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Hypopigmented skin changes are commonly encountered by dermatologists. A new dermatological entity was identified as scattered, hypopigmented oval-shaped macules and patches distributed mostly in seborrheic area of the face and of the trunk in dark skinned individuals. This patterned presentation of hypopigmentation was first described in the literature under the name of hypochromic vitiligo or vitiligo minor. Nerveless, histopathological patient's specimens analyzed by Krueger et al. clearly highlight that there is no tangible causal correlation with a diagnosis of vitiligo. They propose to rename this entity to Seborrheic Macular Hypopigmentation (SMH). The etiopathology of this dermatosis is still unknown preventing to propose any satisfactory treatment for this disfiguring affection.The objective of this study is to analyze the bacterial and fungal skin microbiome on hypochromic lesions of SMH compared to the surrounding non-lesional skin of the same patients and to healthy volunteers
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients | Other | The study population will consist of adult subjects (≥ 18 years) with Seborrheic Macular Hypopigmentation. |
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| Vulunteers | Other | Volunteers will be included once the required number of SMP patients has been attained. Volunteers are going to be recruited only at the coordinator center, the CHU of Nice. Recruitment will be communicated to medical and/or Inserm staff, via an announcement in the respective departments. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Skin's lesion patients | Other | Skin swabs will be obtained from the patient's facial lesional (FLS) and perilesional sites (FPS) using a sterile cotton swab. The microbiota of the same anatomical face regions will be collected on volunteers, once the 10 SMH patients have been enrolled. The swab is premoistened in a specific cocktail solution and rubbed onto the skin surface for 45sec. The pressure during the sampling involves rubbing the area of interest with a smear over the entire zone. The skin reddens slightly under the exerted pressure. |
| Measure | Description | Time Frame |
|---|---|---|
| The bacterial skin microbiome of SMH patients vs voluntheers | For each sample, the bacterial profiles determined by real time PCR, will be described and compared as follows: seborrheic macular hypopigmented lesions versus same anatomic area in healthy volunteers. | at baseline |
| Measure | Description | Time Frame |
|---|---|---|
| The bacterial skin microbiome of SMH patients compare to the non-lesional surrounded skin of the same patients. | For each sample, the bacterial profiles determined by real time PCR, will be described and compared as follows: intra-individual hypochromic macula lesions versus perilesional areas located at least 1cm away from any hypopigmented macules. | at baseline |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Thierry Passeron, PhD | Contact | +33492036488 | passeron.t@chu-nice.fr | |
| emmanuelle PRADELLI | Contact | +33492036488 | pradelli.e@chu-nice.fr |
| Name | Affiliation | Role |
|---|---|---|
| Thierry Passeron, PhD | CHU de Nice, Service de Dermatologie | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nice - Hôpital de l'Archet | Recruiting | Nice | Alpes-Maritimes | 06200 | France |
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| ID | Term |
|---|---|
| D017496 | Hypopigmentation |
| ID | Term |
|---|---|
| D010859 | Pigmentation Disorders |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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The study schedule consists of two on-site visit (inclusion and followup). Skin swabs will be obtained from the patient's facial lesional (FLS) and perilesional sites (FPS) located in the same facial area but at least 1 cm away from any hypopigmented macules. One skin swab will be obtained in healthy volunteers matched on sex, age, skin type and location of the skin sample.
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| Skin's lesion vulunteers | Other | Skin swabs will be obtained from the patient's facial lesional (FLS) and perilesional sites (FPS) using a sterile cotton swab. The microbiota of the same anatomical face regions will be collected on volunteers, once the 10 SMH patients have been enrolled. The swab is premoistened in a specific cocktail solution and rubbed onto the skin surface for 45sec. The pressure during the sampling involves rubbing the area of interest with a smear over the entire zone. The skin reddens slightly under the exerted pressure. |
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| Hôpital Louis Pasteur, hôpitaux Civils de Colmar | Recruiting | Colmar | Colmar | 68024 | France |
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| Hôpital Saint-Louis - APHP | Recruiting | Paris | Île-de-France Region | 75010 | France |
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