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Dermal fluid translocation is an important determinant of the diurnal variation in human skin thickness
Author(s) -
Tsukahara K.,
Takema Y.,
Moriwaki S.,
Fujimura T.,
Imokawa G.
Publication year - 2001
Publication title -
british journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.304
H-Index - 179
eISSN - 1365-2133
pISSN - 0007-0963
DOI - 10.1046/j.1365-2133.2001.04430.x
Subject(s) - morning , forearm , thigh , echogenicity , medicine , anatomy , forehead , ultrasonography , diurnal temperature variation , cheek , surgery , geology , atmospheric sciences
Background Ultrasonography has been used as a non‐invasive approach to measure skin thickness. To date there have been no studies on diurnal variations in skin thickness. Objectives To evaluate diurnal variations in skin thickness and to compare these with corresponding echogenicity and skin elasticity. Methods Measurements by ultrasonography B‐mode and by Cutometer SEM 575 were carried out in the morning and in the afternoon on 20 men and 20 women (mean age 30 years) on three areas of the face (forehead, corner of the eye and cheek), the forearm and the upper arm, and the flank, thigh and calf. Results From the morning to the afternoon, the skin thickness in both sexes significantly decreased on three areas of the face, the forearm and the upper arm, but significantly increased on the thigh and calf. In parallel, the echogenicity significantly increased from the morning to the afternoon on the three areas of the face, the forearm and the upper arm, but decreased significantly on the thigh and calf. Measurements of mechanical properties at four sites demonstrated that from the morning to the afternoon, the major parameters of skin elasticity Ue* and Uf* increased significantly in both sexes on two areas of the face and slightly on the forearm, but decreased significantly on the calf. Conclusions The diurnal profiles of skin thickness and skin elasticity in the upper half of the body are the reverse of those in the lower half of the body. These findings suggest that shifts of dermal fluid from the face to the leg by gravity during the day cause the diurnal variation in skin thickness.