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Objektivierung und Quantifizierung von Externa-Wirkungen mittels nicht-invasiver biophysikalischer Meßverfahren

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Neue Entwicklungen in der Dermatologie
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Zusammenfassung

Nicht-invasive biophysikalische Meßverfahren haben in den letzten Jahren einen zunehmenden Einsatz in der physiologischen und pathophysiologischen Erforschung des Hautorgans erfahren. Besondere Bedeutung haben diese Methoden jedoch in der Dermatopharmakologie erlangt, wo sie zur Objektivierung und Quantifizierung therapeutischer Effekte dienen. Auch wenn biophysikalische Meßverfahren vielfach nicht sensitiver sind als der geübte klinische Untersucher, erlaubt ihre quantitative Präzision doch eine Auswertung mit sensitiveren parametrischen statistischen Verfahren, was eine Reduktion der Stichprobengrößen für klinische Versuche erlaubt. In der vorliegenden Übersicht werden die Einsatzmöglichkeiten biophysikalischer Meßverfahren zum Nachweis der Wirkung und Sicherheit von Externa am Beispiel der Glukokortikoide, der Moisturizer und des Tretinoins dargestellt.

Summary

In recent years, non-invasive bioengineering methods have been increasingly applied in the physiological and pathophysiological characterization of human skin in vivo. These methods have been especially useful in dermatopharmacology where they aid the researcher as diagnostic tools to assess drug effects objectively and quantitatively. Even if skin bioengineering methods may not be more sensitive in detecting skin property changes than the experienced clinician, they deliver quantitative data that are necessary to employ sensitive parametric statistical tests resulting in lower sample sizes for clinical studies. The present review outlines the potential of bioengineering methods in dermatopharmacology as illustrated by the assessment of efficacy and safety of topical glucocorticoids, moisturizers and tretinoin.

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Literaturverzeichnis

  1. Alexander, H, Miller, D L: Determining skin thickness with pulsed ultrasound. J Invest Dermatol 72, 17–19(1979)

    Article  PubMed  CAS  Google Scholar 

  2. Babulak, S W, Rhein, L D, Scala, D D, F.A. S, Grove, G L: Quantitation of erythema in a soap chamber test using the Minolta chroma (reflectance) meter: comparison of instrumental results with visual assessments. J Soc Cosm Chem 37, 475–479 (1986)

    Google Scholar 

  3. Balo-Banga, J: Harnstoff-Einfluß auf die epidermale Zellerneuerung gemessen mit einer nichtinvasiven Methode. Hautarzt 9, 63–66 (1989)

    Article  Google Scholar 

  4. Behrendt, H, Korting, H C: Klinische Prüfung von erwünschten und unerwünschten Wirkungen topisch applizierbarer Glukokortikosteroide am Menschen. Hautarzt 41, 2–8 (1990)

    PubMed  CAS  Google Scholar 

  5. Berardesca, E, Farinelli, N, Rabbiosi, G, Maibach, H I: Skin bioengineering in the non-invasive assessment of cutaneous aging. Dermatologica 182, 1–6 (1991)

    Article  PubMed  CAS  Google Scholar 

  6. Berardesca, E, Gabba, P, Farinelli, N, Borroni, G, Rabbiosi, G: In vivo tretinoin-induced changes in skin mechanical properties. Br J Dermatol 122, 525–529 (1990)

    Article  PubMed  CAS  Google Scholar 

  7. Berardesca, E, Maibach, H I: Non-invasive bioengineering assessment of psoriasis. Int J Dermatol 28, 157–160(1989)

    Article  PubMed  CAS  Google Scholar 

  8. Blanken, R, Valk, P G M van der, Nater, J P, H. D: After-work emollient creams: effect on irritant skin reactions? Dermatosen 35, 95–98 (1987)

    CAS  Google Scholar 

  9. Blanken, R, VanVilsteren, M J T, Tupker, R A, Coenraads, P J: Effect of mineral oil and linoleic-acid-containing emulsions on the skin vapour loss of sodium-lauryl-sulphate-induced irritant skin reactions. Contact Dermatitis 20, 93–97 (1989)

    Article  PubMed  CAS  Google Scholar 

  10. Blichmann, C, Serup, J: Hydration studies on scaly hand eczema. Contact Dermatitis 16, 155–159 (1987)

    Article  PubMed  CAS  Google Scholar 

  11. Blichmann, C W, Serup, J: Assessment of skin moisture: measurement of electrical conductance, capacitance and transepidermal water loss. Acta Dermatovenereol 68, 284–290 (1988)

    CAS  Google Scholar 

  12. Blichmann, C W, Serup, J, Winther, A: Effects of single application of a moisturizer: evaporation of emulsion water, skin surface temperature, electrical conductance, electrical capacitance, and skin surface (emulsion) lipids. Acta Derm Venereol Stockh 69, 327–330 (1989)

