Pigmented Spots Research Articles

Dermoscopic features in a case of dyschromatosis symmetrica hereditaria

Usingdermoscopy, we found extraordinary features, whichhad not been described previously.A 24-year-old Japanese man presented with apersistent pigment anomaly. Physical examinationrevealed a mixture of oval or round, hyperpigmentedand pigmented spots 1–7 mm in diameter and irregu-larly shaped hypopigmented macules on the dorsalhands and feet (Fig. 1a). On the face, he had small,freckle-like hyperpigmented spots. The consanguini-ties had no such pigmentations. To verify the diagno-sis precisely, a genetic study was performed asdescribed previously.

Investigation on occupational hazards of ultraviolet light, sunscreen awareness and behaviors in Wuhan city traffic police

To understand the awareness of occupational hazards to ultraviolet (UV) and sunscreen awareness, protective measures in Wuhan City traffic police on duty outside. The investigation included questionnaire survey in Wuhan City 367 traffic police on duty outside, talk with them face to face, fill in the questionnaires, and medical examine skin of exposed parts of body of them and 134 Wuhan City administration staffs. They understand UV harm to the human body and skin well (94.8% of them know that UV harm to skin), did not understand sun skin care and protective measures enough, and did not adopt enough sun skin care and protective measures (only 3.8% of them use sun skin care more than twice); but contrast to older persons, younger traffic police had better understanding of UV radiation damage on the human body and the skin, and sunscreen products and protective measures, paid more attention to sunscreen, and had less chance of sunburn (in the past 5 years, 18.3% of younger traffic police had sunburnt more than 3 times, but for older traffic police, the number is 30.3%). Traffic police had more skin problems than administration staffs in exposed parts of body (Traffic police face appears oily and large pores, facial pigmentation spots, face telangiectasia, deep wrinkles crude rates respectively were 73.7%, 40.4%, 36.5%, 10.4%, but for administration staffs, the numbers respectively were 26.1%, 15.7%, 15.7%, 1.5%). UV can induce skin problems in exposed parts of body. The traffic police should be enhanced the publicity and education on UV-related knowledge and occupational hazards, especially for older traffic police.

Experimental evidence for the role of calcium in eggshell pigmentation pattern and breeding performance in Blue Tits Cyanistes caeruleus

Previous studies have found strong relationships between calcium availability and eggshell pigmentation in the Great Tit (Parus major). According to the “structural function hypothesis”, protoporphyrins, the pigments responsible for reddish spots on speckled eggs, are deposited in those areas of the shell where calcium deposition is less intense. In the study reported here, which was carried out in three Blue Tit (Cyanistes caeruleus) populations in central Spain, we provide partial experimental support for the association between protoporphyrin eggshell pigmentation and shell thinning. Contrary to our expectations, we did not observe a decrease in the size and intensity of pigment spots for those eggs from calcium-supplemented nests. However, we did find that the provision of calcium-rich material during the egg-laying period led to a more wide distribution of pigment spots and reduced the proportion of eggs with defective shells (deviant pigmentation, dull and rough surface). When only the supplemented nests were considered in the analysis, within the same clutch we also detected differences in the spotting distribution between those eggs laid by female Blue Tits observed to have consumed calcium consumption on the day prior to laying and those observed not to have consumed calcium on the day prior to laying. Clutch size was not affected by the calcium supplementation. Female Blue Tits experimentally supplied with calcium-rich material had a shorter incubation period than control females, and they laid eggs with thicker shells. Eggshell thickness markedly affects the probability of hatching and could explain the lower proportion of unhatched late eggs found in supplemented nests in comparison with control ones. This study highlights the role of calcium in eggshell maculation and its effects on breeding performance of small passerines. We found the spotting distribution to be a good predictor of calcium deficiency. However, our results provide only mixed support for the “structural function hypothesis”: in our study populations, the thickness of the eggshell was intimately associated with calcium availability, but the relationship between calcium and protoporphyrin deposition remains far from clear.

