidermal water loss, compulsory for the adaptation to terrestrial life. In spite of its heterogeneity, the stratum corneumexhibits a homogeneous water transport, whereas highly osmotic endogenous materials control its water-holding capacity and skin’s physical properties (e.g., stiffness, firmness, flexibility) under various conditions. However, the contingent interplay between water homeostasis of the stratum corneumand an exogenous osmotic stress has been not reported, although constituting a cornerstone of skin physiology. Here, we show that an osmotic shock reinforces the endogenous stratum corneumosmolality proportionally to the osmotic pressure exerted against it and, therefore, reduces the magnitude of outward water transfer and net evaporation. The strengthening of endogenous osmolality enhanced the water-holding capacity of the stratum corneum with respect to chemical potentials. This property was found for organic osmolytes, but questioned for mineral electrolytes characterized by minimal stratum corneumpermeability. Besides, straightforward experiments performed using a built-in house osmometer, a so-called ‘corneosmometer’, have confirmed water transfer through the stratum corneumsubmitted to a gradient of osmotic pressure. Thus, the ambivalent function of the stratum corneum, which firstly behaves as an ideal osmometer and secondly adapts its own osmolality to an exogenous gradient of osmotic pressure, has been clearly demonstrated. This duality influences the water-holding capacity of the stratum corneum, by regulating the water transfer proportionally to an initial osmotic stress, and, finally, conditions the further capacity of the stratum corneumto facilitate or impede skin hydration.
水和渗透物的动态平衡是一项基本的生物功能。由于缺乏水通道蛋白(即水通道蛋白)的表达,角膜层避免了大量的经皮失水,这是适应陆地生命所必需的。尽管其异质性,但角膜层表现出均匀的水运输,而高渗透性的内源性物质在各种条件下控制其持水能力和皮肤的物理性质(如刚度、硬度、柔韧性)。然而,尽管构成皮肤生理学的基石,但角膜层水分稳态与外源性渗透胁迫之间的偶然相互作用尚未报道。在这里,我们表明,渗透冲击增强了内源性地层气压,与施加在它上面的渗透压成正比,因此,减少了向外水转移和净蒸发的大小。内源渗透压的增强增强了角质层在化学势方面的持水量。这种性质在有机渗透电解质中被发现,但对于以最小层透性为特征的矿物电解质则受到质疑。此外,使用内置的室内渗透计(所谓的“角质计”)进行的直接实验证实,水通过受渗透压梯度影响的角质层进行转移。因此,角质层的矛盾函数,首先表现为理想的渗透计,其次是适应外部渗透压梯度的角质层自身的渗透压,已经被清楚地证明了。这种两重性影响角质层的持水能力,通过调节初始渗透应力成比例的水转移,并最终限制角质层进一步促进或阻碍皮肤水化的能力。
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引用次数: 10
Effects of Osmosis on Water-Holding Capacity of Stratum corneum and Skin Hydration 渗透对角质层持水能力及皮肤水合作用的影响
Pub Date : 2004-07-01 DOI: 10.1159/000078693
F. Pirot, Bénédicte Morel, G. Peyrot, Tiphaine Vuillet, V. Faivre, Christine Bodeau, F. Falson
The stratum corneum (SC) is characterized by highly hydrophilic compounds exhibiting osmotic properties. The role of osmosis in iontophoretic transdermal drug delivery has been a subject in numerous studies. However, the effects of osmosis on the water-holding capacity (WHC) of SC and skin hydration need to be clarified. In the present study, the WHC and skin hydration were found to be correlated with osmotic pressure and the SC permeability of osmolytes. The WHC and skin hydration enhancement were related to the increase in SC osmolality. A mathematical model was proposed to predict the WHC and skin hydration from physicochemical parameters of compounds.
角质层(SC)的特点是具有高度亲水性的化合物,具有渗透特性。渗透在离子透皮给药中的作用一直是众多研究的主题。然而,渗透对SC的持水能力(WHC)和皮肤水化的影响需要澄清。在本研究中,我们发现WHC和皮肤水合作用与渗透压和渗透物的SC渗透性相关。WHC和皮肤水合作用的增强与SC渗透压的增加有关。从化合物的理化参数出发,建立了预测其含水量和皮肤水化的数学模型。
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引用次数: 16
24-Hour versus 48-Hour Occlusion in Patch Testing 斑块测试中的24小时与48小时遮挡
Pub Date : 2004-07-01 DOI: 10.1159/000078696
S. Ale, H. Maibach
Background: Routine patch testing is usually performed with 2-day occlusion. Yet, shortening the application period, without diminishing diagnostic accuracy, would benefit patients. Previous studies document that differences in application time may produce variable results. Objective: Our objective was to determine whether 1-day application elicits similar results to 2-day application in diagnostic patch testing. Methods: Simultaneous duplicate patch test series were applied to the opposite sides of the upper back on 250 consecutive patients, using the TRUE test system. One set of allergens was removed after 24 and the other after 48 h. Results: A total of 221 positive reactions were observed either after 24 or 48 h of occlusion in 113 (46%) patients. Of these, 190 were concordant, i.e. positive, after 24 and 48 h of occlusion, and 31 were discordant. Twenty-nine of the discordant reactions were observed only after 48 h of occlusion and 2 only after 24 h of occlusion. Of the 27 (19%) patients with discordant patch test reactions, the allergen was deemed to be of definite present or past relevance in 16 (6% of the total and 14% of all patients with positive reactions). Conclusion: These data confirm that the overall concordance of results after 24 and 48 h of application is high. However, clinically relevant allergens would have been missed in 16 patients if only the 24-hour occlusion test was performed. In the light of these results, we consider that the standard 48-hour application remains appropriate for diagnostic patch testing.