    PubMed  CAS  Google Scholar 

  13. Broby-Johansen, U, Karlsmark, T, Petersen, L J, Serup, J: Ranking of the antipsoriatic effect of various topical corticosteroids applied under a hydrocolloid dressing: skin-thickness, blood-flow and colour measurements compared to clinical assessments. Clin Exp Dermatol 15, 343–348 (1990)

    Article  PubMed  CAS  Google Scholar 

  14. Broby-Johansen, U, Kristensen, J K: Antipsoriatic effect of local corticosteroids: O2-consumption and blood flow measurements compared to clinical parameters. Clin Exp Dermatol 14, 137–140 (1989)

    Article  PubMed  CAS  Google Scholar 

  15. Cambrai, M, Clar, E J, Grosshans, E, Altermatt, C: Skin impedance and phoreographic index in psoriasis: relationship with action kinetics of three treatments. Arch Dermatol Res 264, 197–211 (1979)

    Article  PubMed  CAS  Google Scholar 

  16. Capewell, S, Reynolds, S, Shuttleworth, D, Edwards, C, Finlay, A Y: Purpura and dermal thinning associated with high-dose inhaled corticosteroids. BMJ 300, 1548–1551 (1990)

    Article  PubMed  CAS  Google Scholar 

  17. Caputo, R, Monti, M, Motta, S et al: The treatment of visible signs of senescence: the Italian experience. Br J Dermatol 122 Suppl 35, 97–103 (1990)

    Article  Google Scholar 

  18. DeLacharriere, O, Escoffier, C, Gracia, A M et al: Reversal effects of topical retinoic acid on the skin of kidney transplant recipients under systemic corticotherapy. J Invest Dermatol 95, 516–522 (1990)

    Article  CAS  Google Scholar 

  19. Duteil, L, Queille, C, Poncet, M, Ortonne, J P, Czernielewski, J: Objective assessment of topical corticosteroids and non-steroidal anti-inflammatory drugs in methyl-nicotinate-induced skin inflammation. Clin Exp Dermatol 15, 195–199 (1990)

    Article  PubMed  CAS  Google Scholar 

  20. Dykes, P J, Hill, S, Marks, R: Assessment of the atrophogenicity potential of glucocorticoids by ultrasound and by epidermal biopsy under occlusive and nonocclusive conditions. In: Christophers, E, ed. Topical Corticosteroids Therapy. New York: Raven Press 1988, S. 111–118

    Google Scholar 

  21. Eisner, P, Burg, G: Dynamic functional properties of psoriatic skin assessed by non-invasive bioengineering methods in vivo. International Congress on Psoriasis. San Francisco 1991

    Google Scholar 

  22. Eisner, P, Wilhelm, D, Maibach, H I: Frictional properties of human forearm and vulvar skin: influence of age and correlation with transepidermal water loss and capacitance. Dermatologica 181, 88–91 (1990)

    Article  Google Scholar 

  23. Eisner, P, Wilhelm, D, Maibach, H I: Multiple parameter assessment of vulvar irritant contact dermatitis. Contact Dermatitis 23, 20–26 (1990)

    Article  Google Scholar 

  24. Feather, J W, Ryatt, K S, Dawson, J B, Cotterill, J A, Barker, D J, Ellis, D J: Reflectance spectrophotometric quantification of skin colour changes induced by topical corticosteroid preparations. Br J Dermatol 106, 437–443 (1982)

    Article  PubMed  CAS  Google Scholar 

  25. Frodin, T, Helander, P, Molin, L, Skogh, M: Hydration of human stratum corneum studied in vivo by optothermal infrared spectrometry, electrical capacitance measurement, and evaporimetry. Acta Derm Venereol Stockh 68, 461–467 (1988)

    PubMed  CAS  Google Scholar 

  26. Frodin, T, Skogh, M, Molin, L: The importance of the coal tar bath in the Ingram treatment of psoriasis: evaluation by evaporimetry and laser Doppler flowmetry. Br J Dermatol 118, 429–434 (1988)

    Article  PubMed  CAS  Google Scholar 

  27. Ghadially, R, Halkier-Sorensen, L, Elias, P M: Effects of petrolatum on stratum corneum structure and function. J Am Acad Dermatol 26, 387–396 (1992)

    Article  PubMed  CAS  Google Scholar 

  28. Gibson, J R, Kirsch, J M, Darley, C R, Harvey, S G, Burke, C A, Hanson, M E: An assessment of the relationship between vasoconstrictor assay findings, clinical efficacy and skin thinning effects of a variety of undiluted and diluted corticosteroid preparations. Br J Dermatol 27, 204–212 (1984)

