Cornegliani Luisa, Vercelli Antonella, Sala Elisabetta, Marsella Rosanna
Ambulatorio Veterinario Associato, Torino, Italy.
Vet Dermatol. 2012 Feb;23(1):41-4, e9-10. doi: 10.1111/j.1365-3164.2011.01003.x. Epub 2011 Jul 26.
An impaired skin barrier function is thought to be crucial for allergic sensitization. In humans, the skin barrier is assessed by noninvasive methods, such as the measurement of transepidermal water loss (TEWL). Although limitations have been reported, measurement of TEWL has been demonstrated to be a suitable method to assess barrier function indirectly in dogs. The purposes of this prospective clinical study were twofold. The first aim was to evaluate and compare TEWL in healthy and atopic dogs. The second aim was to evaluate TEWL in a population of atopic dogs and to assess TEWL in dogs whose disease was in remission after successful therapy and compare it with dogs whose disease was not controlled or receiving treatment. One hundred and fifty dogs were selected and divided into the following three groups: 50 atopic dogs before specific treatment (group A); 50 in remission (group B); and 50 control dogs (group C). The mean values for TEWL for each group were 22.47 (g/m(2) h) (group A; 95% confidence interval 20.85-24.09), 12.57 (g/m(2) h) (group B; 95% confidence interval 11.43-13.7) and 8.81 (g/m(2) h) (group C; 95% confidence interval 8.09-9.52); P-value was 0.0001 for TEWL (groups A, B and C). This study showed a significant difference of TEWL between healthy control dogs and dogs with atopic dermatitis. Additionally, TEWL was lower in atopic dogs whose disease was in remission due to treatment. These results were consistent with reports in human medicine about TEWL.
皮肤屏障功能受损被认为是过敏性致敏的关键因素。在人类中,皮肤屏障通过非侵入性方法评估,如经表皮水分流失(TEWL)的测量。尽管已报道存在局限性,但TEWL的测量已被证明是间接评估犬类屏障功能的合适方法。这项前瞻性临床研究有两个目的。第一个目的是评估和比较健康犬和特应性犬的TEWL。第二个目的是评估特应性犬群体中的TEWL,并评估疾病经成功治疗后缓解的犬的TEWL,并将其与疾病未得到控制或正在接受治疗的犬进行比较。选择了150只犬,分为以下三组:50只未接受特异性治疗的特应性犬(A组);50只处于缓解期的犬(B组);50只对照犬(C组)。每组TEWL的平均值分别为22.47(g/m²·h)(A组;95%置信区间20.85 - 24.09)、12.57(g/m²·h)(B组;95%置信区间11.43 - 13.7)和8.81(g/m²·h)(C组;95%置信区间8.09 - 9.52);TEWL(A、B和C组)的P值为0.0001。这项研究表明健康对照犬和特应性皮炎犬之间的TEWL存在显著差异。此外,因治疗而病情缓解的特应性犬的TEWL较低。这些结果与人类医学中关于TEWL的报道一致。