背景:常规斑贴测试通常在2天闭塞时进行。然而,在不降低诊断准确性的情况下,缩短应用周期将使患者受益。先前的研究表明,不同的应用时间可能会产生不同的结果。目的:我们的目的是确定在诊断贴片测试中,1天的应用是否与2天的应用产生相似的结果。方法:采用TRUE测试系统,对连续250例患者的上背部进行同时重复贴片系列测试。结果:113例(46%)患者闭塞24 h或48 h后共出现221例阳性反应。其中,在24和48小时后,190例是一致的,即阳性,31例是不一致的。29例不一致反应发生在阻断48 h后,2例发生在阻断24 h后。在27例(19%)贴片试验反应不一致的患者中,16例(占总数的6%,占所有阳性反应患者的14%)的过敏原被认为是明确的现在或过去的相关性。结论:这些数据证实了应用24和48 h后结果的总体一致性较高。然而,如果仅进行24小时闭塞试验,16例患者会遗漏临床相关的过敏原。根据这些结果,我们认为标准的48小时应用仍然适用于诊断贴片测试。
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引用次数: 12
Corrosion Chemistry of Copper: Formation of Potentially Skin-Diffusible Compounds 铜的腐蚀化学:潜在表面扩散化合物的形成
Pub Date : 2004-07-01 DOI: 10.1159/000091906
J. Hostynek,
Copper and its alloys are subject to chemical reactions on exposure to environmental or physiological factors, whereby products are potentially generated which become diffusible through mammalian skin. The chemistry of oxidation is reviewed as well as the factors contributing to corrosion. Skin exudates (sweat and sebum) can react with metal surfaces they come in contact with, but even in the healthy organism their composition is variable, as a function of physical, pharmacological and environmental conditions, gender, age, sweat rate or body site. This overview addresses sweat and sebum composition, and discusses components which determine the skin’s corrosive action: chloride ion, low-molecular-weight acids and amino acids in sweat, and fatty acids in sebum, which hold the potential to solubilize copper-containing metal objects. These components can form copper salts and soaps whose molecular characteristics (size and polarity) will determine the rate and route of cutaneous penetration.
铜及其合金在暴露于环境或生理因素时会发生化学反应,由此产生的产品可能会通过哺乳动物的皮肤扩散。综述了氧化的化学性质以及引起腐蚀的因素。皮肤渗出物(汗液和皮脂)可以与它们接触的金属表面发生反应,但即使在健康的生物体中,它们的成分也是可变的,这是物理、药理和环境条件、性别、年龄、出汗率或身体部位的函数。本文概述了汗液和皮脂的组成,并讨论了决定皮肤腐蚀作用的成分:氯离子、汗液中的低分子量酸和氨基酸、皮脂中的脂肪酸,它们具有溶解含铜金属物体的潜力。这些成分可以形成铜盐和铜皂,其分子特性(大小和极性)将决定皮肤渗透的速度和途径。
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引用次数: 4
Comparative Clinicopathological Manifestations of Human Aspergillosis 人曲霉病的比较临床病理表现
Pub Date : 2004-07-01 DOI: 10.1159/000089608
G. Piérard, J. Arrese, P. Quatresooz
Aspergillus species are important fungi of the environment, some of them being responsible for severe infections. Many distinct diseases form the human aspergillosis spectrum. The pathomechanisms differ according to the affected organ and the immune status of the patient. The fungus can be responsible for allergic reactions. It may also act as a saprophytic colonizer of air spaces. Infection may remain limited to the skin and nails. It may also be invasive, particularly in immunocompromised patients, in the lungs, paranasal sinus and gastrointestinal tract. Hematogeneous disseminated aspergillosis represents another dramatic form of the disease.
