DIFFUSE ANDROGEN-DEPENDENT ALOPECIA 325 (16) A. Goodfellow, J. Alaghband-Zadeh, G. Carter, J. J. Cream, S. Holland, J. Scully, and P. Wise, Oral spironolactone improves acne vulgaris and reduces sebum excretion, Br. J. Dermatol., 111, 209-214 (1984). (17) B. M. Burke and W. J. Cunliffe, Oral spironolactone therapy for female patients with acne, hirsutism or androgenic alopecia, Br. J. Dermatol., 112, 124-125 (1985). (18) H. Zaun, Indikation und grenzen der antiandrogenen therapie, Z. Hautkr., 59(16), 1090-1097 (1983). (19) D. H. Rushton, K. C. James, and C. H. Mortimer, The unit area trichogram in the assessment of androgen-dependent alopecia, Br. J. Dermatol., 109, 429-437 (1983). (20) D. H. Rushton, K. C. James, and M. J. Norris, Quantitative assessment of hair quality, Proceedings of the 15th IFSCC Congress, London, B499-B516 (1988). (21) C. H. Mortimer, D. H. Rushton, and K. C. James, Effective medical treatment for common baldness in women, ½lin. Exp. Dermatol., 9, 342-350 (1984). (22) D. H. Rushton and I.D. Ramsay, The importance of adequate serum ferritin levels during oral cyproterone acetate and ethinyl-oestradiol treatment of diffuse androgen-dependent alopecia in women (in press). (23) D. H. Rushton, W. P. Unger, P. C. Cotterill, P. Kingsley, and K. C. James, Quantitative assess- ment of 2% topical minoxidil in the treatment of male pattern baldness, Clin. Exp. Dermatol., 14, 40-46 (1989). (24) D. H. Rushton, Chemical and Morphological Properties of Scalp Hair in Normal and Abnormal States (PhD Thesis, University of Wales, 1988). (25) J. B. Hamilton, Male hormone stimulation is a prerequisite and incitant in common baldness, Am. J. Anat., 71, 451-480 (1942). (26) H. Pinkus, Differential patterns of elastic fibres in scarring and non-scarring alopecias, J. Cut. Path., 5, 93-104 (1978). (27) M. E. Sawaya, A. J. Mendez, L. A. Lewis, and S. L. Hsia, Two forms of androgen receptor protein in human hair follicles and sebaceous glands: Variation in transitional and bald scalp, J. Invest. Dermatol., 90, 606 (1988). (28) J. H. Barth, C. A. Cherry, F. Wojnarowska, and R. P. R. Dawber, Spironolactone is an effective and well tolerated systemic antiandrogen therapy for hirsute women, J. Clin. Endocrinol. Metab., 68, 966-970 (1989).
J. Soc. Cosmet. them., 42, 327-333 (September/October 1991) Effects of pH changes in a specific detergent multicomponent emulsion on the water content of stratum corneum W. GEHRING, M. GEHSE, V. ZIMMERMAN, and M. GLOOR, Hautklinik am Stiidt. Klinikum Karlsruhe, Moltkestr. 18, D 7500 Karlsruhe, Germany. Received June 11, 1990. Synopsis The effects of varying pH in a specific detergent multicomponent emulsion showed a greater dehydrative effect at alkaline pH (7.5) than at neutral or acidic pH (4.5). This dehydrative effect was more pronounced among younger than older subjects. INTRODUCTION Blank and Shappirio (1) have demonstrated that the water-binding capacity of the stratum corneum is decreased by detergent solutions. Accordingly, we were able to show in our earlier studies that contact with detergent solutions causes dehydration of the horny layer (3). In the present study, the effect of pH in a specific detergent multi- component emulsion was investigated. MATERIALS AND METHODS GROUPS OF PATIENTS STUDIED Since earlier studies of our own have shown that the water content of the stratum corneum depends on the age of the subject, we investigated two groups of patients selected according to their age. Group A consisted of 24 female and 16 male subjects, with a mean age of 20.3 years (age range 16 to 43). Group B included 31 females and 9 males, with a mean age of 71.3 years (age range 60 to 86). None of the test subjects suffered from skin diseases. Dedicated to Dr. H. Walther, Pforzheim, on his 70th birthday. 327
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