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Langerhans' Cells in Vitiligo

Paul R. Bergstresser, MD
[+] Author Affiliations

Department of Dermatology University of Texas Health Science Center at Dallas 5323 Harry Hines Blvd Dallas, TX 75235-9069


Arch Dermatol. 1987;123(10):1267-1267. doi:10.1001/archderm.1987.01660340027005
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To the Editor.—  I have read with interest the article by Hatchome and colleagues,1 confirming and extending the observation that elicitation reactions for contact sensitivity are diminished in vitiliginous skin.1,2I write to caution against two interpretations made from their data.The investigators pay considerable attention to differences in elicitation reactions to dinitrochlorobenzene, depending on whether immunization occurred through normal or vitiliginous skin. I note in Fig 2, left, that when immunization occurred through normal skin, elicitation reactions were significantly diminished in vitiliginous skin compared with normal skin. By contrast, when immunization occurred through vitiliginous skin, they observed no "statistically significant" difference in elicitation reactions. The investigators then employ this apparent contrast between two immunization sites as if it also were significant. In fact, the immunization site becomes an important part of their discussion, as noted in the first paragraph of their discussion. I believe this to be

REFERENCES

Hatchome N, Aiba S, Kato T, et al:  Possible functional impairment of Langerhans' cells in vitiliginous skin . Arch Dermatol 1987;;123:51-54.
Uehara M, Miyauchi H, Tanaka S:  Diminished contact sensitivity response in vitiliginous skin . Arch Dermatol 1984;;120:195-198.
Sontheimer RD:  The mixed epidermal cell-lymphocyte reaction: I. Human epidermal cells produce greater amounts of allogeneic lymphocyte blastogenesis than do autologous peripheral blood lymphoid cells . J Immunol 1983;;130:2612-2614.
Sullivan S, Bergstresser PR, Tigelaar RE, et al:  Induction and regulation of contact hypersensitivity by resident, bone marrow-derived, dendritic epidermal cells: Langerhans' cells and Thy-1+ epidermal cells . J Immunol 1986;;137:2460-2467.

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Hatchome N, Aiba S, Kato T, et al:  Possible functional impairment of Langerhans' cells in vitiliginous skin . Arch Dermatol 1987;;123:51-54.
Uehara M, Miyauchi H, Tanaka S:  Diminished contact sensitivity response in vitiliginous skin . Arch Dermatol 1984;;120:195-198.
Sontheimer RD:  The mixed epidermal cell-lymphocyte reaction: I. Human epidermal cells produce greater amounts of allogeneic lymphocyte blastogenesis than do autologous peripheral blood lymphoid cells . J Immunol 1983;;130:2612-2614.
Sullivan S, Bergstresser PR, Tigelaar RE, et al:  Induction and regulation of contact hypersensitivity by resident, bone marrow-derived, dendritic epidermal cells: Langerhans' cells and Thy-1+ epidermal cells . J Immunol 1986;;137:2460-2467.

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