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POPs and Skin

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Environment and Skin

Abstract

Persistent organic pollutants (POPs) is the name of a group of ubiquitous man-made toxic environmental pollutants which have adverse effects on the environment and human health. The skin is a major target organ of toxic effects of POPs as well as signalling organ for the toxicity of these compounds. Chloracne is the most obvious signs of systemic contact with higher levels of POPs with chloracnegenic potential. First we will discuss chemical and toxicological properties of POPs and finally the pathophysiology of cutaneous diseases derived from POPs including acne, cancerogenesis, porphyria and others.

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References

  1. Bailey M: U.S.Environmental Protection Agency. Persistent organic pollutants: a global issue, a global response. 2009. http://www2.epa.gov/international-cooperation/persistent-organic-pollutants-global-issue-global-response.

  2. Olie K, Vermeulen PL, Hutzinger O. Chlorodibenzo-p-dioxins and chlorodibenzofurans are trace components of fly and flue gas of some municipal incinerators in The Netherlands. Chemosphere. 1977;6:455–9.

    Article  CAS  Google Scholar 

  3. Rappe C. Analysis of polychlorinated dioxins and furans. Environ Sci Technol. 1984;18:78A.

    Article  CAS  PubMed  Google Scholar 

  4. World Health Organisation. PCDD and PCDF emissions from incinerators for municipal sewage sludge and solid waste – evaluation of human exposure. WHO Environmental Health Education. Copenhagen: WHO; 1987.

    Google Scholar 

  5. de Voogt P, Brinkman UAT. Production, properties and usage of polychlorinated biphenyls. In: Kimbrough RD, Jensen AA, editors. Halogenated biphenyls, terphenyls, naphtalenes, dibenzodioxins and related products. 2nd ed. Amsterdam: Elsevier; 1989. p. 3–45.

    Chapter  Google Scholar 

  6. Baars AJ, Bakker MI, Baumann RA, Boon PE, Freijer JI, Hoogenboom LA, et al. Dioxins, dioxin-like PCBs and non-dioxin-like PCBs in foodstuffs: occurrence and dietary intake in The Netherlands. Toxicol Lett. 2004;151(1):51–61.

    Article  CAS  PubMed  Google Scholar 

  7. Baughman RW. Tetrachlorodibenzo-p-dioxins in the environment: high resolution mass spectrometry at picogram level. Cambridge: Harvard University; 1974.

    Google Scholar 

  8. Leijs MM, van Teunenbroek T, Olie K, Koppe JG, ten Tusscher GW, van Aalderen WM, et al. Assessment of current serum levels of PCDD/Fs, dl-PCBs and PBDEs in a Dutch cohort with known perinatal PCDD/F exposure. Chemosphere. 2008;73(2):176–81.

    Article  CAS  PubMed  Google Scholar 

  9. Pirkle JL, Wolfe WH, Patterson DG, Needham LL, Michalek JE, Miner JC, et al. Estimates of the half-life of 2,3,7,8-tetrachlorodibenzo-p-dioxin in Vietnam veterans of operation ranch hand. J Toxicol Environ Health. 1989;27(2):165–71.

    Article  CAS  PubMed  Google Scholar 

  10. Aylward LL, Brunet RC, Starr TB, Carrier G, Delzell E, Cheng H, et al. Exposure reconstruction for the TCDD-exposed NIOSH cohort using a concentration- and age-dependent model of elimination. Risk Anal. 2005;25(4):945–56.

    Article  PubMed  Google Scholar 

  11. Seegal RF, Fitzgerald EF, Hills EA, Wolff MS, Haase RF, Todd AC, et al. Estimating the half-lives of PCB congeners in former capacitor workers measured over a 28-year interval. J Expo Sci Environ Epidemiol. 2011;21(3):234–46.

    Article  CAS  PubMed  Google Scholar 

  12. Denison MS, Nagy SR. Activation of the aryl hydrocarbon receptor by structurally diverse exogenous and endogenous chemicals. Annu Rev Pharmacol Toxicol. 2003;43:309–34.

    Article  CAS  PubMed  Google Scholar 

  13. Nebert DW, Karp CL. Endogenous functions of the aryl hydrocarbon receptor (AHR): intersection of cytochrome P450 1 (CYP1)-metabolized eicosanoids and AHR biology. J Biol Chem. 2008;283(52):36061–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Adachi J, Mori Y, Matsui S, Takigami H, Fujino J, Kitagawa H, et al. Indirubin and indigo are potent aryl hydrocarbon receptor ligands present in human urine. J Biol Chem. 2001;276(34):31475–8.

