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Contact Allergy to Brilliant Green in a Leg Ulcer Patient 腿部溃疡患者对鲜绿接触性过敏
Pub Date : 2003-08-21 DOI: 10.1159/000071934
U. Wollina, A. Koch, Iris-Sylvia Schulze
Contact dermatitis to topical drugs is frequent in leg ulcer patients and a major factor contributing to delayed wound healing. Among the most common contact allergens are topical antibiotics, which should be avoided in these patients [1]. An alternative for the control of bacterial contaminations are disinfectants. Triphenylmethane dyes are traditionally used for this purpose. Among those, gentian violet and brilliant green – (4-[4-(diethylamino)benzhydrylene]cyclo-hexa-2,4-dien-1-ylidene)diethylammonium hydrogen sulphate; C.I. 42040 – are still popular because of the relatively broad range of antibacterial activity, low price, easy preparation and their availability in aqueous solutions [2]. Table 1. Open epicutaneous test reactions
局部药物引起的接触性皮炎在腿部溃疡患者中很常见,也是导致伤口愈合延迟的主要因素。最常见的接触性过敏原是外用抗生素,这类患者应避免使用[1]。控制细菌污染的另一种方法是消毒剂。三苯甲烷染料通常用于此目的。其中,龙胆紫和亮绿-(4-[4-(二乙胺)苯并二甲苯]环六-2,4-二烯-1-乙基二乙基硫酸铵;C.I. 42040 -因其抗菌活性范围较广、价格低廉、制备容易且可在水溶液中使用而仍广受欢迎[2]。表1。开皮试验反应
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引用次数: 2
Surface of Textiles and the Human Skin 纺织品表面与人体皮肤
Pub Date : 2003-08-21 DOI: 10.1159/000071929
D. Knittel, K. Beermann, E. Schollmeyer
In vitro testing methods for the evaluation of potential skin hazards due to chemicals released from textiles or textile auxiliaries are presented and discussed in order to establish further focussed research.
本文提出并讨论了用于评估纺织品或纺织助剂释放的化学物质对皮肤潜在危害的体外测试方法,以建立进一步的重点研究。
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引用次数: 4
Application of in vitro Monolayer and Three-Dimensional Culture Systems to Evaluate the Irritancy of Cosmetic Constituents 应用体外单层和三维培养系统评价化妆品成分的刺激性
Pub Date : 2003-08-21 DOI: 10.1159/000071933
D. Suh, J.H. Han, K. Park, H. Eun
Background: For testing skin irritancy, many cytotoxicity tests have been carried out and evaluated. It is evident that human subjects cannot be used as the initial experimental subjects. Therefore, several models, including monolayer and three-dimensional cultures, have been tested to measure skin irritancy. Objective: This study was done to compare several alternative in vitro methods used for evaluating the irritancy of cosmetic constituents. Methods: Cytotoxicity was measured by checking ED50 values with the MTT assay. The irritancy ranking of the five irritants was analyzed using the ED50 values. Results: In terms of irritancy ranking, good correlations were obtained between the monolayer and three-dimensional culture systems, although the concentrations of irritants needed to obtain the ED50 values differed considerably. Conclusion: These findings suggest that caution is necessary in the evaluation of the results of such tests, because the concentration of irritants needed to obtain the ED50 values may differ depending on the culture model used.
背景:为了测试皮肤刺激性,已经进行了许多细胞毒性试验并进行了评估。很明显,人类受试者不能作为最初的实验对象。因此,已经测试了几种模型,包括单层和三维培养,以测量皮肤刺激性。目的:比较几种体外评价化妆品成分刺激性的方法。方法:采用MTT法检测ED50值,测定细胞毒性。利用ED50值分析5种刺激物的刺激性等级。结果:尽管获得ED50值所需的刺激物浓度差异较大,但在刺激等级方面,单层和三维培养体系之间具有良好的相关性。结论:这些发现表明,在评估这些测试结果时需要谨慎,因为获得ED50值所需的刺激物浓度可能因所使用的培养模型而异。
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引用次数: 0
Disperse Dye Dermatitis: Clinical Aspects and Sensitizing Agents 分散染料皮炎:临床方面和致敏剂
Pub Date : 2003-08-21 DOI: 10.1159/000071927
F. Giusti, S. Seidenari
Reports on contact sensitization to disperse dyes are increasing, although its true incidence is not known. In fact, the diagnosis of textile contact dermatitis may be difficult because of its clinical polymorphism, including unusual clinical patterns and unexpected localizations. This review summarizes literature data referring to clinical aspects of allergic dermatitis due to disperse dyes and presents our data on this issue. Based on our findings, two different clinical subtypes of disperse dye dermatitis can be identified: an ‘eczematous’ and an ‘oedematous plaque’ type. The former is characterized by eczematous lesions in patients sensitized to disperse dyes, but frequently to other haptens too. The ‘oedematous-plaque’ type, mainly associated with disperse blue sensitization, includes unusual clinical aspects. However, its localization to skin sites of friction or sweating may induce the suspicion of a textile dye dermatitis.
