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The skin-blanching assay.

P Smit1, H A M Neumann, H B Thio

  • 1Department of Dermatology and Venereology, Erasmus MC, Rotterdam, The Netherlands. p.smit@erasmusmc.nl

Journal of the European Academy of Dermatology and Venereology : JEADV
|February 7, 2012
PubMed
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The skin-blanching assay measures dermatologic glucocorticoids (GCs) by assessing vasoconstriction. However, inconsistent results and influencing factors limit its clinical use for determining GC sensitivity.

Area of Science:

  • Dermatology
  • Pharmacology
  • Biophysics

Background:

  • The skin-blanching assay is a standard method for evaluating dermatologic glucocorticoids (GCs).
  • The underlying mechanism involves local vasoconstriction and reduced skin blood flow, but it is not fully elucidated.
  • Several factors like drug concentration, vehicle, occlusion, and application site can affect assay outcomes.

Purpose of the Study:

  • To review the methodology and influencing factors of the skin-blanching assay for glucocorticoids.
  • To discuss the various quantitative and visual methods used to measure vasoconstriction intensity.
  • To highlight the reported inconsistencies and limitations in correlating skin-blanching results with other GC sensitivity tests.

Main Methods:

  • Review of existing literature on the skin-blanching assay for dermatologic glucocorticoids.

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  • Analysis of factors influencing the assay's sensitivity and reliability.
  • Comparison of different measurement techniques including visual assessment, reflectance spectroscopy, thermography, laser Doppler velocimetry, and chromametry.
  • Main Results:

    • The skin-blanching assay's mechanism is complex and influenced by multiple variables.
    • Various methods exist for quantifying vasoconstriction, but their correlation with the assay is not always consistent.
    • Literature reports conflicting results regarding the assay's reliability in determining glucocorticoid sensitivity.

    Conclusions:

    • The skin-blanching assay is a valuable tool for assessing dermatologic glucocorticoids but requires careful consideration of influencing factors.
    • Inconsistent findings in the literature limit the assay's definitive clinical utility for determining glucocorticoid sensitivity.
    • Further research may be needed to standardize the assay and improve its correlation with other sensitivity measures.