    Article  CAS  PubMed  Google Scholar 

  15. Sinal CJ, Bend JR. Aryl hydrocarbon receptor-dependent induction of cyp1a1 by bilirubin in mouse hepatoma hepa 1c1c7 cells. Mol Pharmacol. 1997;52(4):590–9.

    CAS  PubMed  Google Scholar 

  16. Ohtake F, Takeyama K, Matsumoto T, Kitagawa H, Yamamoto Y, Nohara K, et al. Modulation of oestrogen receptor signalling by association with the activated dioxin receptor. Nature. 2003;423(6939):545–50.

    Article  CAS  PubMed  Google Scholar 

  17. Safe S. Polychlorinated biphenyls (PCBs), dibenzo-p-dioxins (PCDDs), dibenzofurans (PCDFs), and related compounds: environmental and mechanistic considerations which support the development of toxic equivalency factors (TEFs). Crit Rev Toxicol. 1990;21(1):51–88.

    Article  CAS  PubMed  Google Scholar 

  18. van den Berg M, Birnbaum LS, Denison M, De VM, Farland W, Feeley M, et al. The 2005 World Health Organization reevaluation of human and mammalian toxic equivalency factors for dioxins and dioxin-like compounds. Toxicol Sci. 2006;93(2):223–41.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  19. Spitsbergen JM, Kleeman JM, Peterson RE. Morphologic lesions and acute toxicity in rainbow trout (Salmo Gairdneri) treated with 2,3,7,8-tetrachlorodibenzo-p-dioxin. J Toxicol Environ Health. 1988;23(3):333–58.

    Article  CAS  PubMed  Google Scholar 

  20. Olson JR, McGarrigle BP, Tonucci DA, Schecter A, Eichelberger H. Developmental toxicity of 2,3,7,8-TCDD in the rat and hamster. Chemosphere. 1990;20:1117.

    Article  CAS  Google Scholar 

  21. Zetterstrom R. Child health and environmental pollution in the Aral Sea region in Kazakhstan. Acta Paediatr Suppl. 1999;88(429):49–54.

    Article  CAS  PubMed  Google Scholar 

  22. Leijs MM, Koppe JG, Olie K, van Aalderen WM, Voogt P, Vulsma T, et al. Delayed initiation of breast development in girls with higher prenatal dioxin exposure; a longitudinal cohort study. Chemosphere. 2008;73(6):999–1004.

    Google Scholar 

  23. Leijs M, van der Linden L, Koppe JG, Olie K, van Aalderen W, ten Tusscher GW. The influence of perinatal and current dioxin and PCB exposure on reproductive parameters (sex-ratio, menstrual cycle characteristics, endometriosis, semen quality, and prematurity): a review. Biomonitoring. 2014;1(1):1–15.

    Google Scholar 

  24. Leijs M, van der Linden L, Koppe J, de Voogt P, Olie K, van Aalderen W, et al. The influence of perinatal and current dioxin and PCB exposure on puberty: a review. Biomonitoring. 2014;1(1):16–24.

    Google Scholar 

  25. World Health Organisation. Levels of PCBs, PCDDs and PCDFs in breast milk. Copenhagen: WHO; 1989.

    Google Scholar 

  26. World Health Organisation. Levels of PCBs, PCDDs and PCDFs in human milk. Bilthoven: WHO; 1996.

    Google Scholar 

  27. Goldman LR. Chemicals and children's environment: what we don't know about risks. Environ Health Perspect. 1998;106(Suppl 3):875–80.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Brouwer A, Longnecker MP, Birnbaum LS, Cogliano J, Kostyniak P, Moore J, et al. Characterization of potential endocrine-related health effects at low-dose levels of exposure to PCBs. Environ Health Perspect. 1999;107(Suppl 4):639–49.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Gore AC, Wu TJ, Oung T, Lee JB, Woller MJ. A novel mechanism for endocrine-disrupting effects of polychlorinated biphenyls: direct effects on gonadotropin-releasing hormone neurones. J Neuroendocrinol. 2002;14(10):814–23.

    Article  CAS  PubMed  Google Scholar 

  30. Nelson JA. Effects of dichlorodiphenyltrichloroethane (DDT) analogs and polychlorinated biphenyl (PCB) mixtures on 17beta-(3H)estradiol binding to rat uterine receptor. Biochem Pharmacol. 1974;23(2):447–51.

