Measurement of the time of flight of photons into the skin: influence of site, age and gender, correlation with other skin parameters.

BACKGROUND/PURPOSE: The speed of light (time of flight) into the skin is obviously relied to its structure, and might appear as a tool for non-invasive investigation of skin physico-chemical properties, among them aging is of primary importance. Though already published, such time of flight measurements have never been extensively correlated with other well-documented skin parameters such as localization, the influence of gender and age, the elasticity and roughness, and the water trans-epidermal diffusion (TEWL). METHODS: A specific practical device was designed to routinely measure the time of flight (TOF) of the light into the human skin 'in vivo', in a totally non-invasive process. This system was tested on volunteers, to relate the TOF parameter to the widely investigated skin properties already mentioned. An Infra-red laser at 1064 nm delivered powerful pulses of less than 1 ns duration, sent to the skin surface through a lossless fibre. The light backscattered at a given distance was collected and led onto an Avalanche Photodiode, and the mean TOF was measured on a fast sampling scope. A resolution and a reproducibility of a few picoseconds has been achieved. Experiments were carried out on 100 volunteers of both gender, aged from 18 to 65, on 12 different locations. RESULTS: No matter age and gender, important variations of TOF according to the localization were observed: On the inner forearm, an increase from wrist to elbow, and much higher values on the forehead and neck, whether orientation parallel or perpendicular to Langer lines did not appear significant. Ageing appeared to increase the TOF on forehead and neck, while this effect could not be confirmed on the forearm. Usual skin parameters such as elasticity, roughness and TEWL have been compared to TOF on the same location for each volunteer: TOF and skin roughness were significantly anti-correlated, i.e. the TOF got shorter when the Roughness increased, while a striking correlation was observed between TEWL and TOF. CONCLUSION: These results assert the dependence of TOF on the nature of the skin upper layers (roughness, water diffusion) and on the dermis layer (ageing), and show the potential capabilities offered by TOF to investigate deeply into the skin structure. They have to be confirmed through further experiments, involving measurements at shorter wavelengths, at which the light path into the skin is much smaller, to get a distribution of the TOF inside the tissue.

Efficacy and safety of 0.1% retinaldehyde/ 6% glycolic acid (diacneal) for mild to moderate acne vulgaris. A multicentre, double-blind, randomized, vehicle-controlled trial.

BACKGROUND: Retinaldehyde and glycolic acid are both efficient in acne. OBJECTIVE: To evaluate the efficacy and tolerability of a 0.1% retinaldehyde/6% glycolic acid combination (Diacneal) for mild to moderate acne vulgaris. METHODS: Overall physician and patient ratings of acne symptom severity and tolerance were performed at baseline, months 1, 2 and 3. RESULTS: Mean numbers of papules, pustules and comedones were significantly reduced from month 1 onwards. A significant advantage of Diacneal over vehicle was demonstrated on the percentages of patients with ongoing healing lesions at month 2, healing ancient lesions from month 1 and patients with 'important/very important' global improvement from month 2 (50.0 vs. 26.3%) confirmed by patients at month 3 (86.1 vs. 58.8%). Products were well tolerated; only 1 patient had to stop the treatment. CONCLUSIONS: Diacneal, a combination of 0.1% retinaldehyde/6% glycolic acid, is effective and well tolerated in mild to moderate acne vulgaris.

Immediate effects of UV radiation on the skin: modification by an antioxidant complex containing carotenoids.

BACKGROUND/AIMS: The ultraviolet (UV) portion of sunlight is involved in the induction and development of skin cancers against which a limited photoprotection may be provided by reduced time of exposure, clothing, and sunscreen applications. The concept of an effective, safe, systemic photoprotection will circumvent many of the shortcomings. The UV-induced oxidative stress is a cause of DNA damage and a few publications have shown, in humans, minimal benefits, if any, of the oral intake of antioxidant complex, contrasting with the large literature showing beneficial effects in vitro or in animal models. METHODS: We investigated, in 25 healthy individuals, the capacity of an antioxidant complex (AOC) - vitamins (lycopene, beta-carotene, alpha-tocopherol), selenium - to reduce UV-induced damages. The AOC was administered orally, daily during 7 weeks. Before and after irradiations, before and after the intake of the product, six parameters were studied: skin color by chromametry, minimal erythemal dose and, on skin biopsies, sunburn cells (SBCs), p53 detected by immunohistochemistry, pigmentation index, and levels of lipoperoxides (thiobarbituric acid reaction). RESULTS: After the oral intake of AOC, we observed an elevation of the actinic erythema threshold (+20%, P=0.01) and a general reduction of the UV-induced erythemas, a reduction of the UV-induced p53 expression (P<0.05) and of SBCs (P<0.01), and a parallel reduction of the lipoperoxide levels (P<0.01). The pigmentation was increased (P<0.01). CONCLUSION: After the oral intake of an antioxidant complex, many parameters of the epidermal defense against UV-induced damages are significantly improved. The oral intake of AOC could provide a safe, daylong and efficient complement to photo-protective measures provided by topical and physical agents and may contribute to reduce the DNA damages leading to skin aging and skin cancers.

