BACKGROUND: Minimal erythema dose(MED), minimal melanogenic dose (MMD) and minimal phototoxic dose(MPD) of UVA-1 in Koreans has not been determined, although MED and MMD of UVB and MPD of UVA-2 in Koreans have been reported. OBJECTIVE: This study was done to measure the MED and MMDs including minimal immediate tanning dose(MITD) and minimal delayed tanning dose(MDTD) of UVA-1 radiation and compare the MPD of UVA-1 with that of UVA-2. METHODS: In this study, a metal halide lamp (SUPUVASUN 3000) and a fluorescent blacklight lamp (Philips TL 20W/09N UVA lamp) were used as the UVA-1 and UVA-2 light sources, respectively. After the determining of Fitzpatrick's skin phototypes, the back skins of young adults were irradiated and the MED, MITD and MDTD of UVA-1 were assessed at 24 hours, 1 hour, and 7 days after irradiation, respectively. The minimal doses of phototoxic reaction, which was induced by oral 8-MOP plus UVA-1 or UVA-2, were assessed visually 72 hours after irradiation. RESULTS: MED,was 61.20+/-11.50J/cm(mean+S.D.). MITD and MDTD of UVA-1 were 48.00+/-8.57J/cm and 65.30+/-12.10J/cm respectively. MPDs of UVA-1 and UVA-2 were 14.88+/-3.88J/cm and 4.40+/-1.69J/cm, respectively. CONCLUSION: In this study, the MED and MMD of UVA-1 radiation and the MPD of UVA-1 and UVA-2 radiation were measured in young adult Koreans. The MITD was less than the MED, and the MDTD was almost the same as the MED. The MPD of UVA-1 was three times higher than that of UVA-2. There vere no significant correlations between the MEDs, MMDs or MPDs and the skin phototypes.
Erythema* ; Humans ; Methoxsalen ; Skin ; Tanning ; Triacetoneamine-N-Oxyl ; Young Adult*

BACKGROUND: Minimal erythema dose(MED), minimal melanogenic dose (MMD) and minimal phototoxic dose(MPD) of UVA-1 in Koreans has not been determined, although MED and MMD of UVB and MPD of UVA-2 in Koreans have been reported. OBJECTIVE: This study was done to measure the MED and MMDs including minimal immediate tanning dose(MITD) and minimal delayed tanning dose(MDTD) of UVA-1 radiation and compare the MPD of UVA-1 with that of UVA-2. METHODS: In this study, a metal halide lamp (SUPUVASUN 3000) and a fluorescent blacklight lamp (Philips TL 20W/09N UVA lamp) were used as the UVA-1 and UVA-2 light sources, respectively. After the determining of Fitzpatrick's skin phototypes, the back skins of young adults were irradiated and the MED, MITD and MDTD of UVA-1 were assessed at 24 hours, 1 hour, and 7 days after irradiation, respectively. The minimal doses of phototoxic reaction, which was induced by oral 8-MOP plus UVA-1 or UVA-2, were assessed visually 72 hours after irradiation. RESULTS: MED,was 61.20+/-11.50J/cm(mean+S.D.). MITD and MDTD of UVA-1 were 48.00+/-8.57J/cm and 65.30+/-12.10J/cm respectively. MPDs of UVA-1 and UVA-2 were 14.88+/-3.88J/cm and 4.40+/-1.69J/cm, respectively. CONCLUSION: In this study, the MED and MMD of UVA-1 radiation and the MPD of UVA-1 and UVA-2 radiation were measured in young adult Koreans. The MITD was less than the MED, and the MDTD was almost the same as the MED. The MPD of UVA-1 was three times higher than that of UVA-2. There vere no significant correlations between the MEDs, MMDs or MPDs and the skin phototypes.
Erythema* ; Humans ; Methoxsalen ; Skin ; Tanning ; Triacetoneamine-N-Oxyl ; Young Adult*

Dimethylformamide ; poisoning ; Humans ; Occupational Exposure ; adverse effects ; Tanning