    Article  CAS  PubMed  Google Scholar 

  31. Hansen LG. Stepping backward to improve assessment of PCB congener toxicities. Environ Health Perspect. 1998;106(Suppl 1):171–89.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Leijs MM, ten Tusscher GW, Olie K, van Teunenbroek T, van Aalderen WM, de Voogt P, et al. Thyroid hormone metabolism and environmental chemical exposure. Environ Health. 2012;11 Suppl 1:S10.

    Google Scholar 

  33. Hsu ST, Ma CI, Hsu SK, SS W, Hsu NH, Yeh CC, et al. Discovery and epidemiology of PCB poisoning in Taiwan: a four-year followup. Environ Health Perspect. 1985;59:5–10.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Yoshimura T. Yusho in Japan. Ind Health. 2003;41(3):139–48.

    Article  CAS  PubMed  Google Scholar 

  35. Chen YC, Guo YL, Hsu CC, Rogan WJ. Cognitive development of Yu-Cheng (“oil disease”) children prenatally exposed to heat-degraded PCBs. JAMA. 1992;268(22):3213–8.

    Article  CAS  PubMed  Google Scholar 

  36. Rogan WJ, Gladen BC, Hung KL, Koong SL, Shih LY, Taylor JS, et al. Congenital poisoning by polychlorinated biphenyls and their contaminants in Taiwan. Science. 1988;241(4863):334–6.

    Article  CAS  PubMed  Google Scholar 

  37. Bertazzi PA, Domenico A. Health consequences of the Seveso, Italy, accident. In: Schecter A, Gasiewicz TA, editors. Dioxins and health. 2nd ed. New York: John Wiley & Sons; 2003. p. 827–53.

    Google Scholar 

  38. Eskenazi B, Mocarelli P, Warner M, Samuels S, Vercellini P, Olive D, et al. Seveso Women's Health Study: a study of the effects of 2,3,7,8-tetrachlorodibenzo-p-dioxin on reproductive health. Chemosphere. 2000;40(9–11):1247–53.

    Article  CAS  PubMed  Google Scholar 

  39. Stellman SD, Stellman JM, Sommer JF Jr. Combat and herbicide exposures in Vietnam among a sample of American legionnaires. Environ Res. 1988;47(2):112–28.

    Article  CAS  PubMed  Google Scholar 

  40. Dutta SK, Mitra PS, Ghosh S, Zang S, Sonneborn D, Hertz-Picciotto I, et al. Differential gene expression and a functional analysis of PCB-exposed children: understanding disease and disorder development. Environ Int. 2012;40:143–54. doi:10.1016/j.envint.2011.07.008.

    Article  CAS  PubMed  Google Scholar 

  41. Darnerud PO, Eriksen GS, Johannesson T, Larsen PB, Viluksela M. Polybrominated diphenyl ethers: occurrence, dietary exposure, and toxicology. Environ Health Perspect. 2001;109(Suppl 1):49–68.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Siddiqi MA, Laessig RH, Reed KD. Polybrominated diphenyl ethers (PBDEs): new pollutants-old diseases. Clin Med Res. 2003;1(4):281–90.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Hooper K, McDonald TA. The PBDEs: an emerging environmental challenge and another reason for breast-milk monitoring programs. Environ Health Perspect. 2000;108(5):387–92.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Roper CS, Simpson AG, Madden S, Serex TL, Biesemeier JA. Absorption of [14C]-tetrabromodiphenyl ether (TeBDE) through human and rat skin in vitro. Drug Chem Toxicol. 2006;29(3):289–301.

    Article  CAS  PubMed  Google Scholar 

  45. Zhou T, Taylor MM, DeVito MJ, Crofton KM. Developmental exposure to brominated diphenyl ethers results in thyroid hormone disruption. Toxicol Sci. 2002;66(1):105–16.

    Article  CAS  PubMed  Google Scholar 

  46. Costa LG, Giordano G, Tagliaferri S, Caglieri A, Mutti A. Polybrominated diphenyl ether (PBDE) flame retardants: environmental contamination, human body burden and potential adverse health effects. Acta Biomed. 2008;79(3):172–83.

