Studies on mast cells and histamine release in psoriasis : The effect of ranitidine

The purpose of this study was to investigate histamine and skin mast cells in psoriasis before and during 6 months of treatment with high-dose ranitidine. Sixteen psoriasis patients, presenting a mean PASI score of 15.4, were compared with 13 age- and sex-matched healthy controls. Resting extracellu...

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Veröffentlicht in:Acta dermato-venereologica 1998-05, Vol.78 (3), p.190-193
Hauptverfasser: PETERSEN, L. J, HANSEN, U, KRISTENSEN, J. K, NIELSEN, H, SKOV, P. S, NIELSEN, H. J
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container_issue 3
container_start_page 190
container_title Acta dermato-venereologica
container_volume 78
creator PETERSEN, L. J
HANSEN, U
KRISTENSEN, J. K
NIELSEN, H
SKOV, P. S
NIELSEN, H. J
description The purpose of this study was to investigate histamine and skin mast cells in psoriasis before and during 6 months of treatment with high-dose ranitidine. Sixteen psoriasis patients, presenting a mean PASI score of 15.4, were compared with 13 age- and sex-matched healthy controls. Resting extracellular skin levels of histamine and histamine release to mast cell secretagogues, as measured by the microdialysis technique, were increased in involved psoriasis skin compared to normal skin in the controls. Plasma histamine, but not basophil histamine release, was significantly increased in the patients. Mast cells and lymphocytes were significantly increased in numbers in involved versus non-involved skin in the patients, the lymphocytes being predominantly T-lymphocytes expressing HLA-DR activation. During 6 months of ranitidine treatment, mean PASI score of 15.4 decreased to 5.8. The lymphocyte infiltration, but not mast cell numbers, was significantly reduced during treatment, and histamine release to mast cell secretagogues was normalized. These observations suggest that skin mast cells in active psoriasis are functionally hyperreactive. The biochemical findings together with the clinical effect of ranitidine indicate that histamine may be involved in the pathophysiology of psoriasis.
doi_str_mv 10.1080/000155598441503
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J ; HANSEN, U ; KRISTENSEN, J. K ; NIELSEN, H ; SKOV, P. S ; NIELSEN, H. J</creator><creatorcontrib>PETERSEN, L. J ; HANSEN, U ; KRISTENSEN, J. K ; NIELSEN, H ; SKOV, P. S ; NIELSEN, H. J</creatorcontrib><description>The purpose of this study was to investigate histamine and skin mast cells in psoriasis before and during 6 months of treatment with high-dose ranitidine. Sixteen psoriasis patients, presenting a mean PASI score of 15.4, were compared with 13 age- and sex-matched healthy controls. Resting extracellular skin levels of histamine and histamine release to mast cell secretagogues, as measured by the microdialysis technique, were increased in involved psoriasis skin compared to normal skin in the controls. Plasma histamine, but not basophil histamine release, was significantly increased in the patients. Mast cells and lymphocytes were significantly increased in numbers in involved versus non-involved skin in the patients, the lymphocytes being predominantly T-lymphocytes expressing HLA-DR activation. During 6 months of ranitidine treatment, mean PASI score of 15.4 decreased to 5.8. The lymphocyte infiltration, but not mast cell numbers, was significantly reduced during treatment, and histamine release to mast cell secretagogues was normalized. These observations suggest that skin mast cells in active psoriasis are functionally hyperreactive. 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Lichen ; Ranitidine - administration &amp; dosage ; Ranitidine - therapeutic use ; Severity of Illness Index ; Skin - cytology ; Skin - drug effects ; Skin - pathology ; Skin, nail, hair, dermoskeleton ; T-Lymphocytes - chemistry ; T-Lymphocytes - immunology ; Treatment Outcome</subject><ispartof>Acta dermato-venereologica, 1998-05, Vol.78 (3), p.190-193</ispartof><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c457t-b35418b789c282c907638e39c739d977eae711e5a8943c7ee1c6037ad5b490023</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2225696$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9602224$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>PETERSEN, L. 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Lichen</subject><subject>Ranitidine - administration &amp; dosage</subject><subject>Ranitidine - therapeutic use</subject><subject>Severity of Illness Index</subject><subject>Skin - cytology</subject><subject>Skin - drug effects</subject><subject>Skin - pathology</subject><subject>Skin, nail, hair, dermoskeleton</subject><subject>T-Lymphocytes - chemistry</subject><subject>T-Lymphocytes - immunology</subject><subject>Treatment Outcome</subject><issn>0001-5555</issn><issn>1651-2057</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkL1PwzAQxS0EKqUwMyF5QGyh_ohjmw1VfEmVGFrmyHEuqlE-Si4Z-O9x1agD0-n0fvd07xFyy9kjZ4YtGWNcKWVNmnLF5BmZ80zxRDClz8n8oCZRVpfkCvE7rkJxMyMzmzEhRDonm80wlgGQdi1tHA7UQ10jdW1JdwEH14QWaA81OAQaWrrHrg8OA9Inut0BhaoCP9Cuor1rwxDKyF-Ti8rVCDfTXJCv15ft6j1Zf759rJ7XiU-VHpJCqpSbQhvrhRHeMp1JA9J6LW1ptQYHmnNQzthUeg3AfcakdqUqUhuTyAV5OPru--5nBBzyJuDhf9dCN2KurbFSCx7B5RH0fYfYQ5Xv-9C4_jfnLD_UmP-rMV7cTdZj0UB54qfeon4_6Q69q6sY3gc8YZFRmc3kH19od78</recordid><startdate>19980501</startdate><enddate>19980501</enddate><creator>PETERSEN, L. 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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects AIDS/HIV
Biological and medical sciences
Case-Control Studies
CD4-CD8 Ratio
Dermatology
Female
Histamine - analysis
Histamine H2 Antagonists - administration & dosage
Histamine H2 Antagonists - therapeutic use
Histamine Release - physiology
Humans
Immunohistochemistry
Male
Mast Cells - cytology
Mast Cells - metabolism
Medical sciences
Pharmacology. Drug treatments
Psoriasis - drug therapy
Psoriasis - immunology
Psoriasis - pathology
Psoriasis. Parapsoriasis. Lichen
Ranitidine - administration & dosage
Ranitidine - therapeutic use
Severity of Illness Index
Skin - cytology
Skin - drug effects
Skin - pathology
Skin, nail, hair, dermoskeleton
T-Lymphocytes - chemistry
T-Lymphocytes - immunology
Treatment Outcome
title Studies on mast cells and histamine release in psoriasis : The effect of ranitidine
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