Evidence map›Paper›PMID 34077579›Full record

ReviewJournal of the European Academy of Dermatology and Venereology : JEADV2021

Adult skin acute stress responses to short-term environmental and internal aggression from exposome factors.

T Passeron, C C Zouboulis, J Tan, M L Andersen, R Katta, X Lyu, L Aguilar, D Kerob, A Morita, J Krutmann and 1 more

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of the European Academy of Dermatology and Venereology : JEADV, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
13.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Exposome Risk Factors for Vitiligo: A Systematic Evidence Review.American journal of clinical dermatology · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. In Vitro Anti-Aging Properties of aMolecules (Basel, Switzerland) · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Sleep Disturbances and Acne: A Comprehensive Review.Dermatology practical & conceptual · 2025
    Review
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 11 institutions in 7 countries.

T PasseronDepartment of Dermatology, University Hospital Centre Nice, Côte d'Azur University, Nice, France.ORCID https://orcid.org/0000-0002-0797-6570
C C ZouboulisDepartments of Dermatology, Venereology, Allergology and Immunology, Dessau Medical Center, Brandenburg Medical School Theodor Fontane and Faculty of Health Sciences Brandenburg, Dessau, Germany.ORCID https://orcid.org/0000-0003-1646-2608
J TanWindsor Clinical Research Inc., Windsor, ON, Canada.
M L AndersenDepartment of Psychobiology, Universidade Federal de São Paulo (UNIFESP)/Escola Paulista de Medicina, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-1894-6748
R KattaVolunteer Clinical Faculty, Baylor College of Medicine, Houston, Texas, USA.
X LyuDepartment of Dermatology, Anzhen Hospital, Capital Medical University, Beijing, China.
L AguilarL'Oréal Advanced Research, Aulnay-sous-bois, France.
D KerobLaboratoires Vichy, Levallois Perret, France.
A MoritaDepartment of Geriatric and Environmental Dermatology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
J KrutmannIUF Leibniz Research Institute for Environmental Medicine, Dusseldorf, Germany.ORCID https://orcid.org/0000-0001-8433-1517
E M J PetersDepartment of Psychosomatic Medicine and Psychotherapy, Justus-Liebig University, Gießen, Germany.ORCID https://orcid.org/0000-0003-2423-527X
Baylor College of Medicine · USCapital Medical University · CNInserm · FRInstitut Européen De La Qualité Totale · FRJustus-Liebig-Universität Gießen · DELeibniz Institute of Environmental Medicine · DEL'Oréal (France) · FRMedizinische Hochschule Brandenburg Theodor Fontane · DENagoya City University · JPUniversidade Federal de São Paulo · BRWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exposome factors that lead to stressed skin can be defined as any disturbance to homeostasis from environmental (meteorological factors, solar radiation, pollution or tobacco smoke) and/or internal exposure (unhealthy diet, hormonal variations, lack of sleep, psychosocial stress). The clinical and biological impact of chronic exposome effects on skin functions has been extensively reviewed, whereas there is a paucity of information on the impact of short-term acute exposure. Acute stress, which would typically last minutes to hours (and generally no more than a week), provokes a transient but robust neuroendocrine-immune and tissue remodelling response in the skin and can alter the skin barrier. Firstly, we provide an overview of the biological effects of various acute stressors on six key skin functions, namely the skin physical barrier, pigmentation, defences (antioxidant, immune cell-mediated, microbial and microbiome maintenance), structure (extracellular matrix and appendages), neuroendocrine and thermoregulation functions. Secondly, we describe the biological and clinical effects on adult skin from individual exposome factors that elicit an acute stress response and their consequences in skin health maintenance. Clinical manifestations of acutely stressed skin may include dry skin that might accentuate fine lines, oily skin, sensitive skin, pruritus, erythema, pale skin, sweating, oedema and flares of inflammatory skin conditions such as acne, rosacea, atopic dermatitis, pigmentation disorders and skin superinfection such as viral reactivation. Acute stresses can also induce scalp sensitivity, telogen effluvium and worsen alopecia.

Indexed as

Dermatitis, AtopicExposomeAdultAggressionEnvironmental ExposureHumansSkin

Identifiers

PMID34077579
PMCPMC8519049
OpenAlexW3165311349

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.