    CAS  PubMed  Google Scholar 

  47. Darnerud PO. Toxic effects of brominated flame retardants in man and in wildlife. Environ Int. 2003;29(6):841–53.

    Article  CAS  PubMed  Google Scholar 

  48. Hamers T, Kamstra JH, Sonneveld E, Murk AJ, Kester MH, Andersson PL, et al. In vitro profiling of the endocrine-disrupting potency of brominated flame retardants. Toxicol Sci. 2006;92(1):157–73.

    Article  CAS  PubMed  Google Scholar 

  49. Legler J, Brouwer A. Are brominated flame retardants endocrine disruptors? Environ Int. 2003;29(6):879–85.

    Article  CAS  PubMed  Google Scholar 

  50. Abdelouahab N, Suvorov A, Pasquier JC, Langlois MF, Praud JP, Takser L. Thyroid disruption by low-dose BDE-47 in prenatally exposed lambs. Neonatology. 2009;96(2):120–4.

    Article  CAS  PubMed  Google Scholar 

  51. Hallgren S, Sinjari T, Hakansson H, Darnerud PO. Effects of polybrominated diphenyl ethers (PBDEs) and polychlorinated biphenyls (PCBs) on thyroid hormone and vitamin A levels in rats and mice. Arch Toxicol. 2001;75(4):200–8.

    Article  CAS  PubMed  Google Scholar 

  52. Stoker TE, Laws SC, Crofton KM, Hedge JM, Ferrell JM, Cooper RL. Assessment of DE-71, a commercial polybrominated diphenyl ether (PBDE) mixture, in the EDSP male and female pubertal protocols. Toxicol Sci. 2004;78(1):144–55.

    Article  CAS  PubMed  Google Scholar 

  53. van der Ven LT, van de Kuil T, Verhoef A, Leonards PE, Slob W, Canton RF, et al. A 28-day oral dose toxicity study enhanced to detect endocrine effects of a purified technical pentabromodiphenyl ether (pentaBDE) mixture in Wistar rats. Toxicology. 2008;245(1–2):109–22.

    PubMed  Google Scholar 

  54. Zhang S, Bursian SJ, Martin PA, Chan HM, Tomy G, Palace VP, et al. Reproductive and developmental toxicity of a pentabrominated diphenyl ether mixture, DE-71(R), to ranch mink (Mustela vison) and hazard assessment for wild mink in the Great Lakes region. Toxicol Sci. 2009;110(1):107–16.

    Article  CAS  PubMed  Google Scholar 

  55. Zhou T, Ross DG, DeVito MJ, Crofton KM. Effects of short-term in vivo exposure to polybrominated diphenyl ethers on thyroid hormones and hepatic enzyme activities in weanling rats. Toxicol Sci. 2001;61(1):76–82.

    Article  CAS  PubMed  Google Scholar 

  56. Birnbaum LS, Staskal DF. Brominated flame retardants: cause for concern? Environ Health Perspect. 2004;112(1):9–17.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  57. Branchi I, Capone F, Alleva E, Costa LG. Polybrominated diphenyl ethers: neurobehavioral effects following developmental exposure. Neurotoxicology. 2003;24(3):449–62.

    Article  CAS  PubMed  Google Scholar 

  58. Costa LG, Giordano G. Developmental neurotoxicity of polybrominated diphenyl ether (PBDE) flame retardants. Neurotoxicology. 2007;28(6):1047–67.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Hites RA, Foran JA, Schwager SJ, Knuth BA, Hamilton MC, Carpenter DO. Global assessment of polybrominated diphenyl ethers in farmed and wild salmon. Environ Sci Technol. 2004;38(19):4945–9.

    Article  CAS  PubMed  Google Scholar 

  60. ten Tusscher GW. Later childhood effects of perinatal exposure to background levels of dioxins in the Netherlands. Amsterdam: University of Amsterdam; 2002.

    Google Scholar 

  61. Fowles JR, Fairbrother A, Baecher-Steppan L, Kerkvliet NI. Immunologic and endocrine effects of the flame-retardant pentabromodiphenyl ether (DE-71) in C57BL/6J mice. Toxicology. 1994;86(1–2):49–61.

    Article  CAS  PubMed  Google Scholar 

  62. Leijs MM, Koppe JG, Olie K, van Aalderen WM, de VP, ten Tusscher GW. Effects of dioxins, PCBs, and PBDEs on immunology and hematology in adolescents. Environ Sci Technol. 2009;43(20):7946–51.

    Article  CAS  PubMed  Google Scholar 

  63. Zhou J, Chen DJ, Liao QP, Yu YH. Impact of PBDE-209 exposure during pregnancy and lactation on immune function of offspring rats. J South Med Uni (Nan Fang Yi Ke Da Xue Xue Bao). 2006;26(6):738–41.

