Ravnbak Mette H, Philipsen Peter A, Wiegell Stine R, Wulf Hans C
Department of Dermatology, Bispebjerg Hospital, University of Copenhagen, Denmark.
Acta Derm Venereol. 2008;88(3):223-8. doi: 10.2340/00015555-0431.
There have been few previous studies of the kinetics of pigmentation following ultraviolet B (UVB) exposure, and these have included only fair-skinned persons. The current study investigated pigmentation increase to steady state and fading in 12 Scandinavians and 12 Indians/Pakistanis. Over a period of 3 weeks the subjects were UV-irradiated 6 times on the right side of the back and 12 times on the left side using a Solar Simulator and narrowband UVB with equal sub-Minimal Melanogenesis Doses (individually predetermined). Pigmentation was measured from skin remittance at 555 nm and 660 nm (allowing correction for erythema). The absolute pigmentation increase was independent of pre-exposure pigmentation, therefore the percentage pigmentation increase was higher in fair-skinned volunteers. The UV dose to minimal pigmentation was higher in darker-skinned persons for single and multiple UV exposures for both UV sources. Going from a single exposure to 6 and 12 exposures, the required dose to minimal pigmentation was reduced by factors of 2 and 3, respectively, for both UV sources, thus reducing the risk of sunburn, but the cumulative dose increased 3- and 4-fold, respectively. This result was independent of skin type and pre-exposure pigmentation. Fading took 4-5 months and was not related to frequency of UV exposure or to ethnic origin.
以往关于紫外线B(UVB)照射后色素沉着动力学的研究较少,且这些研究仅纳入了皮肤白皙的人群。本研究调查了12名斯堪的纳维亚人和12名印度人/巴基斯坦人的色素沉着增加至稳态以及消退情况。在3周的时间里,使用太阳模拟器和窄带UVB,以相等的亚最小黑素生成剂量(个体预先确定)对受试者背部右侧进行6次紫外线照射,对左侧进行12次紫外线照射。通过测量555纳米和660纳米处的皮肤反射率来测定色素沉着(以校正红斑)。绝对色素沉着增加与暴露前的色素沉着无关,因此皮肤白皙的志愿者色素沉着增加的百分比更高。对于两种紫外线源,单次和多次紫外线照射时,肤色较深者达到最小色素沉着所需的紫外线剂量更高。从单次照射增加到6次和12次照射时,两种紫外线源达到最小色素沉着所需的剂量分别降低了2倍和3倍,从而降低了晒伤风险,但累积剂量分别增加了3倍和4倍。这一结果与皮肤类型和暴露前的色素沉着无关。色素沉着消退需要4至5个月,且与紫外线照射频率或种族无关。