Department of Dermatology, School of Medicine, Kyungpook National University, Daegu, Korea.
J Dermatol. 2011 Nov;38(11):1049-1053. doi: 10.1111/j.1346-8138.2011.01320.x. Epub 2011 Sep 22.
Dermatophytes have the ability to form molecular attachments to keratin and use it as a source of nutrients, colonizing keratinized tissues, including the stratum corneum of the skin. Malassezia species also affect the stratum corneum of the skin. Therefore, dermatophytosis and pityriasis versicolor of the skin are thought to be important factors of profound changes in skin barrier structure and function. We aimed to describe the changes in transepidermal water loss (TEWL), stratum corneum hydration, and skin pH in the lesions of the dermatophytosis and pityriasis versicolor. Thirty-six patients with dermatophytosis (14 with tinea cruris, 13 with tinea corporis and nine with tinea pedis or tinea manus) and 11 patients with pityriasis versicolor were included in this study. TEWL, stratum corneum conductance and skin pH were determined by biophysical methods to examine whether our patients exhibited changes in barrier function. Dermatophytosis and pityriasis versicolor except tinea pedis and tinea manus showed highly significant increase in TEWL compared with adjacent infection-free skin. Hydration was significantly reduced in lesional skin compared with adjacent infection-free skin. From this study, infections with dermatophytes and Malassezia species on the body can alter biophysical properties of the skin, especially the function of stratum corneum as a barrier to water loss. On the contrary, infections with dermatophytes on the palms and soles little affect the barrier function of the skin.
皮肤癣菌具有与角蛋白形成分子附着的能力,并将其作为营养物质的来源,定植于角蛋白组织,包括皮肤的角质层。马拉色菌也会影响皮肤的角质层。因此,皮肤癣菌病和花斑糠疹被认为是皮肤屏障结构和功能发生深刻变化的重要因素。我们旨在描述皮肤癣菌病和花斑糠疹皮损中经皮水分丢失(TEWL)、角质层含水量和皮肤 pH 的变化。本研究纳入了 36 例皮肤癣菌病患者(14 例股癣、13 例体癣和 9 例足癣或手癣)和 11 例花斑糠疹患者。采用生物物理方法测定 TEWL、角质层电导率和皮肤 pH 值,以检查我们的患者是否存在屏障功能改变。除足癣和手癣外,皮肤癣菌病和花斑糠疹的 TEWL 与相邻未感染皮肤相比显著增加。与相邻未感染皮肤相比,皮损皮肤的水分含量明显降低。从这项研究中可以看出,身体上的皮肤癣菌和马拉色菌感染会改变皮肤的生物物理特性,特别是角质层作为水分流失屏障的功能。相反,手掌和足底的皮肤癣菌感染对皮肤的屏障功能影响较小。