    CAS  Google Scholar 

  64. Leijs MM. Toxic effects of dioxins, PCBs and PBDEs in adolescents. Amsterdam: Ph.D Thesis University of Amsterdam; 2010.

    Google Scholar 

  65. Chanda JJ, Anderson HA, Glamb RW, Lomatch DL, Wolff MS, Voorhees JJ, et al. Cutaneous effects of exposure to polybrominated biphenyls (PBBs): the Michigan PBB incident. Environ Res. 1982;29(1):97–108.

    Article  CAS  PubMed  Google Scholar 

  66. Ouw HK, Simpson GR, Siyali DS. Use and Health Effects of Aroclor 1242, a Polychlorinated Biphenyl, in an Electrical Industry. Archives of Environme ntal Health: An International Journal. 1976; 31 (4): 189–194.

    Google Scholar 

  67. Fischbein A, Wolff MS, Lilis R, Thornton J, Selikoff IJ. Clinical findings among PCB-exposed capacitor manufacturing workers. Ann NY Acad Sci. 1979; 320: 703–15.

    Google Scholar 

  68. Fischbein A, Rizzo JN, Solomon SJ, Wolff MS. Oculodermatological findings in workers with occupational exposure to polychlorinated biphenyls (PCBs). Br J Ind Med 1985 Jun;42(6):426-30.

    Google Scholar 

  69. Saurat JH, Kaya G, Saxer-Sekulic N, Pardo B, Becker M, Fontao L, et al. The cutaneous lesions of dioxin exposure: lessons from the poisoning of Victor Yushchenko. Toxicol Sci. 2012;125(1):310–7.

    Article  CAS  PubMed  Google Scholar 

  70. Geusau A, Abraham K, Geissler K, Sator MO, Stingl G, Tschachler E. Severe 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) intoxication: clinical and laboratory effects. Environ Health Perspect. 2001;109(8):865–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  71. Geusau A, Tschachler E, Meixner M, Papke O, Stingl G, McLachlan M. Cutaneous elimination of 2,3,7,8-tetrachlorodibenzo-p-dioxin. Br J Dermatol. 2001;145(6):938–43.

    Article  CAS  PubMed  Google Scholar 

  72. Cheng WN, Coenraads PJ, Hao ZH, Liu GF. A health survey of workers in the pentachlorphenol section of a chemical manufacturing plant. 1993; 24(1): 81–92).

    Google Scholar 

  73. Piagitelli L, Marlow D, Fingerhut M, Steenland K, Sweeney MH. A retrospective job exposure matrix for estimating exposure to 2,3,8,8-tetrachlorodibenzo-p-dioxin. Am J Ind Med. 2000; 38(1):28–39.

    Google Scholar 

  74. Caramaschi F, del Corno G, Favaretti C, Giambelluca SE, Montesarichio E, Fara GM. Chloracne following environmental contamination by TCDD in Seveso, Italy. Int J Epidemiol. 1981; 10(2): 135–43.

    Google Scholar 

  75. Sorg O, Zennegg M, Schmid P, Fedosyuk R, Valikhnovskyi R, Gaide O, et al. 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) poisoning in Victor Yushchenko: identification and measurement of TCDD metabolites. Lancet. 2009;374(9696):1179–85.

    Article  CAS  PubMed  Google Scholar 

  76. Michielsen CPPC, Bloksma N, Ultee A, van Mil F, Vos JG. Hexachlorobenzene-induced immunomodulation in skin and lung lesions: a comparison between brown Norway, Lewis, and Wistar rats. Toxicol Appl Pharmacol. 1997;144:12–26.

    Article  CAS  PubMed  Google Scholar 

  77. Von Bettmann S. Chlorakne eine besondere Form von professioneller Hauterkrankung. Dtsch Med Wochenschr. 1901;27:437.

    Article  Google Scholar 

  78. Herxheimer K. Ueber chlorakne. Munch Med Wochenschr. 1899;46:278.

    Google Scholar 

  79. Kimmig J, Schulz KH. Occupational acne (so-called chloracne) due to chlorinated aromatic cyclic ethers. Dermatologica. 1957;115(4):540–6.