关于分散染料接触致敏的报道越来越多,尽管其真实发生率尚不清楚。事实上,纺织品接触性皮炎的诊断可能是困难的,因为它的临床多态性,包括不寻常的临床模式和意想不到的定位。本文综述了有关分散染料引起的过敏性皮炎的临床方面的文献资料,并介绍了我们在这一问题上的数据。根据我们的研究结果,分散染料皮炎可分为两种不同的临床亚型:“湿疹型”和“水肿斑块型”。前者的特点是对分散染料敏感的患者出现湿疹病变,但也经常对其他半抗原敏感。“水肿斑块”型,主要与分散的蓝色致敏有关,包括不寻常的临床表现。然而,其定位于皮肤摩擦或出汗部位可能引起纺织染料皮炎的怀疑。
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引用次数: 7
Alternative Methods for Evaluating Skin Irritation Using Three-Dimensional Cultures 使用三维培养评估皮肤刺激的替代方法
Pub Date : 2003-08-21 DOI: 10.1159/000071926
H. Eun, Chunja Nam
The Draize test has long been used as a method to evaluate skin irritancy. However, alternative methods have since been developed, in response to pressure from the ever-increasing movement of animal protectionists. Cell culture represents the most promising alternative method, and many trials of various kinds are under way, for example the monolayer culture, skin explant culture and three-dimensional skin equivalent culture. It is quite likely that better-qualified three-dimensional culture systems constitute the final goal in the search for alternative methods to evaluate skin irritancy. However, its effective validation will require not only further large-scale studies, but also the development of superior artificial skin models, with properties more closely resembling those of normal skin. In this review, we focus mainly on the skin equivalent culture method for measuring skin irritancy. Its superiority to other models as well as its problems and limitations are discussed.
Draize测试长期以来一直被用作评估皮肤刺激性的方法。然而,为了应对日益增长的动物保护主义者运动的压力,替代方法已经被开发出来。细胞培养是最有希望的替代方法,各种各样的实验正在进行中,如单层培养、皮肤外植体培养和三维皮肤等效培养。在寻找评估皮肤刺激性的替代方法的过程中,质量更好的三维培养系统很可能是最终目标。然而,其有效验证不仅需要进一步的大规模研究,还需要开发性能更接近正常皮肤的优质人造皮肤模型。本文主要介绍了用皮肤等效培养法测定皮肤刺激性的方法。讨论了其相对于其他模型的优越性以及存在的问题和局限性。
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引用次数: 1
Functional Analysis of the Stratum corneum of Patients with Atopic Dermatitis: Comparison with Psoriasis vulgaris 特应性皮炎患者角质层功能分析:与寻常型银屑病的比较
Pub Date : 2003-08-21 DOI: 10.1159/000071932
H. Kobayashi, H. Tagami
Background: The skin of patients with atopic dermatitis (AD) is known to have a defective barrier function of the stratum corneum (SC) that facilitates the induction of unique skin hypersensitivity to various environmental allergens and irritants. However, it has not been determined whether there are characteristics unique to AD, because an apparently similar dysfunction of the SC is also observable in other inflammatory dermatoses such as psoriasis. Objective: Our purpose was to analyze the SC functions of patients with AD in comparison with those with psoriasis, an endogenously induced immune-mediated dermatosis. Methods: We conducted functional analyses of the lesional and nonlesional skin of AD and psoriasis patients by using noninvasive biophysical methods. Results: When we classified their skin changes into several subtypes based on the clinical features, we found that a severity-dependent disruption in the barrier function as well as a decrease in the SC hydration occurred in both dermatoses and to a similar degree. The extent of their SC barrier damage on the skin of the trunk and limbs was almost comparable to that of normal facial skin of healthy individuals. We also found similarly small, immature corneocytes that are associated with epidermal hyperproliferation accompanied by poor differentiation in both dermatoses. Moreover, we found similar but much milder SC functional abnormalities in the nonlesional skin where the extent of the dysfunction was much closer to that of healthy skin than to that of lesional skin. Conclusion: From these data, we could not find any differences in the functional abnormalities of the SC of AD patients that would justify considering it to be a unique dermatosis at least in terms of barrier damage. Because the presence of smaller corneocytes reflects the active proliferation of the underlying epidermis, we think that the barrier impairment and deficient water-holding capacity of the SC develop as a result of the enhanced epidermal proliferation in both dermatoses that is caused by the underlying inflammation.
