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Letter to the Editor| Volume 57, ISSUE 1, P66-69, January 2010

In vivo characterization of the structure and components of lesional psoriatic skin from the observation with Raman spectroscopy and optical coherence tomography: A pilot study

      Psoriasis is a chronic, immuno-inflammatory disorder characterised by acanthosis with disturbed keratinocyte differentiation. The stratum corneum (SC) in psoriatic lesional skin is thick and histopathologically composed of parakeratotic cells. A changed lipid pattern of the SC has been observed in lesional skin [
      • Motta S.
      • Sesana S.
      • Monti M.
      • Giuliani A.
      • Caputo R.
      Interlamellar lipid differences between normal and psoriatic stratum corneum.
      ]. However, ceramide profiles in clinically normal psoriatic skin were comparable to those of healthy skin [
      • Hany F.
      • Klaus R.
      • Reinhard N.
      • Johannes W.
      Ceramide profiles of the uninvolved area in atopic dermatitis and psoriasis are comparable to those of healthy skin.
      ]. As the clinical diagnosis of psoriasis is simple, most dermatologists tend to rely on the traditional visual subjective assessments [
      • Fredricksson T.
      • Pettersson U.
      Severe psoriasis—oral therapy with a new retinoid.
      ]. However, such assessments may still lack objectivity. Recently, commercially available instruments have been used for the objective assessment of psoriasis. Poor hydration state and barrier function in the involved areas were reported [
      • Rim J.H.
      • Jo S.J.
      • Park J.Y.
      • Park B.D.
      • Youn J.I.
      Electrical measurement of moisturizing effect on skin hydration and barrier function in psoriasis patients.
      ]. Different skin layers such as the SC and epidermis, as well as blood vessels, were all distinguishable with optical coherence tomography (OCT) images [
      • Pagnoni A.
      • Knuettel A.
      • Welker P.
      • Rist M.
      • Stoudemayer T.
      • Kolbe L.
      • et al.
      Optical coherence tomography in dermatology.
      ]. The recently developed confocal Raman spectrometer has been applied to in vivo measurement of the depth profiles of SC components [
      • Caspers P.J.
      • Lucassen G.W.
      • Bruining H.A.
      • Puppels G.J.
      Automated depth-scanning confocal Raman microspectrometer for rapid in vivo determination of water concentration profiles in human skin.
      ,
      • Caspers P.J.
      • Lucassen G.W.
      • Carter E.A.
      • Bruining H.A.
      • Puppels G.J.
      In vivo confocal Raman microspectroscopy of the skin: noninvasive determination of molecular concentration profiles.
      ,
      • Egawa M.
      • Tagami H.
      Comparison of the depth profiles of water and water-binding substances in the stratum corneum determined in vivo by Raman spectroscopy between the cheek and volar forearm skin: effects of age, seasonal changes, and artificial forced hydration.
      ]. In the present study, we have evaluated characteristics of psoriatic skin by using Raman spectroscopy as well as OCT.

      Keywords

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