    Article  CAS  PubMed  Google Scholar 

  80. Schulz KH. Clinical & experimental studies on the etiology of chloracne. Arch Klin Exp Dermatol. 1957;206:589–96.

    Article  CAS  PubMed  Google Scholar 

  81. Ju Q, Zouboulis CC, Xia L. Environmental pollution and acne: chloracne. Dermatoendocrinol. 2009;1(3):125–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  82. Panteleyev AA, Bickers DR. Dioxin-induced chloracne--reconstructing the cellular and molecular mechanisms of a classic environmental disease. Exp Dermatol. 2006;15(9):705–30.

    Article  CAS  PubMed  Google Scholar 

  83. Poland A, Knutson JC. 2,3,7,8-tetrachlorodibenzo-p-dioxin and related halogenated aromatic hydrocarbons: examination of the mechanism of toxicity. Annu Rev Pharmacol Toxicol. 1982;22:517–54.

    Article  CAS  PubMed  Google Scholar 

  84. Tindall JP. Chloracne and chloracnegens. J Am Acad Dermatol. 1985;13(4):539–58.

    Article  CAS  PubMed  Google Scholar 

  85. Zugerman C. Chloracne. Clinical manifestations and etiology. Dermatol Clin. 1990;8(1):209–13.

    CAS  PubMed  Google Scholar 

  86. Jensen NE, Sneddon IB, Walker AE. Tetrachlorobenzodioxin and chloracne. Trans St Johns Hosp Dermatol Soc. 1972;58(2):172–7.

    CAS  PubMed  Google Scholar 

  87. McDonagh AJ. Chloracne-study of an outbreak with new clinical observations. Clin Exp Dermatol. 1993;18(6):523–5.

    Article  CAS  PubMed  Google Scholar 

  88. Reggiani G, Bruppacher R. Symptoms, signs and findings in humans exposed to PCBs and their derivatives. Environ Health Perspect. 1985;60:225–32.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  89. Zober A, Ott MG, Messerer P. Morbidity follow up study of BASF employees exposed to 2,3,7, 8-tetrachlorodibenzo-p-dioxin (TCDD) after a 1953 chemical reactor incident. Occup Environ Med. 1994;51(7):479–86.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  90. McKee M. The poisoning of Victor Yushchenko. Lancet. 2009;374:1131–2.

    Article  PubMed  Google Scholar 

  91. May G. Chloracne from the accidental production of tetrachlorodibenzodioxin. Br J Ind Med. 1973;30(3):276–83.

    CAS  PubMed  PubMed Central  Google Scholar 

  92. Baccarelli A, Pesatori AC, Consonni D, Mocarelli P, Patterson DG Jr, Caporaso NE, et al. Health status and plasma dioxin levels in chloracne cases 20 years after the Seveso, Italy accident. Br J Dermatol. 2005;152(3):459–65.

    Article  CAS  PubMed  Google Scholar 

  93. Coenraads PJ, Brouwer A, Olie K, Tang N. Chloracne. Some recent issues. Dermatol Clin. 1994;12(3):569–76.

    CAS  PubMed  Google Scholar 

  94. Liu J. Zhang CM, Coenraads PJ, Ji ZY, Chen X, Dong L, Ma XM, Han W, Tang NJ. Abnormal expression of MAPK, EGFR, CK17 and TGk in the skin lesions of chloracne patients exposed to dioxins. 2011 201(3):230-234.

    Google Scholar 

  95. Schafer M, Willrodt AH, Kurinna S, Link AS, Farwanah H, Geusau A, et al. Activation of Nrf2 in keratinocytes causes chloracne (MADISH)-like skin disease in mice. EMBO Mol Med. 2014;6(4):442–57.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  96. Moses M, Prioleau PG. Cutaneous histologic findings in chemical workers with and without chloracne with past exposure to 2,3,7,8-tetrachlorodibenzo-p-dioxin. J Am Acad Dermatol. 1985;12(3):497–506.

    Article  CAS  PubMed  Google Scholar 

  97. Loertscher JA, Sadek CS, len-Hoffmann BL. Treatment of normal human keratinocytes with 2,3,7,8-tetrachlorodibenzo-p-dioxin causes a reduction in cell number, but no increase in apoptosis. Toxicol Appl Pharmacol. 2001;175(2):114–20.

    Article  CAS  PubMed  Google Scholar 

  98. Birnbaum LS. The mechanism of dioxin toxicity: relationship to risk assessment. Environ Health Perspect. 1994;102(Suppl 9):157–67.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  99. Plewig G, Albrecht G, Henz BM, Meigel W, Schopf E, Stadler R. Systemic treatment of acne with isotretinoin: current status. Hautarzt. 1997;48(12):881–5.

