2012
DOI: 10.1111/j.1600-0625.2012.01495.x
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Influence of chemical peeling on the skin stress response system

Abstract: Skin stress response system (SSRS) involves corticotropin-releasing hormone (CRH) and proopiomelanocortin (POMC)-derived peptides, such as adrenocorticotropic hormone (ACTH), a-melanocyte-stimulating hormone (MSH) and b-endorphin that are locally generated in response to locally provided stressors or proinflammatory cytokines. This system would restrict tissue damage and restore local homoeostasis. Trichloroacetic acid (TCA) is one of the most widely used peeling agents and applied for cosmetic treatment of ph… Show more

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Cited by 14 publications
(12 citation statements)
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References 26 publications
(31 reference statements)
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“…The inappropriate choice of trichloroacetic acid concentration or its action time, relative to the area treated, can lead to significant side effects [5]. The complications incidence is directly proportional to the depth at which the procedure is performed, which in turn, is directly influenced by the concentration of the product used [4,6]. Identifying ideal candidates for this type of procedure plays a defining role in obtaining optimum results [7].…”
Section: Resultsmentioning
confidence: 99%
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“…The inappropriate choice of trichloroacetic acid concentration or its action time, relative to the area treated, can lead to significant side effects [5]. The complications incidence is directly proportional to the depth at which the procedure is performed, which in turn, is directly influenced by the concentration of the product used [4,6]. Identifying ideal candidates for this type of procedure plays a defining role in obtaining optimum results [7].…”
Section: Resultsmentioning
confidence: 99%
“…Thus for patients with closed phototypes, Fitzpatrik III-VI, who present an additional risk of pathological scarring or developing dyschromic phenomena, low concentrations (10-25%) shall always be used [2,4,6].…”
Section: Resultsmentioning
confidence: 99%
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“…The mechanism underlying TCA induced hyperpigmentation may be related to the skin stress response system. A recent study suggests that TCA activates the skin stress response system by directly inducing pro-opiomelanocortin and melanocortin-1 receptor production by keratinocytes (Kimura et al, 2012). Persistent erythema is erythema lasting longer than expected for an individual peel (Monheit, 2004).…”
Section: Discussionmentioning
confidence: 98%
“…TCA is usually used as a superficial peeling agent; however, higher TCA concentrations will penetrate to the mid-reticular dermis [ 10 ]. TCA peeling induces the skin stress response system resulting in reconstitution of the epidermis and dermis through wound healing processes [ 11 ]. This ability makes the TCA peeling a potential therapeutic option for cutaneous leishmaniasis [ 12 , 13 ].…”
Section: Introductionmentioning
confidence: 99%