Optical coherence tomography quantifying photo aging: skin microvasculature depth, epidermal thickness and UV exposure.


Journal

Archives of dermatological research
ISSN: 1432-069X
Titre abrégé: Arch Dermatol Res
Pays: Germany
ID NLM: 8000462

Informations de publication

Date de publication:
Jul 2022
Historique:
received: 06 10 2020
accepted: 22 05 2021
revised: 29 04 2021
pubmed: 11 6 2021
medline: 7 6 2022
entrez: 10 6 2021
Statut: ppublish

Résumé

Photo aging predominantly occurs in the face, neck and hands due to UVA and UVB irradiation. It is associated with skin cancer and histological studies indicate thinning of the epidermis and elastosis occurs. Dynamic Optical coherence tomography (D-OCT) is a non-invasive imaging tool able to visualize the epidermis and upper dermis and its blood vessels as well as to evaluate epidermal thickness (ET) and blood flow. To investigate ET and blood vessel depth using D-OCT in human subjects correlated to UV exposure. We evaluated data from 249 healthy adults, that had D-OCT-scans conducted at four different regions (forehead, neck, arm and hand) and correlated ET and blood vessel depth with occupational UV exposure (total standard erythema dose, Total SED), season and demographic data. Regional differences in ET and blood vessel depth were found (p values < 0.001). Multiple linear regressions showed a seasonal effect on both ET (- 0.113 to - 0.288 µm/day, p values < 0.001) and blood vessel depth (0.168-0.347 µm/day, p values < 0.001-0.007) during August-December. Significant age-related decrease of ET was seen in forehead, arm and hand (0.207-0.328 µm/year, p values = 0.002-0.18) and blood vessel depth in forehead (0.064-0.553 µm/year, p values = 0.01-0.61). Males had thicker epidermis (3.92-10.93 µm, p values = 0.002-0.15). Changing seasons are a major predictor of both ET and blood vessel depth, showing strongest effect in non-exposed areas, suggesting a systemic effect, possibly due to seasonal vitamin D fluctuation. Sex, age and occupational UV exposure affect ET. This study demonstrated the feasibility of D-OCT to evaluate epidermal thickness and blood vessel depth.

Identifiants

pubmed: 34109468
doi: 10.1007/s00403-021-02245-8
pii: 10.1007/s00403-021-02245-8
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

469-476

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

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Auteurs

Jonas Olsen (J)

Department of Dermatology, Health Sciences Faculty, Zealand University Hospital, University of Copenhagen, Sygehusvej 10, 4000, Roskilde, Denmark. Jonas.h.olsen@gmail.com.
Department of Internal Medicine, Herlev and Gentofte Hospital, 2730, Herlev, Denmark. Jonas.h.olsen@gmail.com.

Giovanni Gaetti (G)

Department of Dermatology, Health Sciences Faculty, Zealand University Hospital, University of Copenhagen, Sygehusvej 10, 4000, Roskilde, Denmark.

Kasper Grandahl (K)

Department of Occupational and Social Medicine, Copenhagen University Hospital Holbæk, Smedelundsgade 60, 4300, Holbæk, Denmark.

Gregor Borut Ernst Jemec (GBE)

Department of Dermatology, Health Sciences Faculty, Zealand University Hospital, University of Copenhagen, Sygehusvej 10, 4000, Roskilde, Denmark.

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