Characteristics and pathogenesis of Koebner phenomenon

The Koebner phenomenon, also known as isomorphic reaction, refers to the development of secondary lesions with the same clinical manifestations and histopathological characteristics as the primary lesions in normal skin after trauma or other stimuli. The triggering factors of Koebner phenomenon incl...

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Published inExperimental dermatology Vol. 32; no. 4; pp. 310 - 323
Main Authors Zhang, Xiaolin, Lei, Li, Jiang, Ling, Fu, Chuhan, Huang, Jinhua, Hu, Yibo, Zhu, Lu, Zhang, Fan, Chen, Jing, Zeng, Qinghai
Format Journal Article
LanguageEnglish
Published Denmark Wiley Subscription Services, Inc 01.04.2023
Subjects
Autoimmunity
Dermatitis
Elbow
Humans
Joint diseases
Keratinocytes
Koebner phenomenon
Lesions
Lichen Planus
Mechanical stimuli
mechano‐transduction
Oxidative stress
Pathogenesis
Phenotypes
Psoriasis
Psoriasis - pathology
Signal transduction
Skin diseases
Trauma
Vitiligo
Vitiligo - complications
vitiligo
Koebner phenomenon
mechano-transduction
lichen planus
psoriasis
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Abstract The Koebner phenomenon, also known as isomorphic reaction, refers to the development of secondary lesions with the same clinical manifestations and histopathological characteristics as the primary lesions in normal skin after trauma or other stimuli. The triggering factors of Koebner phenomenon include physical trauma, chemical stimulation, mechanical stress, iatrogenic stimulation and pathogenic infection. Vitiligo, psoriasis and lichen planus are considered true Koebner phenomenon. Recent studies have shown that immunological disorders, oxidative stress, defective melanocyte adhesion and growth factor deficiency are the main pathological mechanisms of vitiligo Koebner phenomenon. In psoriasis, triggers may drive skin inflammation to induce a psoriatic phenotype through multiple signalling pathways and thereby cause Koebner phenomenon in susceptible individuals. Significantly, keratinocytes mediate the occurrence of Koebner phenomenon in psoriasis through mechano‐induced signalling pathways after sensing mechanical signals and explains the high frequency of psoriasis lesions on the extensor side of the elbow and knee joints. On the contrary, TRPA1‐driven mechano‐transduction, autoimmunity and actinic damage are the underlying mechanisms of Koebner phenomenon in lichen planus. In this review, we have summarized the current understanding of the characteristics and pathogenesis of Koebner phenomenon.
AbstractList The Koebner phenomenon, also known as isomorphic reaction, refers to the development of secondary lesions with the same clinical manifestations and histopathological characteristics as the primary lesions in normal skin after trauma or other stimuli. The triggering factors of Koebner phenomenon include physical trauma, chemical stimulation, mechanical stress, iatrogenic stimulation and pathogenic infection. Vitiligo, psoriasis and lichen planus are considered true Koebner phenomenon. Recent studies have shown that immunological disorders, oxidative stress, defective melanocyte adhesion and growth factor deficiency are the main pathological mechanisms of vitiligo Koebner phenomenon. In psoriasis, triggers may drive skin inflammation to induce a psoriatic phenotype through multiple signalling pathways and thereby cause Koebner phenomenon in susceptible individuals. Significantly, keratinocytes mediate the occurrence of Koebner phenomenon in psoriasis through mechano‐induced signalling pathways after sensing mechanical signals and explains the high frequency of psoriasis lesions on the extensor side of the elbow and knee joints. On the contrary, TRPA1‐driven mechano‐transduction, autoimmunity and actinic damage are the underlying mechanisms of Koebner phenomenon in lichen planus. In this review, we have summarized the current understanding of the characteristics and pathogenesis of Koebner phenomenon.