Endoscopic Therapy for Peptic Ulcer Hemorrhage: Practice Variations in a Multi-Center U.S. Consortium

Peptic ulcer disease is a common cause of acute upper gastrointestinal hemorrhage. The aim of this study was to describe the endoscopic management of bleeding peptic ulcers in a large, U.S. multi-center endoscopic consortium with diverse practice settings. Adult patients who underwent upper endoscopy (EGD) for hematemesis, melena or "suspected upper GI bleed" between January 2000 and December 2004 in the Clinical Outcomes Research Initiative (CORI) endoscopic database were screened for the finding of peptic ulcer. The ulcer stigmata, endoscopic therapy and the need for repeat EGD were compared across practice sites. Of 12,392 patients who underwent EGD for an upper gastrointestinal bleeding indication, 3,692 (30%) had at least one peptic ulcer (clean base 59.9%; flat pigmented spot 13.4%; active bleeding 10.7%; clot 7.2%; non-bleeding visible vessel (NBVV) 6.3%). Endoscopic therapy was applied to 93% of actively bleeding ulcers and 95% of NBVV. Repeat endoscopy was required in 7.3% of patients. Ulcers treated with injection monotherapy had the highest repeat EGD rates (12.2%) compared with contact thermal monotherapy (6.1%) and combination thermal/injection therapy (7.1%) (P=0.02). Immediate hemostasis rates were 88-97% across all therapeutic modalities. There was no statistical difference in hemostasis rates across therapy nor practice types. In this multi-center consortium, initial hemostasis rates were high across therapy types and sites studied. Injection monotherapy was associated with the highest rates of repeat EGD, supporting guidelines that advise against its use in bleeding peptic ulcers.

Genetic diversity, population structure and taxonomy of Calopteryx splendens (Odonata: Calopterygidae): An AFLP analysis

Calopteryx splendens is a widely distributed palaearctic damselfly with a remarkably uniform morphology. Variation in the size and shape of the pigmented spot on the wing is the main diagnostic character used to discriminate subspecies across its huge geographic range. Here, AFLP analysis was used to assess the genetic structure and diversity of nine populations representing 3 putative subspecies and evaluate the pigment spot as a taxonomic marker. Genetic diversity was high, with the number of polymorphic loci per population ranging from 141 to 280 out of a total of 333 variable sites (42.3-84.1%) and Nei's gene diversity from 0.160 to 0.283 (overall 0.299). Overall population genetic differentiation (FST = 0.2766) suggests limited gene flow and adaptation to local environments. Restricted gene flow and genetic differentiation among populations are supported by significant FST estimates. High levels of gene flow (Nm >1) were only recorded among three Asian populations (Russia - Kazakhstan - Turkey). The patterns of genotypic diversity suggest that a given wing spot size and shape may arise from the hybridization of a limited number, possibly not more than four, ancestral gene pools in different ways and at different times. Clearly, the sample analyzed was not sufficient to capture all of the complex history of C. splendens, but sufficient to indicate the taxa ancilla, waterstoni, and orientalis possibly represent three of the four ancestral gene pools, and originated in western Asia. The origin of the fourth, xanthostoma, is the western Mediterranean.

Documentación sistémica del arte rupestre mediante el análisis espectral del escaneado 3D de las estaciones pintadas en Aragón, El caso concreto del abrigo de La Vacada (Castellote, Teruel) y el covacho del Plano del Pulido (Caspe, Zaragoza). España.

<p>The work that follows is a sample of the tool of 3D laser scanner for the systematic study of rock art. Getting a three-dimensional modeling of the panels that are located in the cave paintings and analyzing variable intensity emitted by the scanner (green or red depending on instrument used). This analysis allows us pigment spots (cave paintings), with alterations of the panel. What allows us to obtain, as is the case, greater sharpness of the compositional elements that have the rock station and detecting non-visible figures at present due to deterioration. Assuming therefore a method of systemic documentation of rock art and promoting the recovery of lost art today.</p>

