Measurement of transepidermal water loss in localized scleroderma
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作者:
Durcanska, Veronika
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Masaryk Univ, St Anna Univ Hosp, Dept Dermatovenereol, Pekarska 53, Brno 65691, Czech RepublicMasaryk Univ, St Anna Univ Hosp, Dept Dermatovenereol, Pekarska 53, Brno 65691, Czech Republic
Durcanska, Veronika
[1
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Jedlickova, Hana
[1
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Vasku, Vladimir
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Masaryk Univ, St Anna Univ Hosp, Dept Dermatovenereol, Pekarska 53, Brno 65691, Czech RepublicMasaryk Univ, St Anna Univ Hosp, Dept Dermatovenereol, Pekarska 53, Brno 65691, Czech Republic
Vasku, Vladimir
[1
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机构:
[1] Masaryk Univ, St Anna Univ Hosp, Dept Dermatovenereol, Pekarska 53, Brno 65691, Czech Republic
Localized scleroderma (LS) is a disease characterized by fibrotic changes in the dermis. Connective tissue growth factor and transforming growth factor 2 are the main mediators of fibrogenesis; this, along with excessive connective tissue production, affects epidermal keratinocytes, and thereby contributes to the changed quality of skin barrier. The objective of this article was to study the objective measurement of the skin barrier quality in LS with transepidermal water loss (TEWL) meter. The measurements of TEWL were performed on LS plaques in all three stages of various body locations. Control measurements were made on the contralateral side of healthy skin. The difference between TEWL in LS area and the contralateral side of the healthy skin was evaluated. A higher average TEWL 7.86 g/m(2)/h (SD 5.29) was observed on LS plaques compared with the control measurements on healthy skin 6.39 g/m(2)/h (SD 2.77). TEWL average values decreased from the inflammatory stage, through the sclerotic and to the atrophic stage. The mean difference 1.301 g/m(2)/h (SD 5.16) was found between TEWL on LS plaques and on the contralateral healthy skin in 82 measurements, i.e., a higher TEWL was observed in LS. The difference was statistically significant with p=0.0250. Although fibrogenesis in scleroderma is localized in dermis, the skin barrier changes can be detected.
机构:
Univ Adelaide, Adelaide Med Sch, Adelaide, SA, Australia
Royal Adelaide Hosp, Dept Occupat Therapy, Adelaide, SA, AustraliaUniv Adelaide, Adelaide Med Sch, Adelaide, SA, Australia
Klotz, Tanja
Ibrahim, Abdullah
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Royal Adelaide Hosp, Dept Plast & Reconstruct Surg, Adelaide, SA, AustraliaUniv Adelaide, Adelaide Med Sch, Adelaide, SA, Australia
Ibrahim, Abdullah
Maddern, Guy
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Univ Adelaide, Queen Elizabeth Hosp, Discipline Surg, Adelaide, SA, AustraliaUniv Adelaide, Adelaide Med Sch, Adelaide, SA, Australia
Maddern, Guy
Caplash, Yugesh
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Royal Adelaide Hosp, Dept Plast & Reconstruct Surg, Adelaide, SA, AustraliaUniv Adelaide, Adelaide Med Sch, Adelaide, SA, Australia
Caplash, Yugesh
Wagstaff, Marcus
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Univ Adelaide, Adelaide Med Sch, Adelaide, SA, Australia
Royal Adelaide Hosp, Dept Plast & Reconstruct Surg, Adelaide, SA, AustraliaUniv Adelaide, Adelaide Med Sch, Adelaide, SA, Australia