BACKGROUND: The spectrophotometer is well known to be a useful tool for estimating the objective minimal erythema dose (MED) during planning of phototherapy protocol. However, only a few spectrophotometric values are used to evaluate the erythema and pigmentation of the MED site during phototesting. OBJECTIVE: To determinea new meaning of the relationships among spectrophotometric values during phototesting. METHODS: Twenty-five patients with psoriasis and 23 patients with vitiligo were selected before undergoing narrowband ultraviolet B phototherapy. We interpreted the gross findings of erythema and measured the L*a*b* values using a spectrophotometer at each phototest spot. We compared MEDs, basic spectrophotometric values (L*a*b*), and b*/L* values separately according to skin type, and determined the correlation of each spectrophotometric value and the correlation between a* and b*/L* values. RESULTS: Among L*a*b* values, only b* values showed a statistically significant difference between the type III and IV groups (p=0.003). There was a positive correlation only between MEDs and b* values (p<0.05). The average b*/L*value in the type IV group was significantly higher than the type III group (p<0.05). CONCLUSION: The higher b* values in type IV skin indicates that skin tanning develops more prominently than type III. The correlation between MEDs and b* values may signify that the skin pigmentation status is deepened with the higher MEDs. The difference in b*/L*values between type III and IV skin reflects that the b*/L*value is thought to be an index of tanning. The a* value, known as an index of erythema, does not influence the degree of tanning.
Erythema* ; Humans ; Phototherapy* ; Pigmentation ; Psoriasis ; Skin ; Skin Pigmentation ; Tanning ; Triacetoneamine-N-Oxyl ; Vitiligo

BACKGROUND: The visible cutaneous pigmentary response to ultraviolet A(UVA) is immediate, whereas ultraviolet B(UVB)-induced pigmentation appears after a delay of several days. However, some investigators reported that UVA also can induce delayed taniing. OBJECTIVE: In order to determine whether the pigmentation induceil by UVA irradiation is accompanied by melanocytes responses which are the same or different from those following a UVB-indueed tan, we irraiated malignant melanoma cells to UVA or UVB. METHOD: On the 7th day after irradiation of UVA or UVB, we exa nined the cell counts and the melanin content of control and experimental groups. RESULTS: Although a dose of 10 J/cm decreased the number of manignant melanoma cells, there was no significant difference between the control and UVA-exposure griiups. But there was a significant decrease after UVB-exposun. UVB-exposure groups showed a significant increase of melanin cortent. A dose of 10 J/cm of UVA also induced a significant increase of melanin content. CONCLUSIONS: The data suggest that UVA at a clinically relevant dose has a significant effect on human melanocytes. So, UVA very likely plays a role in the increased, melanization associated with delayed tanning.
Cell Count ; Cell Line* ; Humans ; Melanins ; Melanocytes ; Melanoma* ; Pigmentation ; Research Personnel ; Tanning ; Triacetoneamine-N-Oxyl

Increased pigmentation of skin after sun exposure is a normal response to solar radiation. Like sunburn, suntan can also be produced by natural solar radiation and by artificial, narrow-spectrum ultraviolet B and ultraviolet A sources. The tanning response is a sign of ultraviolet damage. The western search for the suntan has led to an increased incidence of photoaging and skin cancer of light-skinned individuals. Photoaging is characterized by wrinkling, coarseness, dryness, mottled pigmentation, loss of elasticity, easy bruising, telangiectasias, and benign, premalignant and malignant growths on sun-exposed areas. Photoagings is a slow process, taking decades to become clinically apparent and even longer for all the manifestations to occur. Development of photoagings is determined both by genetic skin type and by the total lifetime radiation dose. Photoaging is more apparent in light-skinned Caucasians than in dark-skinned people. Although it is not possible to state what proportion is due to chronologic aging and what is due to photoaging, it has been estimated that photodamage may account for greater than 90 percent of the age- associated cosmetic problems of the skin. The proliferation of natural tanning and tanning salons should be discouraged by physicians. There is no safe tan.
Aging ; Elasticity ; Incidence ; Pigmentation ; Skin ; Skin Neoplasms ; Solar System ; Sunburn ; Suntan* ; Tanning ; Telangiectasis ; Triacetoneamine-N-Oxyl

