29th Annual Meeting of the American Society of Photobiology

Downtown Marriot

Chicago, Il.

July 7th-12th, 2001


Predicting of Skin Sensitivity Using Skin Types and Colorimetry

Cestari, Tania1, Albaneze, Ricardo1, Cursio, Beatriz1, Rehn, Mariane1, Di Domenico, Emileine1 and Dornelles, Sergio1
School of Medicine, University of Rio Grande do Sul, Brazil1

Abstract-
There is a strong relation between chronic sun exposure and the development of skin cancer. This study aimed to obtain a more reproducible method to detect individuals with apparently similar skin types but different sun sensibility. METHODS: Healthy volunteers, older than 18 years were evaluated according to Fitzpatrick's criteria and had their skin examined. The minimal erythema dose (MED) was determined in 2 non sun-exposed areas (lower back and lateral trunk), using a UVB source (0.5mW/cm2 ), in crescent doses. Colorimetric assessment was performed with a Minolta CR 300 Chromameter (L*a*b* system) in both areas. RESULTS: 194 individuals, 68% female, mean age of 38 years, regularly distributed by skin type. The values of MED ranged from 13 - 156mJ/cm2 and the Spearman's coefficient was positive between MED and phototype ( = + 0,95, p 0,05). The values of coordinate L* (brightness) ranged from 75.96 - 30.15 with a negative Spearman's coefficient between brightness and phototype ( = 0,93, p 0,05 in the trunk, and = 0,92 p 0,05 in the buttock). The correlation between MED and brightness was strongly negative in both areas (Pearson's correlation = 0,91, p0,05). CONCLUSION: MED is a more precise method to predict sunburn risk; however, color measurements, especially brightness, can reliably be used to quickly assess skin sensitivity since both variables present a regular distribution, with correlate values according to skin type. It is important to evaluate areas with minimal external influence such as hair, veins and scars, to obtain comparable results. There is an overlap among the groups probably explained by racial and ancestry factors but also a clear separation between more sensible individuals (type I, II and III) and less sensible ones, comprising 2 individual groups with different sun exposure response. Skin color determination can be a useful tool for the institution of educational and preventive actions.

Keywords: UVB sensitivity , minimal erythema dosis, skin typing, skin colorimetry