Colorimetric assessment of the effects of azelaic acid on light-induced skin pigmentation

Photodermatol Photoimmunol Photomed. 1992 Apr;9(2):67-71.

Abstract

A 20% azelaic acid (AZA) cream is currently used as a therapeutic agent in the treatment of acne vulgaris. Therefore, this product is intended to be applied on frequently or continuously sun-exposed skin. In certain disorders of hyperpigmentation, AZA has been reported to have a depigmenting effect as well, while showing no significant activity on normal skin. It has been suggested that AZA selectively inhibits hyperactive or malignant melanocytes. Knowing that light-stimulated melanocytes are in a state of hyperactivity, it seemed worthwhile to investigate AZA activity on light-induced skin pigmentation. This study aimed to assess the activity of 20% AZA cream on light-induced skin pigmentation in 10 subjects. There were 5 test zones, all located on the middle of the back: 2 were treated with AZA cream, 2 others with the vehicle and 1 was left untreated. Each product was applied twice daily, 5 days a week, for 4 weeks on one zone, and for 5 weeks on the other. In the middle of the fourth week, the tested zones were exposed to ultraviolet B (UVB) + UVA + visible light, with a total of 3 times the minimal erythema dose distributed progressively over 3 consecutive days. Seven and 10 days after the last irradiation, the induced photopigmentation was assessed by colorimetric and visual means. Compared with its vehicle, the AZA cream had neither a depigmenting effect nor a preventive effect on the light-acquired skin pigmentation. Moreover, interrupting or continuing the AZA treatment after skin irradiation had no influence on the resulting pigmentation.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Colorimetry
  • Dermatologic Agents / administration & dosage
  • Dermatologic Agents / pharmacology*
  • Dicarboxylic Acids / administration & dosage
  • Dicarboxylic Acids / pharmacology*
  • Female
  • Humans
  • Male
  • Melanocytes / drug effects
  • Skin Pigmentation / drug effects*
  • Skin Pigmentation / radiation effects
  • Ultraviolet Rays

Substances

  • Dermatologic Agents
  • Dicarboxylic Acids
  • azelaic acid