背景:已知特应性皮炎(AD)患者的皮肤角质层(SC)屏障功能有缺陷,这有助于诱导皮肤对各种环境过敏原和刺激物产生独特的过敏反应。然而,尚不清楚AD是否具有独特的特征,因为SC明显类似的功能障碍也可在其他炎症性皮肤病(如牛皮癣)中观察到。目的:我们的目的是分析AD患者与牛皮癣患者的SC功能,牛皮癣是一种内源性免疫介导的皮肤病。方法:采用无创生物物理方法对AD和银屑病患者的病变和非病变皮肤进行功能分析。结果:当我们根据临床特征将他们的皮肤变化分为几种亚型时,我们发现屏障功能的严重依赖破坏以及SC水合作用的减少发生在两种皮肤病中,并且程度相似。躯干和四肢皮肤SC屏障损伤程度与健康人面部皮肤SC屏障损伤程度基本相当。我们还发现,在这两种皮肤病中,类似的小的、未成熟的角质层细胞与表皮增生伴随分化不良有关。此外,我们在非病变皮肤中发现了类似但更轻微的SC功能异常,其中功能障碍的程度更接近健康皮肤,而不是病变皮肤。结论:从这些数据中,我们没有发现AD患者SC功能异常的任何差异,至少在屏障损伤方面可以证明它是一种独特的皮肤病。由于较小角质细胞的存在反映了下层表皮的活跃增殖,我们认为SC的屏障损伤和持水能力不足是两种皮肤病中由底层炎症引起的表皮增殖增强的结果。
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引用次数: 3
Hypertrophic Lichenoid Eruption Caused by Exposure to Colour Film Developer Used for Motion Picture Film 接触用于电影胶片的彩色显影剂引起的增生性地衣样疹
Pub Date : 2003-07-01 DOI: 10.1159/000076802
K. Thai, S. Freeman
Colour film developers based upon substituted phenylene diamines have been a known cause of occupational allergic contact dermatitis (ACD) and lichenoid eruptions. These reactions are well documented in patients involved in the developing of colour photography film. It has been suggested that lichenoid eruptions evolve from ACD. We describe a patient who presented with an eruption identical to lichen planus soon after commencing work as a technician in a motion-picture-film-processing facility. There was no history of a preceding ACD. Patch testing identified sensitivity to Kodak colour developer (CD-2) used for motion picture film, with which he worked on a daily basis.
基于取代苯二胺的彩色显影剂是职业性过敏性接触性皮炎(ACD)和地衣样疹的已知原因。这些反应在参与彩色摄影胶片显影的病人中有很好的记录。有人认为,地衣样火山喷发是从ACD演变而来的。我们描述了一个病人谁提出了一个相同的爆发后不久开始工作的技术人员在电影电影处理设施的扁平苔藓。既往无ACD病史。贴片测试确定了他对柯达电影胶片彩色显影剂(CD-2)的敏感性,他每天都用这种显影剂工作。
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引用次数: 0
Xerotic Skin of the Elderly: A Summer versus Winter Comparison Based on Biophysical Measurements 老年人皮肤干燥:基于生物物理测量的夏季与冬季比较
Pub Date : 2003-07-01 DOI: 10.1159/000076800
F. Andersen, K. H. Andersen, A. Kligman
Background: Xerosis, a well-known problem in the elderly part of the population, is often exacerbated in winter with negative effects on daily life. Objective: To describe differences in stratum corneum function of the lower legs in winter compared to summer using objective biometric methods. Methods: The following techniques were utilized: colorimetry, evaporimetry, laser Doppler perfusion imaging, sticky slides (D-Squames®) and corneometry. The reaction to a 24-hour patch test with sodium lauryl sulfate, burning to chloroform:methanol and the whealing response to dimethylsulfoxide were also studied. Results: In winter, the stratum corneum had a looser structure and a diminished barrier function with an increased neurosensory reactivity. Conclusion: The results suggest that the exacerbation of xerosis in the winter is accompanied by structural changes in the stratum corneum, making it looser and more permeable to chemical irritants with a heightened response to neurosensory stimuli.