    Article  CAS  PubMed  Google Scholar 

  100. Yip J, Peppall L, Gawkrodger DJ, Cunliffe WJ. Light cautery and EMLA in the treatment of chloracne lesions. Br J Dermatol. 1993;128(3):313–6.

    Article  CAS  PubMed  Google Scholar 

  101. Geusau A, Tschachler E, Meixner M, Sandermann S, Papke O, Wolf C, et al. Olestra increases faecal excretion of 2,3,7,8-tetrachlorodibenzo-p-dioxin. Lancet. 1999;354(9186):1266–7.

    Article  CAS  PubMed  Google Scholar 

  102. Jandacek RJ, Anderson N, Liu M, Zheng S, Yang Q, Tso P. Effects of yo-yo diet, caloric restriction, and olestra on tissue distribution of hexachlorobenzene. Am J Physiol Gastrointest Liver Physiol. 2005;288(2):G292–9.

    Article  CAS  PubMed  Google Scholar 

  103. Geusau A, Schmaldienst S, Derfler K, Papke O, Abraham K. Severe 2,3,7,8-tetrachlorodibenzo- p-dioxin (TCDD) intoxication: kinetics and trials to enhance elimination in two patients. Arch Toxicol. 2002;76(5–6):316–25.

    Article  CAS  PubMed  Google Scholar 

  104. Caramaschi F, del CG, Favaretti C, Giambelluca SE, Montesarchio E, Fara GM. Chloracne following environmental contamination by TCDD in Seveso, Italy. Int J Epidemiol. 1981;10(2):135–43.

    Article  CAS  PubMed  Google Scholar 

  105. Cook RR. Dioxin, chloracne, and soft tissue sarcoma. Lancet. 1981;1(8220 Pt 1):618–9.

    Article  CAS  PubMed  Google Scholar 

  106. Reggiani G. Acute human exposure to TCDD in Seveso, Italy. J Toxicol Environ Health. 1980;6(1):27–43.

    Article  CAS  PubMed  Google Scholar 

  107. Leijs MM, Amann P, Werthan A, et al. Skin manifestations in German workers with high occupational PCB exposure. Organohalogen Compd. 2014;76:1577–80.

    CAS  Google Scholar 

  108. Kawasaki G, Yoshitomi I, Yanamoto S, Yamada S, Mizuno A, Umeda M. Pigmentation of the oral mucosa by PCB poisoning in Yusho patients. Arch Oral Biol. 2013;58(9):1260–4.

    Article  CAS  PubMed  Google Scholar 

  109. Luecke S, Backlund M, Jux B, Esser C, Krutmann J, Rannug A. The aryl hydrocarbon receptor (AHR), a novel regulator of human melanogenesis. Pigment Cell Melanoma Res. 2010;23(6):828–33.

    Article  CAS  PubMed  Google Scholar 

  110. Zodrow JM, Tanguay RL. 2,3,7,8-tetrachlorodibenzo-p-dioxin inhibits zebrafish caudal fin regeneration. Toxicol Sci. 2003;76(1):151–61.

    Article  CAS  PubMed  Google Scholar 

  111. Shertzer HG, Nebert DW, Puga A, Ary M, Sonntag D, Dixon K, et al. Dioxin causes a sustained oxidative stress response in the mouse. Biochem Biophys Res Commun. 1998;253(1):44–8.

    Article  CAS  PubMed  Google Scholar 

  112. Tritscher AM, Seacat AM, Yager JD, Groopman JD, Miller BD, Bell D, et al. Increased oxidative DNA damage in livers of 2,3,7,8-tetrachlorodibenzo-p-dioxin treated intact but not ovariectomized rats. Cancer Lett. 1996;98(2):219–25.

    Article  CAS  PubMed  Google Scholar 

  113. Osborne R, Greenlee WF. 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) enhances terminal differentiation of cultured human epidermal cells. Toxicol Appl Pharmacol. 1985;77(3):434–43.

    Article  CAS  PubMed  Google Scholar 

  114. Merk H, Bolsen K, Lissner R, Goerz G. Hexachlorobenzene alteration of benzo[a]pyrene metabolism in porphyric and non-porphyric rats. IARC Sci Publ. 1986;77:461–3.

