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  • 1
    ISSN: 1432-069X
    Keywords: Collagen metabolism ; Induction of collagenase mRNA ; Actinic elastosis ; UVA irradiation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We report the effect of UVA irradiation on collagen metabolism of fibroblasts, including both synthesis of the collagen degrading enzyme collagenase and de novo synthesis of type I collagen as the major structural component of the dermis. For this purpose confluent fibroblast monolayers were irradiated under standardized conditions (5, 15, 35, 60 J/cm2 using UVASUN 3000, Mutzhas, Munich, FRG, and UV source Sellas sunlight type 2.001, Sellas, Gevelsberg, FRG). Subsequently, total RNA was isolated and subjected to dot blot and northern blot analysis using oligolabelled cDNA clones for human type I collagen, collagenase and Β-actin. Collagen type I and Β-actin mRNA levels remained unaltered following irradiation, suggesting that the synthetic pathway of collagen metabolism at the pretranslational level is not affected by short-term UVA irradiation. However, collagenase mRNA was found to be dose-dependently induced in fibroblasts after irradiation, thus probably contributing to the actinic damage to the dermis. These in vitro data were confirmed in vivo using in situ hybridization on frozen sections of biopsy material obtained from UVA irradiated patients.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Der Hautarzt 50 (1999), S. 275-279 
    ISSN: 1432-1173
    Keywords: Schlüsselwörter Granuloma anulare ; Bade-PUVA-Therapie ; 8-Methoxypsoralen ; Key words Granuloma anulare ; Bath-PUVA-therapy 8-methoxypsoralene
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Sixteen patients with generalized granuloma anulare and two patients with localized granuloma anulare received bath-PUVA therapy. Their lesions previously had not responded to conventional therapy. After an average of 55 (11 to 61) treatments and a mean cumulative dose of 69,5 (7,1 to 261,5) J/cm2, complete remission was observed in 5 patients and a clear improvement in 10 patients. Three patients stopped therapy after few treatments. Recurrent lesions appeared in 4 patients; in three of them reinitiation of the bath-PUVA-therapy again led to complete remission. Maintenance therapy for several months may be useful for patients suffering from relapsing granuloma anulare. Potential risks of long-lasting bath-PUVA therapy should be taken into consideration.
    Notes: Zusammenfassung Bei 16 Patienten mit disseminiertem und 2 mit lokalisiertem Granuloma anulare wurde eine Bade-PUVA-Therapie durchgeführt, da die Läsionen auf konventionelle Therapiemaßnahmen nicht ansprachen. Nach durchschnittlich 55 (11–61) Behandlungen mit einer mittleren kumulativen Dosis von 69,5 (7,1–261,5) J/cm2 wurde bei 5 Patienten eine Vollremission und bei10 eine deutliche Rückbildung erreicht. Drei Patienten brachen die Therapie vorzeitig ab. Rezidive traten nach Beendigung der Therapie 4mal auf, 2mal führte die Wiederaufnahme der Behandlung zur Abheilung. Eine Erhaltungstherapie für einige Monate erscheint bei Patienten mit starker Rezidivneigung und besonderem Leidensdruck sinnvoll. Die potentiellen Risiken einer längerfristigen Bade-PUVA-Therapie müssen beachtet werden.
    Type of Medium: Electronic Resource
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