背景:干燥症是老年人的一个众所周知的问题,在冬季往往会加剧,对日常生活产生负面影响。目的:用客观生物识别方法描述冬季与夏季小腿角质层功能的差异。方法:采用比色法、蒸发法、激光多普勒灌注显像、粘片法(D-Squames®)和角膜比例尺法。研究了十二烷基硫酸钠对24小时斑贴试验的反应,对氯仿甲醇的燃烧反应以及对二甲亚砜的反应。结果:冬季角质层结构疏松,屏障功能减弱,神经感觉反应性增强。结论:冬季干旱症的加重伴随着角质层的结构变化,使角质层变得更疏松,对化学刺激物的渗透性更强,对神经感觉刺激的反应增强。
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引用次数: 11
Contact Cheilitis – A Review 联系Cheilitis - A Review
Pub Date : 2003-07-01 DOI: 10.1159/000076797
C. Goh
Contact dermatitis is a common cause of eczematous cheilitis. In a Singapore series, allergic contact dermatitis is commoner than irritant contact dermatitis. More females are affected than males. Eczematous cheilitis usually presents in the 3rd and 4th decades of life. Eczematous cheilitis tends to occur among office workers and professionals (50.5%). This is probably due to the more frequent use of cosmetics and lip preparations among office workers compared to ‘blue collar’ workers. Irritant contact cheilitis is often seen in individuals with an underlying endogenous tendency to eczema, e.g. atopic dermatitis. Contact irritants include lip cosmetics, toothpastes and dentrifices. In the early 1990s, tartar control (pyrophosphates) toothpastes were reported to cause outbreaks of irritant contact dermatitis on the lips and peri-oral skin. Other irritants include traditional Chinese medicines. Allergic contact cheilitis occurs from lip cosmetics, toothpastes and medicaments. Allergic contact cheilitis accounted for 35% of eczematous cheilitis presenting at the Singapore clinic. The commonest cause of allergic contact cheilitis was lip cosmetics. They include lipsticks, lip balms and other cosmetic preparations. In Singapore, ricinoleic acid present in lipsticks accounted for about 10% of all cases of allergic contact dermatitis. Other allergens include other lipstick ingredients, sunscreen agents, toothpaste ingredients, colophony in dental floss and toothpicks, nail varnish, cosmetics and nickel in the mouthpiece of a flute. Recently sunscreens have become a common sensitizer in lip cosmetics. Other allergens include fragrance, balsam of Peru, lanolin and flavourings (strawberry and vanilla). Toothpastes are the next most common cause of allergic contact cheilitis. Dentrifices and dental prostheses have been reported to cause allergic contact dermatitis. Diagnostic clues have to be obtained from a careful history which includes a review of oral rinses, toothpastes, cleansers, mouthwashes, dentrifices, denture materials, chewing gum and lipsticks used by the patient. Patch testing with these products is essential for investigating the possible cause of allergic contact cheilitis. However, there is a group of patients with troublesome cheilitis, who are often severely affected, but in whom the cause of the cheilitis remains obscure. This group may represent patients with endogenous cheilitis or factitious cheilitis.