MACULAR FIBROSIS IN COATS DISEASE

The purpose of this study was to describe the angiographic features and visual impact of macular fibrosis in patients with Coats disease. This is a single institution retrospective case series. Charts of patients diagnosed with Coats disease between 1973 and 2007 were reviewed. Data collected included patient demographics, treatment method, initial and final logarithm of the minimum angle of resolution visual acuity, photographic findings, angiographic characteristics, and anatomical outcome. Forty-seven patients were identified with adequate imaging and posttreatment follow-up. Average age at presentation was 38 years (4-82 years). Average follow-up was 4.9 years (0-17 years). Macular fibrosis was identified in 11 patients (23%). At presentation, the average logarithm of the minimum angle of resolution visual acuity was as follows: all patients, 0.67; patients with macular fibrosis, 1.14; and patients without macular fibrosis, 0.50 (P = 0.01, 2-tailed Student's t-test). The average posttreatment logarithm of the minimum angle of resolution visual acuity was as follows: all patients, 0.78; patients with macular fibrosis, 0.97; and patients without macular fibrosis, 0.70 (P = 0.26). Macular fibrosis was associated with a pigmented spot at the point of apparent intraretinal vascular anastamosis. Fluorescein angiography showed leakage consistent with neovascularization that appeared to be intraretinal. Macular fibrosis is a common finding in Coats disease, occurring in 23% of our patients. It may be a result of intraretinal neovascularization and is associated with a worse vision outcome.

Inhibitory effects of 5-chloroacetyl-2-piperidino-1,3-selenazole, a novel selenium-containing compound, on skin melanin biosynthesis

Increased production and accumulation of melanin leads to many hyperpigmentation disorders such as melasma, freckles and geriatric pigment spots. Thus, there is a need for the development of depigmenting agents. Based on our previous reports, selenium derivatives as anti-melanogenic lead compounds could be very important. The aim of this study was to investigate the depigmenting effect of novel selenium-containing compounds. The inhibitory effects of 5-chloroacetyl-2-piperidino-1,3-selenazole (CS1), a novel selenium-containing compound, on melanogenesis were investigated in B16F10 melanoma cells and cultured brownish guinea pig skin tissue with alpha-melanocyte-stimulating hormone stimulation. We found that CS1 inhibited melanin production in B16F10 cells by suppressing tyrosinase activity and its protein expression. In addition, Western blotting analysis revealed that CS1 suppressed the expression of tyrosinase-related protein (TRP)-1 and TRP-2. Therefore, the depigmenting effect of CS1 might have been due to inhibition of tyrosinase activity and expression of melanogenic enzymes. Furthermore, CS1 had inhibitory effects on melanin biosynthesis of primary cultured skin of brownish guinea pig. The results suggested that CS1 could be a useful candidate for the treatment of skin hyperpigmentation.

Very Large Bilateral Lesions Obscuring Diagnosis of Adult-Onset Foveomacular Vitelliform Dystrophy.

Adult-onset foveomacular vitelliform dystrophy (AFVD) is a clinically heterogeneous and pleomorphic disease originally described by Gass as bilateral with symmetrical, solitary, round or oval, slightly elevated, yellowish subretinal lesions, one third to one disc diameter in size, often with a central pigmented spot. A possible AFVD patient showing very large bilateral macular lesions was reported.

Induced spawning and embryonic development of Liza ramada reared in freshwater ponds

The possibility of inducing and synchronizing spawning can be very useful to facilitate fish farming, particularly in species that achieve ovarian development in captivity without ovulation occuring. The present study was undertaken to observe the morphological and normal embryonic development of thin-lipped mullet, Liza ramada, after spawning induction of fish reared in freshwater fish farms. The use of pregnyl (HCG) as a priming injection at a dose of 20,000 IU/kg body weight followed by a second injection of 40,000 IU HCG/kg body weight 24 h later, proved to be effective in inducing final oocyte maturation, ovulation and spawning in L. ramada at 52–60 h after hormonal injection. The mean number of the ovulated eggs for each female was 700 ± 80.3 eggs g −1 body weight. The mean rates of buoyancy, fertilization and hatching were 46 ± 7.1, 55 ± 8.4 and 60 ± 6.6, respectively. Fertilized eggs were kept under normal environmental conditions in seawater at 20–21 °C. The first cleavage occurred at 40 min, epiboly began at 5 h, the embryonic body was formed at 24 h and hatching occurred at 48 h after spawning. Newly hatched larvae were approximately 2.5 mm (total length) and similar to those of the other mullet species in terms of external features except no pigment spots were present over the yolk. The mouth and foregut opened on the 5th day after hatching; at which the total length of larvae was 3.5 mm; the hindgut and anus had developed prior to hatching. The induced ovulation technique using acute injections of hormones is an important step in the development of the mullet culture.

