Impacts of Topical Treatments and Phototherapy on Stratum Corneum Hydration, Sebum and Elasticity in Vitiligo Skin.

IF 3.5 3区 医学 Q1 DERMATOLOGY
Yaqing Wen, Issa Ali Issa, Li Lei, Chuhan Fu, Shu Zhou, Keyi Zhang, Jiangfeng Huang, Jing Chen, Qinghai Zeng, Ling Jiang
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Abstract

Introduction: Vitiligo is a prevalent depigmentation disorder. Due to the depigmentation and treatments, skin function of patients with vitiligo may be affected, manifested by changes in the stratum corneum (SC) hydration, sebum and elasticity. However, few researchers have paid attention to the skin condition of vitiligo after treatment.

Methods: A cross-sectional study was conducted. SC hydration, sebum and elasticity of 154 vitiligo lesions were measured to evaluate skin function after topical treatments and phototherapy and investigate potential influencing factors.

Results: Treated vitiligo lesions exhibited significantly lower SC hydration and elasticity compared to normal skin, while sebum levels were notably higher. Combined treatments-specifically, 308-nm excimer laser with topical calcineurin inhibitors (TCI) and either topical corticosteroids (TCS) or compound kaliziran tincture (CKT), as well as 308-nm excimer laser with TCI, TCS and CKT-resulted in reduced SC hydration and elasticity as well as increased sebum levels in lesions. Notably, the 308-nm excimer laser had a greater effect on increasing sebum on lesions.

Conclusion: Our findings indicate that skin barrier damage and decreased elasticity occur in patients with vitiligo after topical treatments and phototherapy. This underscores the need for enhanced skin management and appropriate post-treatment skin care for patients with vitiligo.

局部治疗和光疗对白癜风皮肤角质层水合、皮脂和弹性的影响。
白癜风是一种常见的色素脱失性疾病。由于脱色和治疗,白癜风患者的皮肤功能可能会受到影响,表现为角质层(SC)水化,皮脂和弹性的变化。然而,很少有研究者关注白癜风治疗后的皮肤状况。方法:采用横断面研究。对154例白癜风病变的SC水合、皮脂和弹性进行测定,评价局部治疗和光疗后的皮肤功能,并探讨可能的影响因素。结果:与正常皮肤相比,治疗后的白癜风病变表现出明显较低的SC水合性和弹性,而皮脂水平明显较高。联合治疗-特别是,308纳米准分子激光与局部钙调磷酸酶抑制剂(TCI)和局部皮质类固醇(TCS)或复方卡里兹兰酊剂(CKT),以及308纳米准分子激光与TCI, TCS和CKT-导致SC水化和弹性降低,以及皮脂水平增加病变。值得注意的是,308 nm准分子激光对增加皮脂病变有更大的作用。结论:我们的研究结果表明,白癜风患者在局部治疗和光疗后出现皮肤屏障损伤和弹性下降。这强调了白癜风患者需要加强皮肤管理和适当的治疗后皮肤护理。
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来源期刊
Dermatology and Therapy
Dermatology and Therapy Medicine-Dermatology
CiteScore
6.00
自引率
8.80%
发文量
187
审稿时长
6 weeks
期刊介绍: Dermatology and Therapy is an international, open access, peer-reviewed, rapid publication journal (peer review in 2 weeks, published 3–4 weeks from acceptance). The journal is dedicated to the publication of high-quality clinical (all phases), observational, real-world, and health outcomes research around the discovery, development, and use of dermatological therapies. Studies relating to diagnosis, pharmacoeconomics, public health and epidemiology, quality of life, and patient care, management, and education are also encouraged. Areas of focus include, but are not limited to all clinical aspects of dermatology, such as skin pharmacology; skin development and aging; prevention, diagnosis, and management of skin disorders and melanomas; research into dermal structures and pathology; and all areas of aesthetic dermatology, including skin maintenance, dermatological surgery, and lasers. The journal is of interest to a broad audience of pharmaceutical and healthcare professionals and publishes original research, reviews, case reports/case series, trial protocols, and short communications. Dermatology and Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an International and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of quality research, which may be considered of insufficient interest by other journals. The journal appeals to a global audience and receives submissions from all over the world.
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