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Morphometric study of stratum corneum in leprosy
R P Okhandiar1, E Sinha, R K Sinha
1Skin and Leprosy Research Foundation, Kharman Chak, Bhagalpur, Bihar.
Summary
Leprosy causes abnormal skin barrier function, with increased skin cell turnover and thickness. These changes in the stratum corneum (SC) suggest heightened epidermal activity, leading to a defective skin barrier in leprosy patients.
Area of Science:
- Dermatology
- Pathology
- Epidermal Biology
Background:
- Leprosy is associated with abnormalities in the stratum corneum (SC), including impaired hydration and increased turnover.
- Previous studies indicated functional deficits in the SC of leprosy lesions.
Purpose of the Study:
- To conduct morphometric studies of the SC in leprosy.
- To investigate epidermal thickening and cell ratios in leprosy skin tissues.
Main Methods:
- Measurement of SC thickening, mean epidermal thickness, and basal layer:granular layer cell ratio (B:G ratio) in H.E. stained tissues.
- Counting of SC cell-layers in freshly frozen tissues.
Main Results:
- Findings indicate an increase in epidermal proliferative activity.
- Morphometric analysis revealed significant alterations in SC structure and epidermal thickness.
- Increased B:G ratio suggests changes in epidermal cell differentiation.
Conclusions:
- Increased epidermal proliferative activity in leprosy may result in the formation of a defective SC.
- Morphometric abnormalities of the SC contribute to the compromised skin barrier function observed in leprosy.