    Article  Google Scholar 

  29. Gloor, M, Hirsch, G, Willebrandt, U: On the use of infrared spectroscopy for the in vivo measurement of the water content of the horny layer after application of dermatologic ointments. Arch Dermatol Res 271, 305–313 (1981)

    Article  PubMed  CAS  Google Scholar 

  30. Grove, G L, Grove, M J, Leyden, J J: Optical profilometry: an objective method for quantification of facial wrinkles. J Am Acad Dermatol 21, 631–637 (1989)

    Article  PubMed  CAS  Google Scholar 

  31. Grove, G L, Grove, M J, Leyden, J J et al: Skin replica analysis of photodamaged skin after therapy with tretinoin emollient cream. J Am Acad Dermatol 25, 231–237 (1991)

    Article  PubMed  CAS  Google Scholar 

  32. Hannuksela, A, Kinnunen, T: Prevention of primary irritant dermatitis by using moisturizers. 9th International Symposium on Contact Dermatitis. Stockholm 1990, p75

    Google Scholar 

  33. Haria, M, O’Neill, R C, Wright, S: The effect of topical steroids on cutaneous oxygen tension. Br J Dermatol 126, 502–504 (1992)

    Article  PubMed  CAS  Google Scholar 

  34. Jessberger, B: Therapie des Symptoms der „trockenen Haut“. Z Hautkr 3, 12–15 (1988)

    Google Scholar 

  35. Kaidbey, K H, Kligman, A M: Assay of topical steroids. Arch Dermatol 112, 808–810 (1976)

    Article  PubMed  CAS  Google Scholar 

  36. Kerscher, M J, Korting, H C: Topical glucocorticoids of the non-fluorinated double-ester type. Acta Derm Venereol 72, 214–216 (1992)

    PubMed  CAS  Google Scholar 

  37. Klemp, P, Staberg, B: The effects of antipsoriatic treatment on cutaneous blood flow in psoriasis measured by 133Xe washout method and laser Doppler velocimetry. J Invest Dermatol 85, 259–263 (1985)

    Article  PubMed  CAS  Google Scholar 

  38. Kligman, A M, Grove, G L, Hirose, R, Leyden, J J: Topical tretinoin for photo-aged skin. J Am Acad Dermatol 15, 836–859 (1986)

    Article  PubMed  CAS  Google Scholar 

  39. Koch, E M, Ott, R: Vergleichende Beurteilung der Wirkstärken von Kortikoid-Externa mit verschiedenen Testmethoden. Z Hautkr 63, 177–183 (1988)

    PubMed  CAS  Google Scholar 

  40. Lever, L, Kumar, P, Marks, R: Topical retinoic acid for treatment of solar damage. Br J Dermatol 122, 91–98(1990)

    Google Scholar 

  41. Linde, Y W, Bengtsson, A, Lodén, M: “Dry” skin in atopic dermatitis. II. A surface profilometry study. Acta Derm Venereol Stockh 69, 315–319 (1989)

    PubMed  CAS  Google Scholar 

  42. Marks, R: Methods for the assessment of the effects of topical retinoic acid in photo-ageing and actinic keratoses. J Int Med Res (1990)

    Google Scholar 

  43. Marks, R, Black, D, Pearse, A D, Hill, S: Techniques for assessing the activity of topically applied retinoids. J Am Acad Dermatol 15, 810–816 (1986)

    Article  PubMed  CAS  Google Scholar 

  44. Marks, R, Hill, S, Barton, S P: The effects of an abrasive agent on normal skin and on photo-aged skin in comparison with topical tretinoin. Br J Dermatol 123, 457–466 (1990)

    Article  PubMed  CAS  Google Scholar 

  45. McKenzie, A W, Stoughton, R B: Method for comparing percutaneous absorption of steroids. Arch Dermatol 86, 608–610 (1962)

    Article  Google Scholar 

  46. Monti, M, Bozzetti, M, Motta, S, Barbareschi, M: Usefulness of surface topography analysis in psoriatic skin. Acta Derm Venereol Suppl Stockh 146, 81–83 (1989)

    PubMed  CAS  Google Scholar 

  47. Nilsson, G E: Measurement of water exchange through skin. Med Biol Eng Comput 15, 209–218 (1979)

    Article  Google Scholar 

  48. Nilsson, G E, Tenland, T, Öberg, P A: Evaluation of a laser Doppler flowmeter for measurement of tissue blood flow. IEEE Trans Biomed Eng 27, 597–604 (1980)

    Article  PubMed  CAS  Google Scholar 

  49. Payne, P A, Marks, R, Guibarra, E J: International standards for instruments, measurement methods and units for determination of physical properties and function of skin. In: Marks R, Payne, P A, ed. Bioengineering and the Skin. Lancaster, Boston, The Hague: MTP Press 1981, S. 9–11