曲霉是一种重要的环境真菌,其中一些是造成严重感染的原因。许多不同的疾病形成了人类曲霉病谱系。其发病机制因受累器官和患者免疫状态的不同而不同。这种真菌会引起过敏反应。它也可以作为空气空间的腐生殖民者。感染可能仍然局限于皮肤和指甲。它也可能是侵入性的,特别是在免疫功能低下的患者中,在肺部、副鼻窦和胃肠道。血源性播散曲霉病是该病的另一显著形式。
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引用次数: 9
Is There Evidence that Linalool Causes Allergic Contact Dermatitis? 有证据表明芳樟醇会引起过敏性接触性皮炎吗?
Pub Date : 2004-07-01 DOI: 10.1159/000078688
J. Hostynek,, H. Maibach
The fragrance material linalool has been cited as a moderately frequent cause of allergic contact dermatitis. The literature shows that when the underlying clinical and experimental data are analyzed, a clear cause-effect relationship has infrequently or rarely been established. On the basis of the generally weak sensitizing potential of this substance coupled with its generally low exposure conditions, the prevalence of clinical cases would not be expected to be particularly high. This is not to say that linalool is a frequent inducer of type IV allergy in members of the public. However, it remains to be seen how often such an allergy, once established, is responsible for any of the cases of allergic contact dermatitis commonly ascribed in the literature. Indeed, in some cases, patch test conditions may not be optimal for differentiating between clinically relevant and irrelevant allergy to linalool.
芳香物质芳樟醇被认为是引起过敏性接触性皮炎的常见原因。文献表明,在分析基础临床和实验数据时,很少或很少建立明确的因果关系。鉴于该物质的致敏潜力普遍较弱,再加上其暴露条件普遍较低,预计临床病例的发生率不会特别高。这并不是说芳樟醇是公众中IV型过敏的常见诱因。然而,这还有待观察,多久这种过敏,一旦建立,负责过敏性接触皮炎的任何情况下,通常归于文献。事实上,在某些情况下,斑贴试验条件可能不是区分临床相关和不相关的芳樟醇过敏的最佳方法。
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引用次数: 1
Quantitative Follow-Up of the Cutaneous Barrier Function in Wound Healing 皮肤屏障功能在伤口愈合中的定量随访
Pub Date : 2004-07-01 DOI: 10.1159/000092010
L. Rodrigues, P. Pinto, J. Magro, Nuno Furtado, Maria Angélica Roberto
Background: Cutaneous ‘barrier’ recovery is a main objective in wound healing. Despite its potential interest, transepidermal water loss (TEWL) measurement has not yet entered the healing follow-up routine, in part due to instrumental limitations. Objective: To develop an experimental model using TEWL data, to quantify the in vivo ‘barrier’ function. Methods: Thermal burn trauma patients referred for autografting surgery, were submitted to a 24-hour ‘plastic occlusion stress test’ (POST) in the grafted and donor areas during the healing process, and TEWL data were parameterised as the evaporation half-life and the dynamic water mass. Results: Chosen parameters clearly differentiate the 2 processes at the grafted and donor sites, with the latter involving a slower recovery. Conclusion: The interest of TEWL as an indicator of the ‘barrier’ recovery in such a complex condition is well demonstrated, especially if rigorously obtained allowing a quantitative follow-up and results comparison.
背景:皮肤“屏障”恢复是伤口愈合的主要目的。尽管有潜在的兴趣,经皮失水(TEWL)测量尚未进入愈合随访常规,部分原因是仪器的局限性。目的:利用TEWL数据建立实验模型,量化体内“屏障”功能。方法:对热烧伤患者进行自体移植手术,在愈合过程中对移植区和供区进行24小时的“塑性闭塞应力测试”(POST), TEWL数据以蒸发半衰期和动态水质量为参数。结果:所选参数清楚地区分了移植物和供体部位的2个过程,后者涉及较慢的恢复。结论:在如此复杂的条件下,TEWL作为“屏障”采收率指标的兴趣得到了很好的证明,特别是如果严格获得,可以进行定量随访和结果比较。
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引用次数: 7
Exogenous Factors in Cutaneous Lupus Erythematosus 皮肤红斑狼疮的外源性因素
Pub Date : 2004-07-01 DOI: 10.1159/000091905
A. Trattner
Exogenous factors implicated in or suspected of precipitating cutaneous lupus erythematosus are reviewed. Environmental risk factors (including infectious disease, dietary data, ultraviolet light, medications, pesticides and heavy metals) that are potentially related to the development of lupus erythematosus are discussed.
外源性因素牵连或怀疑沉淀皮肤红斑狼疮复习。讨论了可能与红斑狼疮发展相关的环境风险因素(包括传染病、饮食数据、紫外线、药物、农药和重金属)。
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引用次数: 2
期刊
Exogenous Dermatology
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