BackgroundAllergic contact dermatitis to ion nickel (Ni+2) is an inflammatory
dermatosis, common in industrialized countries. It involves the activation
of nickel-specific T-cells, followed by proliferation and induction of a
mixed profile of both proinflammatory and regulatory cytokines, suggesting
that several T-cell subtypes (helper - Th and cytotoxic - Tc) are involved.
A broader understanding of the cytokine profile may lead to new therapeutic
approaches.ObjectivesThis study aimed to analyze the cytokines TNF-α, INF-γ, IL-2,
IL-4, IL-10, IL-13, IL-17 and IL-23 using the immunohistochemistry technique
in order to try to identify their prevalence in chronic and acute eczema of
patients with allergic contact dermatitis to Ni+2.MethodsWe performed an immunohistochemical study for eight cytokines in 20 patients
with Ni+2 allergic contact dermatitis, biopsied at the site of chronic
eczema, triggered by the patient's daily contact with Ni+2, and at the site
of acute eczema caused by nickel sulfate, 48 hours after applying the
contact test.ResultsThe stained samples showed positive results for the eight cytokines studied.
TNF-α, IFN-γ, IL-4, IL-13 and IL-17 had a higher prevalence in
chronic eczema, IL-2 and IL-23 in acute eczema, and IL-10 presented a
similar prevalence in both acute and chronic eczema. However, these
prevalences were statistically significant only for IL-4 and IL-13.Study LimitationsSmall sample size.ConclusionsIn chronic and acute eczema, we observed the presence of a mixed cytokine
profile of the T cell subtypes (Th/Tc), suggesting that the responses are
expressed at the same time.