接触性皮炎是引起湿疹性唇炎的常见原因。在新加坡的一个系列中,过敏性接触性皮炎比刺激性接触性皮炎更常见。受影响的女性多于男性。湿疹性唇炎通常出现在生命的第三和第四十年。湿疹性舌炎多见于办公室职员及专业人士(50.5%)。这可能是由于与“蓝领”工人相比,办公室职员更频繁地使用化妆品和唇部制剂。刺激性接触性唇炎常见于具有潜在内源性湿疹倾向的个体,如特应性皮炎。接触性刺激物包括唇部化妆品、牙膏和牙齿。在20世纪90年代初,据报道,控制牙垢的牙膏(焦磷酸盐)会引起嘴唇和口腔周围皮肤上刺激性接触性皮炎的爆发。其他刺激物包括中药。过敏性接触性口唇炎发生于唇部化妆品、牙膏和药物。过敏性接触性口唇炎占35%的湿疹性口唇炎呈现在新加坡诊所。引起过敏性接触性唇炎的最常见原因是唇部化妆品。它们包括口红、润唇膏和其他化妆品。在新加坡,唇膏中含有的蓖麻油酸约占所有过敏性接触性皮炎病例的10%。其他过敏原包括其他口红成分、防晒剂、牙膏成分、牙线和牙签中的树脂、指甲油、化妆品和长笛吹口中的镍。最近防晒霜已经成为唇部化妆品中常见的致敏剂。其他过敏原包括香料、秘鲁香脂、羊毛脂和调味料(草莓和香草)。牙膏是引起过敏性接触性口唇炎的第二常见原因。据报道,假牙和假牙可引起过敏性接触性皮炎。必须从仔细的病史中获得诊断线索,其中包括对患者使用的口腔冲洗液、牙膏、清洁剂、漱口水、牙齿矫正剂、假牙材料、口香糖和口红进行审查。用这些产品进行斑贴试验对于调查过敏性接触性口唇炎的可能原因至关重要。然而,有一群患有棘手的口唇炎的患者,他们经常受到严重影响,但口唇炎的原因仍然不清楚。本组可代表内源性或人为口唇炎患者。
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引用次数: 3
Studies on the Mechanism of Allergic Contact Dermatitis: The Reaction of α-Methylene-γ-Butyrolactone with Peptide-Bound Lysine 过敏性接触性皮炎发病机制的研究:α-亚甲基-γ-丁内酯与肽结合赖氨酸的反应
Pub Date : 2003-07-01 DOI: 10.1159/000076804
J. Pickert, C. Hartert, H. Raddatz, T. Henle
The binding of low-molecular-weight compounds to nucleophilic side-chains of amino acids bound within a protein, resulting in a hapten-modified macromolecule, is discussed to represent the very first step within the development of allergic contact dermatitis. For one of the best-known occupational dermatoses in the field of plant breeding, the so-called tulip fingers, α-methylene-γ-butyrolactone (tulipalin A) was proved to be the causative agent. In this paper, the reaction of tulipalin A with Nα-hippuryl-L-lysine as a model for peptide-bound lysine was studied. After the incubation of the α-methylene-γ-butyrolactone with the dipeptide in varying molar ratios in methanolic solution at 37°C up to 3 weeks, the reaction was monitored using reversed-phase high-performance liquid chromatography with UV detection. Tulipalin A was found to react with the Ε-amino group, resulting in the formation of one characteristic reaction product. After isolation, the structure of this addition product was unambiguously characterised by nuclear magnetic resonance spectroscopy as 2-(2-benzoylamino-acetylamino)-6-[(2-oxo-tetrahydro-furan-3-ylmethyl)amino] hexanoic acid (Hip-LysTu). After incubation of bovine serum albumin with tulipalin A, followed by acid hydrolysis and amino acid analysis, LysTu was found as addition product, thus representing the first known amino acid derivative resulting from the conjugation of the electrophilic α-methylene-γ-butyrolactone to protein.
低分子量化合物与蛋白质内氨基酸的亲核侧链结合,产生半抗原修饰的大分子,被讨论为过敏性接触性皮炎发展的第一步。对于植物育种领域最著名的职业性皮肤病之一,即所谓的郁金香指,α-亚甲基-γ-丁内酯(tulipalin A)被证明是病原体。本文以郁金香A与n - α-hippuryl- l-赖氨酸的反应为模型,研究了其与肽结合赖氨酸的反应。α-亚甲基-γ-丁内酯与二肽以不同的摩尔比在甲醇溶液中37℃孵育3周后,采用反相高效液相色谱-紫外检测法监测反应。发现Tulipalin A与Ε-amino基团反应,形成一种特征反应产物。分离后的加成产物经核磁共振波谱鉴定为2-(2-苯甲酰氨基-乙酰氨基)-6-[(2-氧-四氢呋喃-3-甲基)氨基]己酸(Hip-LysTu)。将牛血清白蛋白与tulipalin A孵育,然后进行酸水解和氨基酸分析,发现LysTu是加成产物,因此是已知的第一个由亲电性α-亚甲基-γ-丁内酯偶联蛋白产生的氨基酸衍生物。
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引用次数: 3
期刊
Exogenous Dermatology
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