2003
DOI: 10.1046/j.1365-2133.2003.05024.x
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Melanocyte detachment after skin friction in non lesional skin of patients with generalized vitiligo

Abstract: Detachment and transepidermal elimination of melanocytes following minor mechanical trauma in non lesional vitiligo skin is probably the cause of depigmentation occurring in the isomorphic response (Koebner phenomenon). We propose that transepidermal elimination of melanocytes in vitiligo should be regarded as a possible mechanism of chronic loss of pigment cells, perhaps previously damaged by another process.

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Cited by 160 publications
(120 citation statements)
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References 49 publications
(46 reference statements)
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“…Melanocytes and keratinocytes seem to exhibit a functionally and structurally close relationship to a great extent that is mediated by keratinocyte-derived cytokines. Gauthier et al (2003) described the presence of a large extracellular space between the melanocytes, vacuoles in keratinocytes containing tenascin, which can promote the extracellular detachment of melanocytes. Moreover, keratinocytes produce and release high amounts of proinflammatory cytokines including TNF-α, which promotes the expression of adhesion molecules on the melanocyte membrane (intercellular adhesion molecule 1), leading to further lymphocyte recruitment.…”
Section: Discussionmentioning
confidence: 99%
“…Melanocytes and keratinocytes seem to exhibit a functionally and structurally close relationship to a great extent that is mediated by keratinocyte-derived cytokines. Gauthier et al (2003) described the presence of a large extracellular space between the melanocytes, vacuoles in keratinocytes containing tenascin, which can promote the extracellular detachment of melanocytes. Moreover, keratinocytes produce and release high amounts of proinflammatory cytokines including TNF-α, which promotes the expression of adhesion molecules on the melanocyte membrane (intercellular adhesion molecule 1), leading to further lymphocyte recruitment.…”
Section: Discussionmentioning
confidence: 99%
“…The detachment of living melanocytes after friction of perilesional NSV skin has been observed recently. Melanocyte detachment from the basal layer was followed by transepidermal migration and eventually the death of pigment cells (4).…”
Section: Introductionmentioning
confidence: 99%
“…1 Characterized by patchy depigmentation of the skin, the disease can affect the patients' self-image, or even cause depression, thus substantially decreasing life quality among vitiligo patients. 2 Although several etiological theories, including genetic predisposition, [3][4][5] autoimmunity, 6,7 melanocytorrhagy 8,9 and toxic metabolites 10 have been proposed to participate in the pathogenesis of vitiligo, the exact mechanism of melanocyte degeneration in depigmented lesions still remains unclear.…”
mentioning
confidence: 99%