    CAS  Google Scholar 

  115. Geusau A, Jurecka W, Nahavandi H, Schmidt JB, Stingl G, Tschachler E. Punctate keratoderma-like lesions on the palms and soles in a patient with chloracne: a new clinical manifestation of dioxin intoxication? Br J Dermatol. 2000;143(5):1067–71.

    Article  CAS  PubMed  Google Scholar 

  116. Coenraads PJ, Olie K, Tang NJ. Blood lipid concentrations of dioxins and dibenzofurans causing chloracne. Br J Dermatol. 1999;141(4):694–7.

    Article  CAS  PubMed  Google Scholar 

  117. Ono R, Kagawa Y, Takahashi Y, Akagi M, Kamei C. Effect of 2,3,7,8-tetrachlorodibenzo-p-dioxin on scratching behavior in mice. Int Immunopharmacol. 2010;10(3):304–7.

    Article  CAS  PubMed  Google Scholar 

  118. Fischbein A, Rizzo JN, Solomon SJ, Wolff MS. Oculodermatological findings in workers with occupational exposure to polychlorinated biphenyls (PCBs). Br J Ind Med. 1985;42(6):426–30.

    CAS  PubMed  PubMed Central  Google Scholar 

  119. Hicks N, Zack M, Caldwell GG, McKinley TW. Life-style factors among patients with melanoma. South Med J. 1985;78(8):903–8.

    Article  CAS  PubMed  Google Scholar 

  120. Loomis D, Browning SR, Schenck AP, Gregory E, Savitz DA. Cancer mortality among electric utility workers exposed to polychlorinated biphenyls. Occup Environ Med. 1997;54(10):720–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  121. Jang MS, Jang JG, Han SH, Park JB, Kang DY, Kim ST, et al. Clinicopathological features of mycosis fungoides in patients exposed to agent orange during the Vietnam War. J Dermatol. 2013;40(8):606–12.

    Article  PubMed  Google Scholar 

  122. Akhtar FZ, Garabrant DH, Ketchum NS, Michalek JE. Cancer in US air force veterans of the Vietnam war. J Occup Environ Med. 2004;46(2):123–36.

    Article  PubMed  Google Scholar 

  123. Gallagher RP, Macarthur AC, Lee TK, Weber JP, Leblanc A, Mark EJ, et al. Plasma levels of polychlorinated biphenyls and risk of cutaneous malignant melanoma: a preliminary study. Int J Cancer. 2011;128(8):1872–80.

    Article  CAS  PubMed  Google Scholar 

  124. Silberberg I, Baer RL, Rosenthal SA. The role of Langerhans cells in allergic contact hypersensitivity. A review of findings in man and guinea pigs. J Invest Dermatol. 1976;66(4):210–7.

    Article  CAS  PubMed  Google Scholar 

  125. Bos JD. Huid en afweer, inaugural oration. Int Rev Cytol. 1991. Amsterdam, Bohn, Stafleu, van Loghum.

    Google Scholar 

  126. ten Tusscher GW, Leijs MM, Olie K, Ilsen A, Vulsma T, Koppe JG. Findings on prenatal, lactational and later childhood exposure to dioxins and dioxin-like compounds: a review of the Amsterdam-Zaandam cohort 1987–2005. AIMS Environ Sci. 2015;2(1):1–20.

    Article  CAS  Google Scholar 

  127. Serdar B, Leblanc WG, Norris JM, Dickinson LM. Potential effects of polychlorinated biphenyls (PCBs) and selected organochlorine pesticides (OCPs) on immune cells and blood chemistry measures: a cross-sectional assessment of the NHANES 2003–2004 data. Environ Health. 2014;13:114.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  128. Boule LA, Winans B, Lawrence BP. Effects of developmental activation of the AhR on CD4 + T-cell responses to influenza virus infection in adult mice. Environ Health Perspect. 2014;122:1201–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  129. Geusau A, Khorchide M, Mildner M, Pammer J, Eckhart L, Tschachler E. 2,3,7,8-Tetrachlorodibenzo-p-dioxin impairs differentiation of normal human epidermal keratinocytes in a skin equivalent model. J Invest Dermatol. 2005;124(1):275–7.

    Article  CAS  PubMed  Google Scholar 

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Leijs, M.M., Koppe, J.G., Kraus, T., Baron, J.M., Merk, H.F. (2018). POPs and Skin. In: Krutmann, J., Merk, H. (eds) Environment and Skin. Springer, Cham. https://doi.org/10.1007/978-3-319-43102-4_10

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