Paper Information

Journal:   MEDICAL JOURNAL OF THE ISLAMIC REPUBLIC OF IRAN (MJIRI)   2018 , Volume 32 , Number 1; Page(s) 0 To 0.
 
Paper: 

Comparison of biophysical, biomechanical and ultrasonographic properties of skin in chronic dermatitis, psoriasis and lichen planus

 
DOI: 

10.14196/mjiri.32.108

 
Author(s):  YAZDANI KAMRAN, Humbert Philippe, KHATAMI ALIREZA, AHMAD NASROLLAHI SAMAN, Hassanzadeh Hournaz, EHSANI AMIR HOUSHANG, Izadi Firouzabadi Leila, FIROOZ ALIREZA*
 
* Center for Research and Training in Skin Diseases and Leprosy, Tehran University of Medical Sciences, Tehran, Iran / Clinical Trial Center, Tehran University of Medical Science, Tehran, Iran
 
Abstract: 
Background: Skin biometrology is a useful method for evaluation of inflammatory skin disorders such as dermatitis, psoriasis, and lichen planus. The current study tries to compare the biophysical features of skin in dermatitis, psoriasis, and lichen planus. Methods: By a convenient sampling method, 22 mild to moderate chronic dermatitis, 26 psoriasis, and 21 lichen planus patients were recruited in the study. Stratum corneum (S. C. ) hydration, Transepidermal water loss (TEWL), pH, erythema, melanin, sebum, friction, elasticity parameters (R0, R2, and R5), skin temperature, skin thickness, and echo-density of epidermis and dermis were measured on the lesional (selected active lesion), uninvolved perilesional, and uninvolved symmetrical skin. The average of perilesional and symmetrical uninvolved parameters was used as control, while the percentage change of each parameter [(lesion – control / control) ×100] was calculated, and compared among three diseases by ANOVA test using SPSS software version 18. The significance level was set at α =0. 05. Results: Comparison of percentage changes showed that the changes in TEWL, friction index, sebum content, R2 (gross elasticity), R5 (net elasticity), skin temperature, dermal thickness, and epidermal density are not significantly different among three skin diseases. But there were significant differences in three diseases considering the decrease in S. C. hydration (p<0. 001), R0 (opposed to firmness) (p<0. 001), and dermal density (p<0. 001) compared to control skin. Moreover, the increase in skin pH (p<0. 001), melanin content (p=0. 048), erythema (p=0. 023), and epidermal thickness (p <0. 001) significantly differed among these diseases. Conclusion: Dermatitis, psoriasis and lichen planus lesions had specific biophysical changes. It may be helpful in their differential diagnosis.
 
Keyword(s): Biophysical properties,Dermatitis,Lichen planus,Psoriasis,Ultrasonographic properties
 
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