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Pathogenesis of Woronoff Ring in Psoriasis
Neal S. Penneys, MD, PhD;
Vincent Ziboh, PhD;
Paul Simon, MD
Arch Dermatol. 1976;112(7):955-957.
Abstract
As a result of ultraviolet light and coal tar therapy, a white ring (Woronoff) may develop in the normal skin adjacent to psoriatic plaques. Injection of prostaglandin E2 (PGE2) 1 cm outside of Woronoff ring produced redness in the ring, demonstrating that vessels within the ring were not unresponsive to PGE2. Whole skin homogenates from Woronoff ring contained an inhibitor of prostaglandin synthesis that was not found in uninvolved skin that was obtained from either psoriatics or normal controls. Prostaglandin E2 levels in the ring were one third of those in uninvolved skin from either psoriatics or normal controls. These findings suggest that the white ring that surrounds ultraviolet-light-treated psoriatic plaques is produced by a local inability to synthesize PGE2 in response to an ultraviolet light stimulus, resulting from the presence of an inhibitor of prostaglandin synthesis.
(Arch Dermatol 112:955-957, 1976)
Author Affiliations
Jon Lord
From the departments of dermatology (Drs Penneys, Ziboh, and Simon) and biochemistry (Dr Ziboh), University of Miami School of Medicine, Miami.
Footnotes
Accepted for publication June 4, 1975.
Reprint requests to the Department of Dermatology, University of Miami School of Medicine, Box 520875, Miami, FL 33152 (Dr Penneys).
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