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العنوان
EPIDERMAL PHOTOPROTECTIVE ROLE IN PATIENTS WITH VITILIGO
المؤلف
ABDEL-HAMID ALI MOHAMMED,SHAIMAA
هيئة الاعداد
باحث / SHAIMAA ABDEL-HAMID ALI MOHAMMED
مشرف / NADER FOUAD RAGAB
مشرف / EKRAMY AHMED EL-KHATEEB
الموضوع
EPIDERMIS AND PHOTOPROTECTION.
تاريخ النشر
2010.
عدد الصفحات
104.p؛
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الأمراض الجلدية
تاريخ الإجازة
1/1/2010
مكان الإجازة
جامعة عين شمس - كلية الطب - DERMATOLOGY, VENEREOLOGY AND ANDROLOGY
الفهرس
Only 14 pages are availabe for public view

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from 106

Abstract

The human skin is exposed to a wide spectrum of electromagnetic radiations including UV, visible and infrared radiations. UVR is a specific type of the wide electromagnetic radiation spectrum that includes the wavelengths between 200 - 400nm in the form of three bands: UVA, UVB and UVC.
Melanin is well-known as the major defense of the skin against the hazardous effects of UVR.
In the current research, we assumed that epidermis plays a complex photoprotective role beyond that of melanin. Photoprotective mechanisms of the epidermis include physical factors and naturally occurring epidermal agents. Physical factors include SC and/or viable epidermal thickness. Naturally occurring epidermal agents may include several solar UVR-absorbing epidermal chromophores such as DNA, UCA, aminoacids, and others. Such choromophores are distributed within epidermal layers in varying concentrations and correlates with SPTs.
This study comprised 36 subjects ranging in age from 18 to 45 yrs; they were subdivided into two groups; group I which included 24 patients with vitiligo with SPT II, III, IV and V, group II which included 12 normal volunteers with SPT II, III, IV and V and served as a control. Both groups were age- and sex-matched.
All participants were subjected to SPT determination by “Fitzpatrick self-reported” questionnaire, Stripping of SC of vitiliginous and normal skin, (in cases and controls) and NB-UVB phototesting for MED.
The study included 4 skin models; vitiliginous, stripped vitiliginous, normal, and stripped normal skin models. Consequently, epidermal components; SC, melanin, and VE were calculated.
Statistical analysis of results revealed that there were a linear relationship between between MED and SPT in both normal and vitiliginous epidermis. This may be secondary to epidermal chromophores or other factors that increase with increasing SPT. There was a difference between stripped and non stripped areas due to the effect of SC. The difference between vitiligo and normal areas is secondary to absence or presence of melanin. Differences between VE, melanin and SC revealed that VE has the major role in photoprotection followed by melanin and then SC.
We conclude that the photoprotective role of epidermis beyond that of melanin is equivalent if not more than melanin alone. This role was proved not to be constant but active in relation to internal and external factors. The physical factor through epidermal layers thickness plays a role but the biological factor based on active epidermal chromophores may have the leading value in this process. Further studies of these factors may provide a new base for future photoprotective therapies.