title: [Stratum corneum and nail lipids in patients with atopic dermatitis. Decrease in ceramides--a pathogenetic factor in atopic xerosis?].
abstract: Dry skin is seen in many patients with atopic dermatitis and correlates with a disturbed epidermal barrier function demonstrated by such features as increased transepidermal water loss and diminished stratum corneum hydration. With regard to the importance of stratum corneum lipids for the permeability barrier, we have analysed plantar (n = 8) and lumbar (n = 20) stratum corneum and nail lipids (n = 15) of atopic subjects by high-performance thin-layer chromatography (HPTLC). Compared with controls our investigations show a decrease in the ceramide fraction as a percentage of total lipid and a diminished ratio of ceramides and free sterols in atopic subjects. This implies that impaired ceramide synthesis may be a factor in the pathogenesis of atopic xerosis.
authors.affiliation: Hautklinik, Heinrich-Heine-Universität Düsseldorf.
authors.forename: J
authors.initials: J
authors.lastname: Hollmann
authors.forename: B C
authors.initials: BC
authors.lastname: Melnik
authors.forename: M S
authors.initials: MS
authors.lastname: Lee
authors.forename: U
authors.initials: U
authors.lastname: Hofmann
authors.forename: G
authors.initials: G
authors.lastname: Plewig
mesh_terms: D003876:Dermatitis, Atopic / Q000503:physiopathology*; D006801:Humans; D007057:Ichthyosis / Q000503:physiopathology*; D050356:Lipid Metabolism; D009262:Nails / Q000378:metabolism*; D012307:Risk Factors; D012867:Skin / Q000378:metabolism*
vernacular_title: Stratum-corneum- und Nagellipide bei Patienten mit atopischer Dermatitis. Verminderung der Ceramide--ein pathogenetischer Faktor bei atopischer Xerosis?