Why Some Women Look Young for Their Age

The desire of many to look young for their age has led to the establishment of a large cosmetics industry. However, the features of appearance that primarily determine how old women look for their age and whether genetic or environmental factors predominately influence such features are largely unknown. We studied the facial appearance of 102 pairs of female Danish twins aged 59 to 81 as well as 162 British females aged 45 to 75. Skin wrinkling, hair graying and lip height were significantly and independently associated with how old the women looked for their age. The appearance of facial sun-damage was also found to be significantly correlated to how old women look for their age and was primarily due to its commonality with the appearance of skin wrinkles. There was also considerable variation in the perceived age data that was unaccounted for. Composite facial images created from women who looked young or old for their age indicated that the structure of subcutaneous tissue was partly responsible. Heritability analyses of the appearance features revealed that perceived age, pigmented age spots, skin wrinkles and the appearance of sun-damage were influenced more or less equally by genetic and environmental factors. Hair graying, recession of hair from the forehead and lip height were influenced mainly by genetic factors whereas environmental factors influenced hair thinning. These findings indicate that women who look young for their age have large lips, avoid sun-exposure and possess genetic factors that protect against the development of gray hair and skin wrinkles. The findings also demonstrate that perceived age is a better biomarker of skin, hair and facial aging than chronological age.

A New Macular Dystrophy With Anomalous Vascular Development, Pigment Spots, Cystic Spaces, and Neovascularization

To clinically phenotype an inherited macular dystrophy with peculiar intraretinal pigment spots, cysts, and hemorrhage in a 24-year-old female proband and her family. Extended family members of the proband underwent dilated fundus examination, optical coherence tomography, and, in selected cases, fluorescein angiography and electroretinography. Seventeen family members, representing 3 generations and ranging in age from 5 to 64 years, were clinically examined. Visual acuities ranged from 20/20 to 20/200. Amblyopia and strabismus were frequently present in affected individuals. Consistent with an autosomal dominant pattern of inheritance, 7 family members had multiple central macular cystic spaces and flat, round, densely pigmented spots within the retina. There were right-angle vessels and telangiectasis in the central macula. Two subjects showed evidence of active macular neovascularization with leakage on fluorescein angiography at ages 7 and 24 years, which was responsive to either focal laser or a single injection of bevacizumab. In those cases examined, multifocal electroretinography showed a diminished foveal response. This spotted cystic neovascular macular dystrophy appears to represent a new autosomal dominant retinal condition. Because these patients are at risk for choroidal neovascularization, identification of the responsible gene may provide insight into the mechanisms of pathological neovascularization.

Bleeding Meckelʼs Diverticulum with a Negative Meckelʼs Scan - Uncommon Feature of an Uncommon Entity

