Procaccini E M, Riccio G, Casula L, Posteraro G, Monfrecola G
Department of Dermatology, Faculty of Medicine, University Federico II, Naples, Italy.
Dermatology. 1997;195(4):317-20. doi: 10.1159/000245979.
Individual UVB photosensitivity is usually investigated by determining the minimal erythemal dose (MED). Nevertheless, factors such as room light intensity and subjective experience of the observer can influence the erythema perception and, therefore, the MED assessment.
To evaluate the relationship between the clinical and the chromometric and microflowmetric analyses of the UVB-induced erythema in 2 healthy volunteers.
A bank of 6 fluorescent mercury vapor tubes (Philips TL 12/20 W) was utilized as a source of UVB light. Three skin areas (4 cm2), from the dorsal region of each subject, were irradiated with 3 different UVB doses corresponding to: (1) MED; (2) 0.7 MED, and (3) 1.3 MED.
(1) both microflowmetric and chromometric parameters reached a maximum peak 10-12 h after irradiation and maintained high values also 30 h after irradiation; (2) both microflowmetric and chromometric values were directly related to the UVB doses; (3) in some cases the microflowmetric values started to increase when the chromatic changes were still undetectable.
These preliminary data confirm that the visual determination of MED performed 24 h after irradiation is a correct procedure. Nevertheless, the microflowmetric may precede the chromatic changes suggesting that vasodilatation follows irradiation without a latent period.
个体对紫外线B(UVB)的光敏性通常通过测定最小红斑量(MED)来研究。然而,诸如室内光线强度和观察者的主观感受等因素会影响红斑的感知,进而影响MED的评估。
评估2名健康志愿者中UVB诱导红斑的临床分析与色度分析和微血流分析之间的关系。
使用一组6根荧光汞蒸气灯管(飞利浦TL 12/20 W)作为UVB光源。从每个受试者的背部区域选取3个皮肤区域(4平方厘米),用3种不同的UVB剂量进行照射,分别对应:(1)MED;(2)0.7 MED,以及(3)1.3 MED。
(1)微血流参数和色度参数在照射后10 - 12小时均达到最大峰值,并且在照射后30小时也保持较高值;(2)微血流值和色度值均与UVB剂量直接相关;(3)在某些情况下,当色度变化仍无法检测到时,微血流值就开始增加。
这些初步数据证实,照射后24小时进行的MED视觉测定是一种正确的方法。然而,微血流变化可能先于色度变化,这表明照射后血管扩张没有潜伏期。