A Method for the Separation of the Epidermis from the Dermis

A Method for the Separation of the Epidermis from the Dermis

PRELIMINARY AND SHORT REPORTS A METHOD FOR THE SEPARATION OF THE EPIDERMIS FROM THE DERMIS* IRVIN H. BLANK, PH.D. AND OWEN 0. MILLER, M.D. As one par...

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PRELIMINARY AND SHORT REPORTS A METHOD FOR THE SEPARATION OF THE EPIDERMIS FROM THE DERMIS* IRVIN H. BLANK, PH.D. AND OWEN 0. MILLER, M.D.

As one part of a study of the ability of the skin to transmit water, we attempted to pull water through a piece of skin by the use of a vacuum. A piece of human abdominal skin, obtained at the autopsy table, was tightly wired across the top of a heavy-walled thistle tube so that the dermal side was outside. The tube was inverted and the dermal side of the skin was allowed to dip into water, but the edge of the piece of skin was kept above the Water level. The tube was then attached to a vacuum pump. It is seen that in this arrangement any passage of water is in a direction corresponding to a passage of water from the inside of the body out through the skin. .1

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Fin. I. BULLAR FomuEn DURING AN ATTEMPT TO PULL WATER THROUGH THE SKIN Wr MEANS Oa A VACUUM.

No visible amount of water passed entirely through the skin. After a period of time, however, bullae began to form on the skin. When the pressure within the thistle tube was held at approximately 150 mm. of mercury (a pressure difference of approximately 610 mm. tending to force water through the skin), the time required for the bullae to form varied from one to two hours for different pieces of skin. One such piece of skin is shown in Figure I. When the pressure was reduced to 10 mm. of mercury (pressure difference of approximately 750 mm.), bullae sometimes formed in from 15 to 20 minutes. From the histological section of one of these bullae, as shown in Figure II, it can be seen that the separation occurs at the dermal-epidermal junction. This technic therefore becomes a method whereby small pieces of epidermis may be obtained free from the der*From the Department of Dermatology, Harvard University Medical School, Massachusetts General Hospital, Boston, Massachusetts. Received for publication February 5, 1950. 9

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THE JOURNAL OF INVESTIGATIVE DERMATOLOGY

mis. It has the advantage over methods previously used for making this separation in that it is unnecessary to subject the skin to heat, chemicals, enzymes or alteration of pH. These bullae form probably as a result of a pressure differential at different points in the skin due to a variation in the permeability of the different layers of skin to water. The least permeable layer is in the epidermis. When the epidermis is scratched or broken, water passes through the skin and the bullac do not form because the pressure differentials do not arise.

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Fin. II. RrsToLoorcAL SECTION OF THE BULLAE SHOWN IN FIOTJEE I.

We are unable to obtain this epidermal separation when rabbit skin is used. Rabbit skin does not transmit visible amounts of water at 150 nun, pressure, but the pressure differentials which occur within the skin seem to be insufficient to separate the epidermis from the dermis when the epidermis is more firmly held to the dermis by the frequent invagination of hair follicles. At a pressure of 10 mm. some water is transmitted by rabbit skin after about five minutes but no bullae are formed. Histological sections from the pieces of rabbit skin which transmit water show breaks in the epidermis that may have been caused by the stretching of the skin by the vacuum.

THE JOURNAL OF INVESTIGATIVE DERMATOLOGY

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