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Radiation-induced eosinophilic, polymorphic, and pruritic eruption in a pig skin model
Laboratory Animal Research volume 31, pages 204–208 (2015)
Abstract
Eosinophilic, polymorphic and pruritic eruption associated with radiotherapy (EPPER) can occur in cancer patients after irradiation. In this study, we characterized the clinical and histopathological features of pig skin that developed widespread polymorphic and pruritic skin lesions following localized 50 Gy gammairradiation. The pigs developed pruritus 5–7 weeks after irradiation, and infiltration of the dermis by eosinophils was detected 4–7 weeks after irradiation. The irradiated animals also showed transiently increased numbers of peripheral eosinophils 5–7 weeks after treatment. Irradiation induced desquamation after 2–4 weeks, which and the desquamation gradually resolved after 7 weeks. These pathological changes correspond to those seen in irradiated human skin, indicating that this model could be useful for elucidating the pathogenesis of EPPER and for developing therapeutic and prophylactic methods.
References
Davis J, Pack GT. Erythema multiforme following deep x-ray therapy. AMA Arch Derm Syphilol 1952; 66(1): 41–48.
Dedick AP Jr, Whelan VM. Generalized skin reaction following deep x-ray therapy. Radiology 1959; 72(5): 751–753.
Duschet P, Schwarz T, Gschnait F. Bullous pemphigoid after radiation therapy. J Am Acad Dermatol 1988; 18(2): 441–444.
García-Donoso C, Tardío JC, Arias D, Romero A, Borbujo JM. Eosinophilic, polymorphic and pruritic eruption associated with radiotherapy (EPPER) in two patients with breast tumour. J Eur Acad Dermatol Venereol 2007; 21(8): 1102–1104.
Lee DJ, Kim YC. A pustular form of eosinophilic, polymorphic, and pruritic eruption associated with radiotherapy. J Am Acad Dermatol 2011; 65(2): e51–53.
Rueda RA, Valencia IC, Covelli C, Escobar C, Alzate A, Saldarriaga B, Sanclemente G, Blank A, Falabella R. Eosinophilic, polymorphic, and pruritic eruption associated with radiotherapy. Arch Dermatol 1999; 135(7): 804–810.
Lam Cham Kee HX, Charra-Brunaud C, Cuny JF, Reigneau M, Vogin G, Peiffert D. [Case report of EPPER Syndrome (eosinophilic polymorphic pruritic eruption associated with radiotherapy) in a patient treated against endometrial cancer]. Cancer Radiother 2013; 17(1): 54–57.
Shimamoto N, Shirase T, Yoshikawa Y. Vesicular form of eosinophilic, polymorphic, and pruritic eruption associated with radiotherapy confined to the irradiated area. J Dermatol 2013; 40(3): 228–229.
Sullivan TP, Eaglstein WH, Davis SC, Mertz P. The pig as a model for human wound healing. Wound Repair Regen 2001; 9(2): 66–76.
Kim JS, Rhim KJ, Jang WS, Lee SJ, Son Y, Lee SS, Park S, Lim SM. β-irradiation (¹Ho patch)-induced skin injury in mini-pigs: effects on NF-κB and COX-2 expression in the skin. J Vet Sci 2015; 16(1): 1–9.
Hill PB, Lau P, Rybnicek J. Development of an owner-assessed scale to measure the severity of pruritus in dogs. Vet Dermatol 2007; 18(5): 301–308.
Spry CJ, Davies J, Tai PC, Olsen EG, Oakley CM, Goodwin JF. Clinical features of fifteen patients with the hypereosinophilic syndrome. Q J Med 1983; 52(205): 1–22.
van den Hoogenband HM. Skin lesions as the first manifestation of the hypereosinophilic syndrome. Clin Exp Dermatol 1982; 7(3): 267–271.
Kurohara SS, Hempelmann LH, Englander CL, Fuller LM, Rubin P. Eosinophilia after exposure to ionizing radiation. Radiat Res 1964; 23(3): 357–368.
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Kim, J.S., Jang, W.S., Bae, M.J. et al. Radiation-induced eosinophilic, polymorphic, and pruritic eruption in a pig skin model. Lab Anim Res 31, 204–208 (2015). https://doi.org/10.5625/lar.2015.31.4.204
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DOI: https://doi.org/10.5625/lar.2015.31.4.204
Keywords
- Radiation
- pig
- skin
- eosinophil
- pruritis