Studies on the time course of dithranol-induced inflammation by quantification of alkaline phosphatase

Acta Derm Venereol. 1990;70(1):66-9.

Abstract

An inflammatory response of the skin to dithranol-induced free radicals seems to be essential for its clinical efficacy. In normal volunteers this response was evaluated at the level of the microvasculature following 30 min, 2 h and 24 h applications, using a functional parameter (erythema) and a biochemical parameter (alkaline phosphatase). The results of 'short contact' and 24 h applications were similar. In all schedules a maximum erythema was seen 2-3 days after the application which had resolved totally after 6-8 days. A marked discrepancy was established between the duration of functional and biochemical abnormalities; the alkaline phosphatase activity reached a maximum 1 day after the culmination of the erythema and persisted up to at least 7 days after disappearance of the erythema. These findings are discussed in the light of the day-to-day management of psoriasis with dithranol.

MeSH terms

  • Adult
  • Alkaline Phosphatase / metabolism*
  • Anthralin / adverse effects
  • Anthralin / pharmacology*
  • Biopsy
  • Erythema / chemically induced*
  • Erythema / enzymology
  • Female
  • Free Radicals
  • Humans
  • Male
  • Patch Tests / methods
  • Psoriasis / drug therapy
  • Random Allocation
  • Time Factors

Substances

  • Free Radicals
  • Alkaline Phosphatase
  • Anthralin