Microcirculation disturbances in various skin ageing types
Abstract
According to modern views, microcirculation (MC) disturbances are an obligatory component of most inflammatory, dystrophic and involutive processes affecting skin cell function and structure.
Aim. To study MC in ageing skin, according to different ageing types.
Material and methods. The study included 135 patients with involutive skin changes - women aged 35-60 years (mean age 46,3?9,1 years). MC was studied by laser Doppler fiowmetry (LDF).
Results. Comparing LDF and visual skin ageing assessment results, the following associations were observed: spastic MC was typical for small-wrinkle middle ageing type; MC disturbances affected arterioles and venules: increased arteriole tonus and venular stasis resulted in reduced MC index. In patients with deformation middle ageing type, atonic MC affected arterioles and capillaries: decreased arteriole tonus, increased blood volume in arterioles, resistant and nutritive vessel stasis. MC index was twice as high as in small-wrinkle ageing type (p<0,01). Late ageing type was characterised by spastico-congestive MC at all levels: increased myogenic tonus of arterioles, capillary and venular stasis.
Conclusion. Skin ageing was characterized not only by skin dryness, increased transepidermal water loss and decreased skin elasticity, but also by substantial MC disturbances, specific for each skin ageing type.
About the Authors
N. A. ImaevaRussian Federation
N. N. Potekaev
Russian Federation
S. B. Tkachenko
Russian Federation
E. A. Shuginina
Russian Federation
References
1. Elias P.M., Ghadially R. The aged epidermal permeability barrier: basis for functional abnormalities. Clin Geriatr Med 2002; 18: 103-20.
2. Ghadiaily R., Brown B.E., Sequeira-Martin S.M. et al. The aged epidermal permeability barrier: Structure, functional and lipid biochemical abnormalilies in human and a sensescent murine model. J Clin Invest 1995; 95: 2281-6.
3. Daly C.H., Odiund G.F. Age-related changes in the mechanical properties of human skin. J Invest Dermatol 1979; 73: 84-7.
4. Balin A.K., Kligman A.M., Aging and the Skin, edited by Raven Press, New York © 1989; 1(2): 20-4.
5. Jones G., Ishii K., Kaneko M., and Ulbrechi H.J. Factors affecting ml% density and thickness of subcutaneous tat. Am J Clin Nutr 1969; 22: 1175-89.
6. Lavker R.M. Cutaneous aging: Chronologic versus photoaging. In. Gilchrest B.A., ed. Photodamage. Cambridge: Blackwell Science, 1995.
7. Rendel M.S., Milliken B.K., Mclntyre S.F. et al. The effect of aging on skin blood flow in the Wistar -Kyotorat Compar Biochem And Physiol 1995; 111(3): 511-8.
8. Алексеев О.В. Морфология кровеносной системы кожи. В кн.: Кожа. Под ред. A.M. Чернуха, Е.П. Фролова. Москва "Медицина" 1982; 59-75.
9. Гетлинг З.М. К вопросу об ультраструктуре кровеносных капилляров и нервов нормальной кожи человека. Вест дермат 1969; 12: 22-6.
10. Melhuish J.M., Krishnamoorthy L., Bethaves T. et al. Measurement of the skin microcirculation through intact bandages using laser Doppler. Med Biol Eng Compu 2004; 42(2): 259-63.
11. Li L., Mac-Mary S., Marsaut D. et al. Age-related changes in skin topography and microcirculation. Arch Dermatol Res 2006; 297(9): 412-6. Epub 2005 Dec 3.
12. Mayrovitz H.N., Groseclose Е.Е., Markov M., Pilla A.A. Effects of permanent magnets on resting skin blood perfusion in healthy persons assessed by laser Doppler flowmetry and imaging. Bioelectromagnetics 2001; 22(7): 494-502.
13. Kelly R.I., Pearse R., Bull R.H. et al. The effects of aging on the cutaneous microvasculature. J Am Acad Dermatol.1995 Nov; 33(5 Ptl): 749-56.
14. Tikjob G., Kassis V., Sondergaard J. Ultrasonic B-Scanning of the human scin. An introduction of a new ultrasonic skin-scanner. Acta Derm Venerol (Stockh) 1984; 64: 67-90.
15. Batisse D., Bazin R. Influence of age on the wrinkling capacilites of scin. Scinrestechnal 2000; 8(3): 148.
Review
For citations:
Imaeva N.A., Potekaev N.N., Tkachenko S.B., Shuginina E.A. Microcirculation disturbances in various skin ageing types. Cardiovascular Therapy and Prevention. 2008;7(3):107-110. (In Russ.)
















