BACKGROUND: The xenon arc solar simulator is the most commonly used light source in studies on immediate tanning, but there has been no report on the immediate tanning response in Korean skin induced by UVA from that source. OBJECTIVE: This study was conducted to measure the minimal immediate tanning dose(MITD) for UVA in Korean, brown skin. Methods: UVA irradiation was performed on normal back skin of twenty-six healthy Korean young adults, with increasing doses from 0.5J/cm2 to 4.5J/cm2 using xenon arc solar simulator equipped with appropriate filters. Visual assessment of MITD was done by two investigators. Results: The mean and standard deviations of MITD were 2.38+/- 0.65J/cm2 in 26 subjects. MITDs distributed from 1.0J/cm2 to 3.5J/cm2. There were no significant differences of MITD between skin type III and IV. Conclusion: Conclusively, we obtained the data on the MITD in Korean skin induced by UVA from the solar simulator. The results of this study may be valuable for the research into photomedicine and useful data for evaluating sunscreens.
Humans ; Research Personnel ; Skin ; Sunscreening Agents ; Tanning* ; Triacetoneamine-N-Oxyl* ; Xenon ; Young Adult*

BACKGROUND: The erythemal and tanning responses of the skin to UV radiations, which are used as diagnostic phototest and guideline of phototherapy, are different, depending on the races and light sources. Minimal erythema dose (MED), barely perceptible minimal melanogenic dose (MMDb) and well-defined border minimal melanogenic dose (minimal melanogenic dose, MMDw) of broad band UVA (BBUVA), UVA-1, broad band UVB (BBUVB), and narrow band UVB (NBUVB) have not yet been reported. Therefore this study was undertaken to measure the MED, MMDb and MMDw of BBUVA, UVA-1, BBUVB and NBUVB radiation. METHODS: Ten healthy Korean volunteers were recruited. Four volnuteers were Fizpatrick skin type III and six were IV. In this study, a metal halide lamp (SUPUVASUN 3000) was used as the BBUVA and UVA-1 light sources, a fluorescent blacklight lamp (Philips TL 20W/12 UVB lamp) as the BBUVB, and a fluorescent blacklight lamp (Philips TL 20W/01) as the NBUVB. The MED, MMDb and MMDw of the skin were visually assessed 24 hours and 7 days after irradiation. RESULTS: 1. BBUVA MED, MMDb and MMDw of BBUVA were 53.0+/-8.2J/cm2 (mean+/-S.D.), 38.0+/-7.8J/cm2, and 51.0+/-8.7J/cm2, respectively. MED, MMDb and MMDw of BBUVA in Fitzpatrick skin phototype III (FST III) were 50.0+/-8.1J/cm2, 35.0+/-5.7J/cm2, and 47.5+/-5.0J/cm2, respectively. MED, MMDb and MMDw of BBUVA in FST IV were 55.0+/-8.3J/cm2, 40.0+/-8.9J/cm2, and 53.3+/-10.3J/cm2, respectively. 2. UVA-1 MED, MMDb and MMDw of BBUVA were 58.0+/-9.1J/cm2, 40.0+/-4.7J/cm2, and 54.0+/-9.6J/cm2, respectively. MED, MMDb and MMDw of BBUVA in FST III were 52.5+/-9.5J/cm2, 37.5+/-5.0J/cm2, and 52.5+/-12.5J/cm2, respectively. MED, MMDb and MMDw of BBUVA in FST IV were 61.6+/-7.5J/cm2, 41.6+/-4.0J/cm2, and 55.0+/-8.3J/cm2, respectively. 3. BBUVB MED, MMDb and MMDw of BBUVA were 52.0+/-12.2mJ/cm2, 57.0+/-10.5mJ/cm2, and 69.0+/-11.0mJ/cm2, respectively. MED, MMDb and MMDw of BBUVA in FST III were 42.5+/-5.0mJ/cm2, 55.0+/-5.7mJ/cm2, and 67.5+/-9.5mJ/cm2, respectively. MED, MMDb and MMDw of BBUVA in FST IV were 58.3+/-11.6mJ/cm2, 58.3+/-13.2mJ/cm2, and 70.0+/-12.6mJ/cm2, respectively. 4. NBUVB MED, MMDb and MMDw of BBUVA were 680+/-131.6mJ/cm2, 770+/-105.9mJ/cm2, and 910+/-99.4mJ/cm2, respectively. MED, MMDb and MMDw of BBUVA in FST III were 650+/-129.1mJ/cm2, 725+/-125.8mJ/cm2, and 850+/-100.0mJ/cm2, respectively. MED, MMDb and MMDw of BBUVA in FST IV were 700+/-141.4mJ/cm2, 800+/-89.4mJ/cm2, and 950+/-83.6mJ/cm2, respectively. CONCLUSION: The MMDb and MMDw induced by BBUVA and UVA-1 were less than MED induced by BBUVA and UVA-1, but MED induced by BBUVB and NBUVB was less than MMDb and MMDw induced by BBUVB and NBUVB. These results suggest that the erythemal and tanning response of the skin to UV radiations are different, depending on the UV wave length.
Continental Population Groups ; Erythema* ; Humans ; Phototherapy ; Skin ; Tanning ; Triacetoneamine-N-Oxyl ; Volunteers

