W. Remy et J. Rakoski, ELECTRONIC MEASUREMENT OF PERFORATION OF THE SKIN HORNY LAYER BARRIER- DEMONSTRATED BY PERCUTANEOUS-ABSORPTION TESTING OF GRASS-POLLEN ANDHISTAMINE, Allergologie, 17(6), 1994, pp. 242-244
The perforation of skin/horny layer barrier (prick-testing) is present
ly not standarized regarding its manual intensity. The main purpose re
presents the perforation of only the horny layer; bleeding shouldn't o
ccur. A new method was developed to acknowledge the uppermost epidermi
cal layer. Therefore an injection needle was connected with the anode
of a 9 voltage battery; an indifferent ECG-gel-electrode - for example
affixed to the lower arm - connected with the cathode. The performed
perforation of the air-dry stratum corneum (isolation layer for the el
ectric current) was recognized by the reaction of a milliamperemeter (
about 0.05 mA) integrated in the electric current. On 6 patients, suff
ering from allergic rhinitis, comparable prick-tests with gras pollen
and histamine were performed. The results showed that the absorption o
f substrate (size of the wheals) after sole electric pricking was smal
ler than after conventional (standard) pricking. To attain similar rea
ctions, the tested skin area had to be electronically prikked five con
secutive times. These facts permit the conclusion that the perforation
on the skin was performed in a more carefully controlled way. Therefo
re this procedure could possibly be standardized through additional st
udies. Furthermore the electronical pricking could be used to improve
the percutaneous absorption of topical applicated drugs; especially th
e penetration of higher molecular substances/drugs, for example newly
discovered cytokines.