    Chapter  Google Scholar 

  50. Pinnagoda, J, Tupker, R A, Agner, T, Serup, J: Guidelines for transepidermal water loss (TEWL) measurement: a report from the Standardization Group of the European Society of Contact Dermatitis. Contact Dermatitis 22, 164–178 (1990)

    Article  PubMed  CAS  Google Scholar 

  51. Puschmann, M, Gogoll, K: Verbesserung der Hautfeuchte und des Hautreliefs unter Harnstofftherapie. Hautarzt 9, 67–70 (1989)

    Article  Google Scholar 

  52. Queille-Roussel, C, Duteil, L, Padilla, J M; Poncet, M, Czernielewski, J: Objective assessment of topical anti-inflammatory drug activity on experimentally induced nickel contact dermatitis: comparison between visual scoring, colorimetry, laser Doppler velocimetry and transepidermal water loss. Skin Pharmacol 3, 248–255 (1990)

    Article  PubMed  CAS  Google Scholar 

  53. Queille-Roussel, C, Poncet, M, Schaefer, H: Quantification of skin-colour changes induced by topical corticosteroid preparations using the Minolta Chroma Meter. Br J Dermatol 124, 264–270 (1991)

    Article  PubMed  CAS  Google Scholar 

  54. Quinn, A G, McLelland, J, Essex, T, Farr, P M: Measurement of cutaneous inflammatory reactions using a scanning laser-Doppler velocimeter. Br J Dermatol 125, 30–37 (1991)

    Article  PubMed  CAS  Google Scholar 

  55. Ryatt, K S, Feather, J W, Dawson, J B, Cotterill, J A: The usefulness of reflectance spectrophotometric measurements during psoralens and ultraviolet A therapy for psoriasis. J Am Acad Dermatol 9, 558–562 (1983)

    Article  PubMed  CAS  Google Scholar 

  56. Schalla, W, Schorning, S: Potency assessment of topical corticoids in the vasoconstrictor assay and on tuberculin-induced inflammation. Skin Pharmacol 4, 191–204 (1991)

    Article  PubMed  CAS  Google Scholar 

  57. Serup, J: Non-invasive quantification of psoriasis plaques-measurements of skin thickness with 15 mHz pulsed ultrasounds. Clin Exp Dermatol 9, 502–508 (1984)

    Article  PubMed  CAS  Google Scholar 

  58. Serup, J, Winther, A, Blichmann, C: A simple method for the study of scale pattern and effects of a moisturizer: qualitative and quantitative evaluation by D-Squame tape compared with parameters of epidermal hydration. Clin Exp Dermatol 14, 277–282 (1989)

    Article  PubMed  CAS  Google Scholar 

  59. Serup, J, Winther, A, Blichmann, C W: Effects of repeated application of a moisturizer. Acta Derm Venereol Stockh 69, 457–459 (1989)

    PubMed  CAS  Google Scholar 

  60. Ståberg, B, Klemp, P: Skin blood flow in psoriasis during Goeckerman or beech tar therapy. Acta Derm Venereol Stockh 64, 331–364 (1984)

    PubMed  Google Scholar 

  61. Ståberg, B, Roed, P J, Menne, T: Efficacy of topical treatment in psoriasis with MC903, a new vitamin D analogue. Acta Derm Venereol Stockh 69, 147–150 (1989)

    PubMed  Google Scholar 

  62. Thome, E G: Topical tretinoin research: an historical perspective. J Int Med Res (1990)

    Google Scholar 

  63. Valk, P G van der, Kruis-de Vries, M H, Nater, J P, Bleumink, E, De Jong, M C J M: Eczematous (irritant and allergic) reactions of the skin and barrier function as determined by water vapour loss. Clin Exp Dermatol 10, 185–193 (1985)

    Article  PubMed  Google Scholar 

  64. Valk, P G van der, Maibach, H I: Do topical corticosteroids modulate skin irritation in human beings? Assessment by transepidermal water loss and visual scoring. J Am Acad Dermatol 21, 519–522 (1989)

    Article  PubMed  Google Scholar 

  65. Wehr, R F, Krochmal, L: Considerations in selecting a moisturizer. Cutis 39, 512–551 (1987)

    PubMed  CAS  Google Scholar 

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Elsner, P. (1993). Objektivierung und Quantifizierung von Externa-Wirkungen mittels nicht-invasiver biophysikalischer Meßverfahren. In: Hornstein, O.P., Hundeiker, M., Schönfeld, J. (eds) Neue Entwicklungen in der Dermatologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-87585-4_10

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  • DOI: https://doi.org/10.1007/978-3-642-87585-4_10

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