The effect of PUVA therapy for psoriasis on the microbial flora and on levels and composition of skin surface lipid has been studied in ten patients. Samples were obtained from clinically uninvolved skin from the back and the forearm. There was no consistent significant change in the viable counts of aerobic cocci or anaerobic coryneforms during theraapy. A transient rise in Staphylococcus aureus counts was thought to be due to the use of emollients rather than no effect of PUVA. Genetic changes in the microorganisms were not sought. There was an increase in the amount of total lipid (both casual levels and replacement sums) during therapy. An increase of free fatty acids at the expense of triglycerides did not reach statistical significance. The influence of PUVA on the skin flora seems to be less in vivo than anticipated from in vitro studies.
The Syrian golden hamster flank organ, composed of clusters of large sebaceous glands, has been used to investigate effects of systemically or topically applied hormones, antiandrogens, and retinoids. Accurate assessments of flank organ sebaceous gland volume and its correlation with in vivo measurements of flank organ size have not been reported. Sixty flank organs were examined. In vivo flank organ size was expressed as the product of the greatest longitudinal (DL) and greatest transverse (DT) diameters of the palpable bulk. Sebaceous gland volumes were calculated from planimetric analyses of serially sectioned specimens of flank organs using a computer-assisted planimetry system. In vivo measurements (DL X DT) were found to correlate with planimetrically determined flank organ volume. Planimetric analysis of every 10th section of a serially sectioned flank organ was almost as sensitive as analysis of every section in determining sebaceous gland volume. Computer-assisted planimetry of serially sectioned flank organs was found to be an accurate and reproducible method for assessing gland volume. In vivo measurements of the palpable bulk are a good indicator of sebaceous gland size and correlate well with planimetrically determined sebaceous gland volumes.
Recently a new thin layer chromatography plate (Whatman LK 6D) became available which is extremely easy to handle and permits highly reproducible qualitative and quantitative analysis. This plate proved to be of great value for the investigation of skin surface lipids. The use of a fatty acid methyl ester as an internal standard makes it unnecessary to employ additional gravimetrical or photometrical methods for quanitative lipid analysis. The method presented in this paper is simpler and requires much less time than alternative procedures and allows a large number of lipid samples to be processed simultaneously.
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