In healthy Korean adult males, 6 hour-MED was 51 2+22.6mJ/cm,24 hour-MED was 67. 5+26. 7mJ/cm, and MMD was 86. 5 t21. 3mJ/cm for UVB irradiation respectively. UVB-MED and UVB-MMD was increased by desoxymethasone, hydrocortisone, and bufexama.c creams. Hydrophilic ointment base increased only 24 hour-MED. For 1 MED of UVB, all test agents inhibited erytherna for 48 hours, For 2 MEDs of UVB, desoxymethasone, bufexamac; and hydrocortisone creams inhibited erythema at 6 hours, while desoxymethasone and hydrophilic ointment base could suppress erythema at: 24. hours after irradiation. However, desoxymethasone was the most effective. Hydrophilic ointment base was efficacious only at 24 hours after irradiation. For 1 MMD of UVB, desoxymethasone, hydrocortisone, and bufexamac creams could reduced the delayed tanning (DT) reaction.
Adult ; Anti-Inflammatory Agents* ; Bufexamac ; Desoximetasone ; Emollients* ; Erythema* ; Humans ; Hydrocortisone ; Male* ; Pigmentation* ; Tanning ; Triacetoneamine-N-Oxyl

BACKGROUND: The erythemal response and delayed tanning of the skin to UV radiations which are used as diagnostic phototest and guideline of phototherapy are different according to the races and light sources. OBJECTIVE: The MED and MMD induced by UVB radiation were measured in 130 normal young adult Koreans. METHODS: In this study, a high pressure mercury are lamp(Burdick UV-800) and a sunlight fluorescent lamp(Waldmann UV 800) were used as UVB light sources. Multiple sites of the lower baek or buttock skin were irradiated with an increasing dose by a constant, anount. The minimal doses of erythema response and delayed tanning of the skin were assessed visaually at 24 hours and 7 days after irradiation, respectively. RESULTS: MED and MMD of Burdick UV-800 are 18.0+/-9.8mJ/cm2 (mean+/-S.D.), 29.7+/-12.5mJ/cm2, respectively. MED and MMD of Waldmann UV 800 are 70.8+/-28.5mJ/cm2 and 91.2+/-33.1mJ/cm2, respecively. The most frequent MED by Burdick UV-800 is 10mJ/cm2 and those by Waldmann UV 800 are 50m J/cm2 and 60m J/cm2. CONCLUSION: In this study MED and MMD of young adult Koreans by two kinds of UVB light sources were assessed. The RESULTS: how that MED is less than MMD and the levels of MED under which the photosensitivity is suggested are 5.6mJ/cm2 by Burdick UV-800 anr 32.4mJ/cm2 by Waldmann UV 800.
Buttocks ; Continental Population Groups ; Erythema* ; Humans ; Phototherapy ; Skin ; Sunlight ; Tanning ; Triacetoneamine-N-Oxyl ; Young Adult*