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Arch Dermatol Res ; 311(3): 183-191, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30778667

RESUMO

Little is known about the anti-pigmenting effects of whitening agents on solar lentigos (SLs), which comprise ~ 60% of hyperpigmented facial lesions of Asian subjects. Lotions with or without 6% L-ascorbate-2-phosphate trisodium salt (APS) [test lotion (TL) and placebo lotion (PL), respectively] were applied twice daily for 24 weeks in a double-blind half-face study of 27 Japanese females with SLs on both sides of their faces. Pigmentation scores were evaluated using a photo-scale and the skin colors were assessed using a color difference meter and a mexameter for SLs and the non-lesional surrounding skin (NLS). Although the pigmentation scores were not significantly different between the TL and PL-treated SLs after 24 weeks, the L values of TL-treated SLs and NLS increased significantly with a significantly higher △L value in SLs than in NLS. In contrast, the L values of PL-treated SLs and NLS remained unchanged after the treatment. The number of subjects with > 2.0 △L was 7 of 27 (TL) and 0 of 27 (PL) in SLs and 3 of 27 (TL) and 0 of 27 (PS) in NLS. In contrast, the melanin index in TL-treated SLs and NLS significantly decreased with a significantly higher △melanin index in SLs than in NLS. Similarly, the melanin index of PL-treated SLs and NLS were significantly decreased with a significantly higher △melanin index in SLs than in NLS. These findings strongly indicate that APS has a weak but significant anti-pigmenting effect on SLs and a significant whitening effect even on normally pigmented healthy skin.


Assuntos
Ácido Ascórbico/análogos & derivados , Lentigo/tratamento farmacológico , Melaninas/metabolismo , Melanócitos/efeitos dos fármacos , Preparações Clareadoras de Pele/administração & dosagem , Pigmentação da Pele/efeitos dos fármacos , Administração Cutânea , Ácido Ascórbico/administração & dosagem , Ácido Ascórbico/efeitos adversos , Povo Asiático , Método Duplo-Cego , Feminino , Humanos , Japão , Lentigo/diagnóstico , Lentigo/etnologia , Lentigo/metabolismo , Melanócitos/metabolismo , Melanócitos/patologia , Preparações Clareadoras de Pele/efeitos adversos , Fatores de Tempo , Resultado do Tratamento
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