Purpose: Case: A 30-year old male presented with a 13-month history of obscure GI bleeding. He initially presented elsewhere after a single episode of maroon colored stools. He had been previously healthy, and used NSAIDs rarely. He was adopted and of Korean descent; his family history was unknown. He denied easy bruising or epistaxis. Initial workup elsewhere revealed iron-deficiency anemia. EGD and colonoscopy were negative. He was advised to avoid NSAIDs, which he did. Two weeks later, he had recurrent bleeding. A capsule enteroscopy, single balloon enteroscopy (SBE), tagged red blood cell scan and Meckel's scan were negative. At our institution, a repeat antegrade SBE showed a single non-bleeding jejunal vascular ectasia that was cauterized. He was well for 9 months, then again developed maroon stools. He denied NSAID use. Workup included a SBE that was unremarkable, a triple-phase CT enterography (CTE) showing a Meckel's diverticulum, a Meckel's scan which was again negative, and a capsule enteroscopy revealing a mid-ileal ulcer. Due to ongoing bleeding, a retrograde double balloon enteroscopy (DBE) was done and revealed a large mid-ileal diverticulum with a 2 cm ulcer at its rim containing a flat pigmented spot, treated endoscopically. Persistent bleeding led to surgical resection of the diverticulum. Pathology confirmed a Meckel's diverticulum, with circumferential ulceration around its neck and a thrombosed artery in the ulcer base. Histologic sampling of the entire diverticulum failed to reveal ectopic gastric mucosa. Discussion: Meckel's diverticulum is the most common congenital anomaly of the GI tract. It affects 2% of the population, but only 2% develop complications, often before age 2. Complications include bleeding (most commonly), obstruction, diverticulitis, intussusception and perforation. Up to 90% of bleeding diverticula contain ectopic gastric mucosa. Our patient had a triple-phase CTE demonstrating a Meckel's diverticulum, and a DBE localizing it as the bleeding source, despite negative Meckel's scans. Histologic evaluation of the surgical specimen failed to reveal ectopic gastric mucosa, ruling out acid-mediated ulceration. The pattern of ulceration suggested the diverticulum had bled from repetitive inversion and eversion of the diverticulum into the ileal lumen, leading to ulceration in the neck. This putative mechanism has not been reported in the literature. This case highlights that a Meckel's diverticulum may be a source of GI bleeding despite absence of ectopic gastric mucosa.

Rhabdom constriction enhances filtering by the red screening pigment in the eye of the Eastern Pale Clouded yellow butterfly, Colias erate(Pieridae)

Here we report the remarkable anatomy of the eye of the Eastern Pale Clouded yellow butterfly, Colias erate. An ommatidium of C. erate bears nine photoreceptors, R1-9, which together form a tiered and fused rhabdom. The distal tier of the rhabdom consists of the rhabdomeral microvilli of R1-4 photoreceptors, R5-8 photoreceptors contribute the proximal tier, and the R9 photoreceptor adds a few microvilli at the base. In transverse sections, four spots of red pigment surrounding the rhabdom are evident in the ventral region of the eye. The red pigment acts as a strong red filter for the proximal photoreceptors. The arrangement of the pigment spots distinguishes the ommatidia into three types: trapezoidal (type I), square (type II) and rectangular (type III). In all types of ommatidia, the distal and the proximal tiers of the rhabdom are divided by a strong constriction, clearly to enhance the filtering effect of the red pigment. The ommatidial heterogeneity can also be observed by optical measurements. The eye shine, resulting from tapetal reflections, peaks in type I ommatidia at 660 nm, and in type II and III ommatidia at 730 nm. The far-red-peaking eye shine indicates that C. erate has far-red-sensitive photoreceptors. Type I ommatidia fluoresce under violet excitation, implying the presence of a violet-absorbing pigment that acts as a short-wavelength filter.

Immunohistochemical survey of the distribution of epidermal melanoblasts and melanocytes during the development of UVB-induced pigmented spots

Repeated exposures to ultraviolet B radiation (UVB) induce pigmented spots on dorsal skin of (HR-1 x HR/De) F(1) hairless mouse. We showed previously that this mouse is suitable for studies of melanocyte function. To clarify the mechanism of development of pigmented spots induced by chronic UVB exposure. We used light and fluorescence microscopy to quantify changes in the numbers of differentiated melanocytes containing melanin pigments (MM) and melanoblasts/melanocytes immunohistochemically positive for tyrosinase-related protein (TRP)-1, TRP-2 (dopachrome tautomerase), and c-kit in epidermis during the development of pigmented spots in hairless mice chronically exposed to UVB (99 mJ/cm(2), 3 times/week, 8 weeks). The change in the number of TRP-1-positive cells during chronic UVB exposure was similar to that of MM: both increased dramatically during the stage of acute pigmentation, then decreased sharply after cessation of UVB, concomitantly with depigmentation; subsequently they increased gradually with the development of pigmented spots. In contrast, after two UVB exposures, no c-kit-positive cells were detected, then the number gradually increased during UVB irradiation, and continued to increase after cessation of irradiation; TRP-2-positive cells showed a rather similar pattern, except that they did not disappear initially. Our results indicate that chronic UVB irradiation induces differentiation and proliferation of melanoblasts, followed by an increase of differentiated melanocytes, leading to the development of pigmented spots. The sequence of expression of markers appeared to be c-kit, TRP-2, TRP-1, and finally melanin, as it is during normal melanocyte differentiation.

