{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:46:30Z","timestamp":1791938790848,"version":"4.3.4"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2006,1,24]],"date-time":"2006-01-24T00:00:00Z","timestamp":1138060800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Photoderm Photoimm Photomed"],"published-print":{"date-parts":[[2006,2]]},"abstract":"<jats:p><jats:bold>Background: <\/jats:bold> The technique of grading the surface topography of sun\u2010exposed skin using silicone impressions of the skin surface is a simple, non\u2010invasive method for measuring skin damage because of sun exposure, but it has never been validated in a community setting.<\/jats:p><jats:p><jats:bold>Objective: <\/jats:bold> To investigate the repeatability and validity of using standardly\u2010graded skin impressions as a means of assessing skin photoaging.<\/jats:p><jats:p><jats:bold>Patients\/Methods: <\/jats:bold> A random sample of 195 adults aged 18\u201379 years and living in Nambour, Australia (latitude, 26\u00b0 South) had a silicone impression taken of the back of the left hand and a 2\u2003mm punch biopsy of the skin at the same site. Silicone impressions were graded twice independently and histological photoaging was determined by two pathologists.<\/jats:p><jats:p><jats:bold>Results: <\/jats:bold> Grading of silicone impressions of skin surface topography was highly repeatable (weighted \u03ba&gt;0.8). Compared with those with low skin impression grades (least degeneration), people with high grades were three times more likely to show a high degree of dermal elastosis on skin histology (odds ratio 3.1, 95% confidence interval 1.6, 5.7) after adjusting for age, sex, skin colour, tanning ability, occupational exposure, smoking and height\u2010adjusted weight. Other photoaging changes in the stratum corneum and dermis were also strongly correlated with high grades of damage on skin impressions.<\/jats:p><jats:p><jats:bold>Conclusion: <\/jats:bold> Grading silicone impressions of skin surface topography is a highly reliable and a valid measure of photoaging and enables prediction of dermal elastosis in a population setting.<\/jats:p>","DOI":"10.1111\/j.1600-0781.2006.00194.x","type":"journal-article","created":{"date-parts":[[2006,1,24]],"date-time":"2006-01-24T13:21:53Z","timestamp":1138108913000},"page":"39-45","source":"Crossref","is-referenced-by-count":37,"title":["Skin surface topography grading is a valid measure of skin photoaging"],"prefix":"10.1111","volume":"22","author":[{"given":"Diana","family":"Battistutta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirmala","family":"Pandeya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey M.","family":"Strutton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anny","family":"Fourtanier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvie","family":"Tison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ad\u00e8le C.","family":"Green","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,1,24]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.1996.d01-1088.x"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1984.tb07458.x"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1991.tb93845.x"},{"key":"e_1_2_6_5_2","first-page":"1903","article-title":"Evaluation of skin microtopography as a measure of ultraviolet exposure","volume":"33","author":"Seddon JM","year":"1992","journal-title":"Invest Ophthalmol Vis Sci"},{"key":"e_1_2_6_6_2","first-page":"164","article-title":"Noninvasive measurement of the effect of lifetime exposure to the sun on the aged skin","volume":"10","author":"Richard S","year":"1994","journal-title":"Photodermatol Photoimmunol Photomed"},{"key":"e_1_2_6_7_2","volume-title":"Changes in skin condition in relation to degree of exposure to ultraviolet light","author":"Beagly J","year":"1980"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/24.1.150"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199711133372011"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.2002.04991.x"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4362.1988.tb02363.x"},{"key":"e_1_2_6_12_2","first-page":"23","volume-title":"Malignant skin tumours","author":"Groves G.","year":"1991"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4684-8312-3_8"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4684-8312-3_1"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0781.1996.tb00178.x"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/1523-1747.ep12532763"},{"key":"e_1_2_6_17_2","first-page":"723","article-title":"Daily sunscreen application and betacarotene supplementation in prevention of basal\u2010cell and squamous\u2010cell carcinomas of the skin","volume":"354","author":"Green A","year":"1999","journal-title":"a randomised controlled trial"},{"key":"e_1_2_6_18_2","first-page":"99","article-title":"Influence of age and sun exposure on the biophysical properties of the human skin","volume":"9","author":"Adhoute H","year":"1992","journal-title":"an in vivo study"},{"key":"e_1_2_6_19_2","volume-title":"Nutritional epidemiology","author":"Willet W.","year":"1990"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0690(05)70093-8"},{"key":"e_1_2_6_21_2","first-page":"371","article-title":"Skin aging and menopause","volume":"4","author":"Raine\u2010Fenning NJ","year":"2003","journal-title":"implications for treatment"},{"key":"e_1_2_6_22_2","first-page":"398","article-title":"Intrinsic aging vs. photoaging","volume":"11","author":"El\u2010Domyati M","year":"2002","journal-title":"a comparative histopathological, immunohistochemical, and ultrastructural study of skin"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(89)70276-0"}],"container-title":["Photodermatology, Photoimmunology &amp; 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