Visualizing the in-vivo application of zinc in sensitive skin using reflectance confocal microscopy. Ahn, H., Kim, H. J., Ham, H., Baek, J. H., Lee, Y., Alamgir, M., Rao, B., & Shin, M. K. Scientific Reports, 11(1):7738, April, 2021.
Visualizing the in-vivo application of zinc in sensitive skin using reflectance confocal microscopy [link]Paper  doi  abstract   bibtex   
Findings obtained on objective assessments to evaluate sensitive skin do not correlate well with the symptomatology. We utilized reflectance confocal microscopy (RCM) to compare transepidermal application of zinc in sensitive and non-sensitive skin. Thirty-six subjects participated in this study. They were divided into groups based on lactic acid sting test (LAST):'stinger' and 'non-stinger'; transepidermal water loss (TEWL) measurements; and sensitivity self-assessments: 'sensitive' and 'non-sensitive'. RCM images were taken to visualize transepidermal application of topically-applied zinc. The intensity of zinc reflectance at different depths was measured by ImageJ software. Based on LAST scores, the 'stinger' group showed significantly higher reflectance of zinc at 8 µm (stratum corneum) [face (P \textless 0.001), forearm (P = 0.004)], and at 80-104 µm (dermo-epidermal junction layer) on the face. High-TEWL group showed increased zinc reflectance at 8-24 µm (tight junction layer, P \textless 0.001). There were no significant differences amongst subjects self-reporting 'sensitive' and 'non-sensitive' skin. RCM demonstrates that in sensitive skin, there is deeper and higher reflectance of zinc at multiple depths. Structural differences are also visualized. We suggest that RCM is a useful tool for evaluating skin barrier integrity.
@article{ahn_visualizing_2021,
	title = {Visualizing the in-vivo application of zinc in sensitive skin using reflectance confocal microscopy},
	volume = {11},
	copyright = {All rights reserved},
	issn = {2045-2322},
	url = {http://www.ncbi.nlm.nih.gov/pubmed/33833317},
	doi = {10.1038/s41598-021-87346-0},
	abstract = {Findings obtained on objective assessments to evaluate sensitive skin do not correlate well with the symptomatology. We utilized reflectance confocal microscopy (RCM) to compare transepidermal application of zinc in sensitive and non-sensitive skin. Thirty-six subjects participated in this study. They were divided into groups based on lactic acid sting test (LAST):'stinger' and 'non-stinger'; transepidermal water loss (TEWL) measurements; and sensitivity self-assessments: 'sensitive' and 'non-sensitive'. RCM images were taken to visualize transepidermal application of topically-applied zinc. The intensity of zinc reflectance at different depths was measured by ImageJ software. Based on LAST scores, the 'stinger' group showed significantly higher reflectance of zinc at 8 µm (stratum corneum) [face (P {\textless} 0.001), forearm (P = 0.004)], and at 80-104 µm (dermo-epidermal junction layer) on the face. High-TEWL group showed increased zinc reflectance at 8-24 µm (tight junction layer, P {\textless} 0.001). There were no significant differences amongst subjects self-reporting 'sensitive' and 'non-sensitive' skin. RCM demonstrates that in sensitive skin, there is deeper and higher reflectance of zinc at multiple depths. Structural differences are also visualized. We suggest that RCM is a useful tool for evaluating skin barrier integrity.},
	language = {eng},
	number = {1},
	journal = {Scientific Reports},
	author = {Ahn, Hye-Jin and Kim, Hae Jin and Ham, Hyein and Baek, Ji Hwoon and Lee, Young and Alamgir, Mahin and Rao, Babar and Shin, Min Kyung},
	month = apr,
	year = {2021},
	pages = {7738},
}

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