Antiinflammatory properties of cetirizine in a human contact dermatitis model. Clinical evaluation of patch tests is not hampered by antihistamines.

The aim of this double-blind, placebo-controlled, randomized, cross-over pilot study was to assess the antiinflammatory properties of cetirizine. A group of 27 patients with a positive patch test to an allergen consecutively received cetirizine 10 mg o.d. or placebo during a 14-day period, respectively. At day 11 of each period, patch testing was performed with the allergen. The image analysis showed a skin reaction significantly reduced under cetirizine (p = 0.03), but the clinical recording and the standardized chromatometry did not show any difference between groups. In the cross-over analysis the results of image analysis were influenced by the period, but this effect disappeared after adjustment of the ambient temperature during the 3 days of the test. These results demonstrate that cetirizine has an impact on the inflammatory process in a clinical model of cell-mediated allergic reaction, although this effect is only detected with a very sensitive technique. They also show that it is useless to stop antihistamines before patch testing, since clinical evaluation of tests is not hampered by a potent antihistamine. Additionally this study suggests that ambient temperature has an influence on the results of tests.

Chromametric quantification of pigmentary changes in the solar lentigo after sunlight exposure.

The purpose of this study is to compare by chromametric analysis the changes seen in normal skin and solar lentigos after exposure to sunlight. The color measurements were made with a Minolta CR200 chromameter and expressed in the L*a*b* system, which allows a color to be quantified according to 3 axes: white-black (L*), red-green (a*) and yellow-blue (b*). In order to better assess the sensitivity of physiological mechanisms involved in this pigmentation, we chose the weakest conditions of sunlight: the first series of measurements were made at the end of the winter (March) on areas rarely exposed for several months, and the second measurement was made 2 months later before the first intense summer solar exposure. Solar lentigos underwent a significant change in pigmentation, with a darkening of these lesions and an increase in the red and yellow color components. The pigmentation of healthy skin adjacent to these lentigos remained unchanged.

Influence of age and sun exposure on the biophysical properties of the human skin: an in vivo study.

The physical properties of the skin were measured by using noninvasive methods on 72 people displaying various levels of solar elastosis on the neck. The physical parameters measured were the skin extensibility, the elastic recovery, the skin colour, the skin thickness and the electrical conductance. The correlation between the above parameters, the clinical grades of elastosis and the chronological age of each subject were studied using two different statistical approaches. They both showed that elastotic skin is less elastic, dryer, darker, more erythematous and less yellowish than the nonexposed skin. The similarities and differences between the properties of elastotic skin and purely chronologically aged skin are discussed.

[Development of non-cellular dermis: a step towards a total artificial skin]. / Mise au point d'un derme acellulaire: un pas vers la peau artificielle totale.

In large cutaneous defects due to severe burns, dermal mesenchyme healing has to be controlled in order to avoid granulation tissue that rapidly leads to important contractures and hypertrophic scars. We report a study about the use of an artificial dermis made of human collagen (I and III) and several glycosaminoglycans. This artificial dermis was grafted on Sprague-Dawley rats after a 9 cm2 skin excision on the back. An identical control area was made just under it, on the same animal. The animals were killed on day 2, 7, 14, 21, 30 and different parameters were studied: clinical study, bacteriological study, histopathological appearance, scanning and transmission electron microscopy, immunological study, physical parameters, UV absorption. Direct and indirect cytotoxicity tests, performed on cell cultures showed no change in the morphology and of the growth of the keratinocytes or of the fibroblasts. A biocompatibility study showed on the early days (day 2, 7, 14) that adherence of artificial dermis to the underlying tissue was good. There was virtually no bacterial colonization. Ultrastructural study showed an important cellular colonization, with an inflammatory appearance at the beginning. After a while, fibroblasts appeared, with synthesis of neocollagen fibers as early as the second week. Histological study showed neovessels in the artificial dermis. Later (day 21, 30) the inflammation was less severe and the amount of endogenous collagen increased.(ABSTRACT TRUNCATED AT 250 WORDS)