The evaluation of whitening efficacy of cosmetic products using a human skin pigmentation spot model

To establish a pigmentation spot model on human skin and to assess whitening efficacy for whitening products by this established pigmentation spot model. Twenty subjects between 20 and 45 years old with skin phototype III or IV were selected. Three consecutive daily UV exposures were performed on buttocks of the subjects as follows: Day 1=1 minimal erythema dose (MED), Day 2=0.5 MED and Day 3=0.5 MED. After the first UV exposure, a selected whitening product was applied to the subjects twice a day on UV exposure area. The application of the whitening product to subjects on the exposed areas was continued till Day 27. CM2500d chromameter, Maxmeter MX18 and visual evaluation were used to assess changes of skin color. A pigmentation spot model after UV exposure was established. The measurement of the pigment spot showed that L* value declined abruptly at Day 3 and then slowly reached to a lowest point at Day 6. L* value of the pigment spot almost remained at the same level until Day 20, thereafter increased slowly. The a* value showed an abrupt increase at Day 3 and slowly reached to a maximal level at Day 6. The a* value slowly declined toward its baseline level. Likewise, the erythema index also increased significantly at Day 3, and reached to a maximal level at Day 6 and then slowly declined. However, L*, a* and erythema indices did not return to their baseline levels during the 27-day period of this study. On the other hand, b* value started to increase from Day 3 and such increase was observed continuously to Day 27. Melanin index also showed a slow increase during the first 3 days. It started to increase rapidly from Day 3 and a to maximal level at Day 9 and maintain at a plateau till Day 27 (with an exception at Day 13). To assess the whitening product by this pigmentation spot model, DeltaL, Deltab*, and DeltaM values were analyzed. It showed that absolute DeltaL value and Deltab*value of whitening products were lower than those values of the vehicle of the whitening product at each checkpoint, while DeltaM value of the whitening product was lower only at Day 9 and Day 20, although no statistically significant differences was found. The visual results also strongly supported that the whitening product enhanced the decrease of pigmentation. This study showed that repeated UV exposure was able to induce a long extensive period of pigment formation. The resulted pigmentation spot was able to maintain at an elevated level till Day 20. Clinical subjective evaluations together with combined objective instrument measurements were still important to assess whitening and spot-removing ability of a material due to the instrument limitation for color differentiations. This kind of pigmentation spot model can be used to assess whitening efficacy for whitening or spot-removing products. In addition, the combinations of subjective and objective methods were able to serve as advisable references to assess the whitening efficacy of products.

Intraspecific variation in preserved specimens of the fiddler crabs Uca panacea and Uca pugilator (Decapoda: Ocypodidae)

The fiddler crabs Uca panacea Novak & Salmon, 1974 and Uca pugilator (Bosc, 1802) are closely related North American species that are sympatric along the north coast of Gulf of Mexico. Since U. panacea was described, there has been confusion in the identification these two species. Morphological differences between these two fiddlers have been pointed out in recent years, mainly regarding the presence of a pigment spot and granulations on the dorsal margin of carapace in U. pugilator. We report herein some intraspecific differences between the two species that we believe to be useful in avoiding misidentification among preserved specimens of these two fiddler crabs, such as the absence of the pigment spot in U. pugilator and the presence of the pigment spot and granulations on dorsal margin of carapace in U. panacea as well. Our results have also revealed that 65% of the U. pugilator specimens examined possess a gape pile in the major chela, which is not a reliable diagnostic character, but could be useful when present. The gonopods of both species were analyzed using SEM, confirming the previous statement that the sub-terminal thumb is shorter in U. panacea than in U. pugilator. Finally, as important morphological characters are missing in the original description of U. panacea, a redescription of this species is also provided.

