Skin surface topography grading is a valid measure of skin photoaging

Battistutta, Diana, Pandeya, Nirmala, Strutton, Geoffrey M., Fourtanier, Anny, Tison, Sylvie and Green, Ade` le C. (2006) Skin surface topography grading is a valid measure of skin photoaging. Photodermatology Photoimmunology & Photomedicine, 22 1: 39-45. doi:10.1111/j.1600-0781.2006.00194.x

Author Battistutta, Diana
Pandeya, Nirmala
Strutton, Geoffrey M.
Fourtanier, Anny
Tison, Sylvie
Green, Ade` le C.
Title Skin surface topography grading is a valid measure of skin photoaging
Journal name Photodermatology Photoimmunology & Photomedicine   Check publisher's open access policy
ISSN 0905-4383
Publication date 2006-02
Sub-type Article (original research)
DOI 10.1111/j.1600-0781.2006.00194.x
Volume 22
Issue 1
Start page 39
End page 45
Total pages 7
Place of publication United States
Publisher Wiley-Blackwell Publishing, Inc.
Language eng
Formatted abstract
The technique of grading the surface topography of sun-exposed skin using silicone impressions of the skin surface is a simple, non-invasive method for measuring skin damage because of sun exposure, but it has never been validated in a community setting.


To investigate the repeatability and validity of using standardly-graded skin impressions as a means of assessing skin Photoaging. Patients/Methods: A random sample of 195 adults aged 18-79 years and living in Nambour, Australia (latitude, 26° South) had a silicone impression taken of the back of the left hand and a 2 mm punch biopsy of the skin at the same site. Silicone impressions were graded twice independently and histological photoaging was determined by two pathologists.

Grading of silicone impressions of skin surface topography was highly repeatable (weighted κ>0.8). Compared with those with low skin impression grades (least degeneration), people with high grades were three times more likely to show a high degree of dermal elastosis on skin histology (odds ratio 3.1, 95% confidence interval 1.6, 5.7) after adjusting for age, sex, skin colour, tanning ability, occupational exposure, smoking and height-adjusted weight. Other photoaging changes in the stratum corneum and dermis were also strongly correlated with high grades of damage on skin impressions.

Grading silicone impressions of skin surface topography is a highly reliable and a valid measure of photoaging and enables prediction of dermal elastosis in a population setting.
Keyword Dermal elastosis
Skin surface topography
Ultraviolet radiation
Sun Exposure
Aged Skin
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: ERA 2012 Admin Only
School of Public Health Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 20 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 23 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Sun, 11 Sep 2011, 10:49:28 EST by System User on behalf of School of Public Health