Diminution de la densité de recepteurs à la capsaïcine dans les lésions de psoriasis (Pour les professionnels)

Capsaicin  used topically is used in the treatment of pain following for example shingles = post herpetic neuralgia. In the following study, capsaicin receptors appear to be reduced Capsaicin receptor is also known as TRPV1 32 Patients with psoriasis (lesional) were compared with 20 with normal skin Results TRPV1 was found by RTPCR (polymerase chain…

Traitement du melasma (chloasma) (masque de grossesse) avec des crèmes (Pour les professionnels)

Pathogenesis of melasma (chloasma) (pregnancy mask) remains unknown. Treatment which is effective on the epidermal component of the pigmentation acts by the following mechnisms: inhibition of melanin synthesis blockage of melanosome transker from melanocytes and keratinocytes (niacinamide). Solar eviction and photoprotection are a crucial element in the treatments. The gold standard in the treatment of…

Cysteamine Creme (CC): Comparaison avc l'hydroquinone et traitement de troubles de l'hyperpigmentation (Pour les professionnels)

Hydroquinone is the gold standard in the treatment of hyperpigmentary disorders but there are 3. things to bear in mind: -a concentration of 4% or more is needed to be effective. -because of a higher concecntration, side effects such as exogenous ochronosis are a risk. Because of a lack of evidence pertaining to long term…

Implication possible du derme dans le développement du vitiligo (Pour les professionnels)

Vitiligo is characterized by the functional loss of melanocytes which induces the well delineated depigmented characteristic lesions. Anomalies have been detected in: melanocytes (mitochondria…) keratinocytes (altered oxydation status in the mitochondria, vaculolization…) dermis (high level of tenascin expression which explains defective adhesion of the melanocytes) The authors have found similar defects in fibroblast cells in…

La validamycine A pourrait inhiber la production de mélanine (Pour les professionnels)

The authors shoe that on computer models, validamycin A induces changes in the protein structure of tyrosinase. Tyrosinase is an enyyme  involved in the early phases of melanin synthesis. Hore exactly based on targetted hydroxyl group number: HIS85, HIS244, GLU256, HIS259, and ASN260 of tyrosinase interacted with validamycin A. Comment: the conceptual role of validomycin…

Prévenir les douleurs apres le zona avec le vaccin contre l'herpès (douleurs post-zostériennes) (Pour les professionnels)

Shingles is due to the activation of the herpes zostervirus (HZV) following its reactivation from doral ganglia following chicken pox. It is usually self-limited but after 60 there is a much higher incidence of pain following shingles (post-herpetic neuralgia). The pain can last from months to years afterwards.   Incidence of shingles and post herpetic…

Recherche dans le domaine de la pigmentation in vitro (Pour les profesionnels)

Mattek is a company which produces artificial skin models and the authors show application for pigmentary disorders models such as melasma (chloasma, pregnancy mask) and postinflammatory hyperpigmentation. In the study the authors used MelanoDermTM, which is a three-dimensional tissue culture model of human epidermis that contains normal human melanocytes (NHM) and keratinocytes (NHK). The origin of donors (African…

Risque de mélanome et consommation d'alcool (Pour les professionnels)

Alcohol consumption is linked to many skin problems (click here for manifestations of alcohol on the skin). However this study brings a new association: Melanoma. In this study using statistics (retrospective) the authors documented 1385 patients with invasive melanoma and 750 patients with melanoma in situ who were all followed for an average of 19 years.…