Subfoveal Pigment Changes in Patients with Longstanding Epiretinal Membranes

To characterize subfoveal changes in patients with longstanding epiretinal membranes (ERM). Retrospective study. Analysis of 123 eyes of 123 consecutive patients who underwent surgery for ERM at the Columbia University Medical Center by a single surgeon (S.C.). Eyes were split into 2 groups: those with a preoperative yellow pigmented foveal spot and those without. The latter group was considered the control group. The primary outcome measures were logarithm of the minimum angle of resolution (logMAR) visual acuity at postoperative months 1 and 3 compared with baseline. Fundus photography, optical coherence tomography (OCT), and autofluorescence images were analyzed. We identified 9 eyes with a yellow pigmented spot. All of these eyes exhibited OCT evidence of outer retinal disorganization and hypoautofluorescence. The mean duration of symptoms prior to surgery in these patients was 53 months. The mean duration of symptoms in the control group was 10.7 months. Mean Snellen acuities of the control vs yellow pucker groups were 20/59.7 vs 20/83.5 (P = .041) at baseline; 20/43.3 vs 20/64.8 (P = .006) at postoperative month 1; and 20/34.2 vs 20/50.3 (P = .011) at postoperative month 3. The logMAR magnitude of visual improvement for the yellow pucker vs control groups was not statistically different at either months 1 or 3. Central macular thickness on OCT of patients with yellow pucker decreased from a mean 495 to 395 microns (P = .041). A characteristic yellow macular spot associated with ERM appears to be a sign of chronicity. OCT demonstrates outer retinal disorganization. This feature may portend a worse postoperative visual prognosis.

The Essential Role of p53 in Hyperpigmentation of the Skin via Regulation of Paracrine Melanogenic Cytokine Receptor Signaling

Hyperpigmentation of the skin is characterized by increases in melanin synthesis and deposition. Although considered a significant psychosocial distress, little is known about the detailed mechanisms of hyperpigmentation. Recently, the tumor suppressor protein p53 has been demonstrated to promote ultraviolet B-induced skin pigmentation by stimulating the transcription of a melanogenic cytokine, POMC (pro-opiomelanocortin), in keratinocytes. Given that p53 can be activated by various kinds of diverse stresses, including sun exposure, inflammation, and aging, this finding led us to examine the involvement of p53 in cytokine receptor signaling, which might result in skin hyperpigmentation. Immunohistochemical and reverse transcription-PCR analyses revealed the increased expression and phosphorylation of p53 in the epidermis of hyperpigmented spots, accompanied by the higher expression of melanogenic cytokines, including stem cell factor, endothelin-1, and POMC. The involvement of p53 in hyperpigmentation was also indicated by the significantly higher expression of p53 transcriptional targets in the epidermis of hyperpigmented spots. Treatment of human keratinocytes and melanocytes with known p53 activators or inhibitors, including pifithrin-alpha (PFT), demonstrated significant increases or decreases, respectively, in the expression of melanogenic factors, including cytokines and their receptors. Additionally, PFT administration abolished stem cell factor-induced phosphorylation of mitogen-activated protein kinase in human melanocytes. Furthermore, when organ-cultured hyperpigmented spots, in vitro human skin substitutes, and mouse skin were treated with PFT or p53 small interfering RNA, the expression of melanogenic cytokines and their receptors was significantly decreased, as were levels of tyrosinase and melanogenesis. Taken together, these data reveal the essential role of p53 in hyperpigmentation of the skin via the regulation of paracrine-cytokine signaling, both in keratinocytes and in melanocytes.

A method for gender determination in newborn dark pigmented mice

In many studies using mice, investigators must determine pups' gender at a very early postnatal stage. The gender of mouse pups is typically assessed by measuring the anogenital distance, which is greater in males than in females. This method, however, has proven to be difficult and not completely reliable. The authors describe a quick, easy and reliable method to establish the gender of pigmented mice. In male mice, a pigment spot on the scrotum is visible to the naked eye from the first day of life onwards, whereas female pups lack visible pigmentation in the anogenital region. In lightly pigmented or albino mice, the pigmentation is not obvious or not at all visible. The authors show that identifying this pigment spot is a more accurate and efficient method of determining pup gender compared with measurement of the anogenital distance. This 'spot on' method would therefore be a useful adjunct to conventional methods for determining the gender of pigmented neonatal mice.