Postural Skin Colour Changes during the Corticosteroid Blanching Assay

Objective: To assess the effect of the position of a limb (dependency) on the cutaneous vasoconstrictor (blanching) assay (VCA) using topical corticosteroid preparations. Method: Two studies were performed on the forearms of healthy volunteers using tristimulus reflectance colorimetric assessments....

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Veröffentlicht in:Skin pharmacology and applied skin physiology 1999-07, Vol.12 (4), p.199-210
Hauptverfasser: Henry, F., Fumal, I., Piérard, G.E.
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creator Henry, F.
Fumal, I.
Piérard, G.E.
description Objective: To assess the effect of the position of a limb (dependency) on the cutaneous vasoconstrictor (blanching) assay (VCA) using topical corticosteroid preparations. Method: Two studies were performed on the forearms of healthy volunteers using tristimulus reflectance colorimetric assessments. The first one conducted in 60 normal adults aimed at quantifying the range of variation in the skin chromaticity a* when the arm was successively positioned horizontally and vertically, either in the upward or downward direction. In the second study, 16 volunteers were selected according to a weak spontaneous postural dependency of the limb in a* (
doi_str_mv 10.1159/000066244
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Method: Two studies were performed on the forearms of healthy volunteers using tristimulus reflectance colorimetric assessments. The first one conducted in 60 normal adults aimed at quantifying the range of variation in the skin chromaticity a* when the arm was successively positioned horizontally and vertically, either in the upward or downward direction. In the second study, 16 volunteers were selected according to a weak spontaneous postural dependency of the limb in a* (&lt;2 units). The blanching effect of 0.1% mometasone furoate, 0.1% betamethasone valerate and petrolatum were compared to the colour of an untreated site. Chromaticity a* and the colorimetric variable (ΔtL* 2 + Δta* 2 ) 0.5 were measured in time following a 2-hour application. Results: The postural variations in skin colour varied among subjects. The majority of them (80%) presented a difference in a* higher than 2 units between the upright and downward arm positions. The upright position appeared to be the most sensitive to show significant differences in the VCA. Mometasone furoate exhibited the most prominent effect, significantly higher than betamethasone valerate and controls. Conclusion: The corticosteroid VCA is influenced by the position of the limb. The upright position increases the sensitivity of the test. Mometasone furoate is more potent than betamethasone valerate.</description><identifier>ISSN: 1660-5527</identifier><identifier>ISSN: 1422-2868</identifier><identifier>EISSN: 1660-5535</identifier><identifier>EISSN: 1422-2906</identifier><identifier>DOI: 10.1159/000066244</identifier><identifier>PMID: 10420140</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Administration, Topical ; Adrenal Cortex Hormones - administration &amp; dosage ; Adult ; Anti-Inflammatory Agents - administration &amp; dosage ; Betamethasone - administration &amp; dosage ; Betamethasone - analogs &amp; derivatives ; Biological and medical sciences ; Colorimetry ; Double-Blind Method ; Forearm - blood supply ; Forearm - physiology ; Humans ; Medical sciences ; Mometasone Furoate ; Original Research Article ; Pharmacology. Drug treatments ; Posture - physiology ; Pregnadienediols - administration &amp; dosage ; Regional Blood Flow - drug effects ; Regional Blood Flow - physiology ; Skin - blood supply ; Skin Pigmentation - physiology ; Skin, nail, hair, dermoskeleton ; Vasoconstriction - drug effects ; Vasoconstriction - physiology</subject><ispartof>Skin pharmacology and applied skin physiology, 1999-07, Vol.12 (4), p.199-210</ispartof><rights>1999 S. Karger AG, Basel</rights><rights>1999 INIST-CNRS</rights><rights>Copyright (c) 1999 S. 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The upright position appeared to be the most sensitive to show significant differences in the VCA. Mometasone furoate exhibited the most prominent effect, significantly higher than betamethasone valerate and controls. Conclusion: The corticosteroid VCA is influenced by the position of the limb. The upright position increases the sensitivity of the test. 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Method: Two studies were performed on the forearms of healthy volunteers using tristimulus reflectance colorimetric assessments. The first one conducted in 60 normal adults aimed at quantifying the range of variation in the skin chromaticity a* when the arm was successively positioned horizontally and vertically, either in the upward or downward direction. In the second study, 16 volunteers were selected according to a weak spontaneous postural dependency of the limb in a* (&lt;2 units). The blanching effect of 0.1% mometasone furoate, 0.1% betamethasone valerate and petrolatum were compared to the colour of an untreated site. Chromaticity a* and the colorimetric variable (ΔtL* 2 + Δta* 2 ) 0.5 were measured in time following a 2-hour application. Results: The postural variations in skin colour varied among subjects. The majority of them (80%) presented a difference in a* higher than 2 units between the upright and downward arm positions. The upright position appeared to be the most sensitive to show significant differences in the VCA. Mometasone furoate exhibited the most prominent effect, significantly higher than betamethasone valerate and controls. Conclusion: The corticosteroid VCA is influenced by the position of the limb. The upright position increases the sensitivity of the test. Mometasone furoate is more potent than betamethasone valerate.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>10420140</pmid><doi>10.1159/000066244</doi><tpages>12</tpages></addata></record>
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source MEDLINE; Karger Journals; Alma/SFX Local Collection
subjects Administration, Topical
Adrenal Cortex Hormones - administration & dosage
Adult
Anti-Inflammatory Agents - administration & dosage
Betamethasone - administration & dosage
Betamethasone - analogs & derivatives
Biological and medical sciences
Colorimetry
Double-Blind Method
Forearm - blood supply
Forearm - physiology
Humans
Medical sciences
Mometasone Furoate
Original Research Article
Pharmacology. Drug treatments
Posture - physiology
Pregnadienediols - administration & dosage
Regional Blood Flow - drug effects
Regional Blood Flow - physiology
Skin - blood supply
Skin Pigmentation - physiology
Skin, nail, hair, dermoskeleton
Vasoconstriction - drug effects
Vasoconstriction - physiology
title Postural Skin Colour Changes during the Corticosteroid Blanching Assay
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