The Koebner phenomenon, also known as isomorphic reaction, refers to the development of secondary lesions with the same clinical manifestations and histopathological characteristics as the primary lesions in normal skin after trauma or other stimuli. The triggering factors of Koebner phenomenon include physical trauma, chemical stimulation, mechanical stress, iatrogenic stimulation and pathogenic infection. Vitiligo, psoriasis and lichen planus are considered true Koebner phenomenon. Recent studies have shown that immunological disorders, oxidative stress, defective melanocyte adhesion and growth factor deficiency are the main pathological mechanisms of vitiligo Koebner phenomenon. In psoriasis, triggers may drive skin inflammation to induce a psoriatic phenotype through multiple signalling pathways and thereby cause Koebner phenomenon in susceptible individuals. Significantly, keratinocytes mediate the occurrence of Koebner phenomenon in psoriasis through mechano-induced signalling pathways after sensing mechanical signals and explains the high frequency of psoriasis lesions on the extensor side of the elbow and knee joints. On the contrary, TRPA1-driven mechano-transduction, autoimmunity and actinic damage are the underlying mechanisms of Koebner phenomenon in lichen planus. In this review, we have summarized the current understanding of the characteristics and pathogenesis of Koebner phenomenon.The Koebner phenomenon, also known as isomorphic reaction, refers to the development of secondary lesions with the same clinical manifestations and histopathological characteristics as the primary lesions in normal skin after trauma or other stimuli. The triggering factors of Koebner phenomenon include physical trauma, chemical stimulation, mechanical stress, iatrogenic stimulation and pathogenic infection. Vitiligo, psoriasis and lichen planus are considered true Koebner phenomenon. Recent studies have shown that immunological disorders, oxidative stress, defective melanocyte adhesion and growth factor deficiency are the main pathological mechanisms of vitiligo Koebner phenomenon. In psoriasis, triggers may drive skin inflammation to induce a psoriatic phenotype through multiple signalling pathways and thereby cause Koebner phenomenon in susceptible individuals. Significantly, keratinocytes mediate the occurrence of Koebner phenomenon in psoriasis through mechano-induced signalling pathways after sensing mechanical signals and explains the high frequency of psoriasis lesions on the extensor side of the elbow and knee joints. On the contrary, TRPA1-driven mechano-transduction, autoimmunity and actinic damage are the underlying mechanisms of Koebner phenomenon in lichen planus. In this review, we have summarized the current understanding of the characteristics and pathogenesis of Koebner phenomenon.
Author Huang, Jinhua
Hu, Yibo
Fu, Chuhan
Zeng, Qinghai
Zhu, Lu
Zhang, Xiaolin
Jiang, Ling
Lei, Li
Zhang, Fan
Chen, Jing
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  surname: Zeng
  fullname: Zeng, Qinghai
  email: zengqinghai@csu.edu.cn
  organization: Third Xiangya Hospital, Central South University
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Keywords vitiligo
Koebner phenomenon
mechano-transduction
lichen planus
psoriasis
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2019; 5
2010; 207
2020; 40
2006; 55
2019; 32
2021; 149
2013; 185
2022; 86
1998; 138
2017; 377
2017; 137
2012; 32
2016; 14
2003; 32
2018; 26
2011; 9
2020; 30
1990; 29
2005; 124
2019; 46
2013; 72
2017; 56
2005; 4
2020; 156
2020; 21
2018; 93
2007; 87
2021; 60
2016; 26
2016; 22
2004; 122
2017; 8
2013; 26
2013; 25
2012; 167
2021; 22
2013; 22
2009; 160
2018; 126
2020; 59
2013; 202
2014; 170
2015; 106
2011; 17
2007; 32
2020; 8
2013; 19
2021; 35
2020; 6
2020; 5
2021; 34
2000; 201
2020; 50
1999; 16
2002; 46
1982; 21
2017; 35
2011; 20
2011; 24
2016; 81
2011; 25
2018; 77
2006; 126
2021; 41
2011; 29
2007; 24
2015; 1
2007; 127
2015; 19
2021; 88
2017; 26
2015; 95
2021; 103
2017; 27
2006; 11
2017; 21
2017; 23
2020; 183
2019; 146
2022; 47
2017; 29
1999; 8
2012; 78
2021; 13
2017; 97
2021; 12
2013; 38
2021; 11
2002; 20
2021
2013; 31
2011; 41
2010; 130
2019; 139
2008; 455
2009; 4
2003; 148
2012; 7
1990; 70
2008; 173
2008; 172
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Snippet The Koebner phenomenon, also known as isomorphic reaction, refers to the development of secondary lesions with the same clinical manifestations and...
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SubjectTerms Autoimmunity
Dermatitis
Elbow
Humans
Joint diseases
Keratinocytes
Koebner phenomenon
Lesions
Lichen Planus
Mechanical stimuli
mechano‐transduction
Oxidative stress
Pathogenesis
Phenotypes
Psoriasis
Psoriasis - pathology
Signal transduction
Skin diseases
Trauma
Vitiligo
Vitiligo - complications
Title Characteristics and pathogenesis of Koebner phenomenon
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fexd.14709
https://www.ncbi.nlm.nih.gov/pubmed/36394984
https://www.proquest.com/docview/2793411765
https://www.proquest.com/docview/2738193817
Volume 32
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