Volume 2024, Issue 1 3542876
Research Article
Open Access

Serum Neurofilament Light Chain Levels Correlate With Skin Inflammation and Scratch Lesions in Patients With Pruritus

Simon M. Mueller

Corresponding Author

Simon M. Mueller

Department of Dermatology , University Hospital Basel , University of Basel , Basel , Switzerland , unibas.ch

Search for more papers by this author
Jie Zhu

Jie Zhu

Department of Dermatology , University Hospital Basel , University of Basel , Basel , Switzerland , unibas.ch

Search for more papers by this author
Oliver Brandt

Oliver Brandt

Department of Dermatology , University Hospital Basel , University of Basel , Basel , Switzerland , unibas.ch

Search for more papers by this author
Alexander A. Navarini

Alexander A. Navarini

Department of Dermatology , University Hospital Basel , University of Basel , Basel , Switzerland , unibas.ch

Search for more papers by this author
Oezguer Yaldizli

Oezguer Yaldizli

Neurologic Clinic and Policlinic , MS Center and Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB) , University Hospital Basel , University of Basel , Basel , Switzerland , unibas.ch

Search for more papers by this author
Athina Papadopoulou

Athina Papadopoulou

Neurologic Clinic and Policlinic , MS Center and Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB) , University Hospital Basel , University of Basel , Basel , Switzerland , unibas.ch

Search for more papers by this author
Jens Kuhle

Jens Kuhle

Neurologic Clinic and Policlinic , MS Center and Research Center for Clinical Neuroimmunology and Neuroscience Basel (RC2NB) , University Hospital Basel , University of Basel , Basel , Switzerland , unibas.ch

Search for more papers by this author
First published: 13 October 2024
Academic Editor: Piotr Krajewski

Abstract

Background: Neurofilament light chain (NfL) has been identified as a biomarker in neuroaxonal injury. Cutaneous nerve injury resulting from inflammation and/or forced scratching may also potentially affect serum NfL (sNfL) levels.

Objectives: We aimed to explore the relationship between sNfL levels and the severity of skin inflammation and scratch lesions in patients with pruritus.

Methods: In this cross-sectional pilot study, we measured the sNfL levels of 10 patients with pruritus of different aetiologies, and calculated age- and BMI-adjusted sNfL percentiles based on a normative database consisting of 4532 control individuals. Next, we investigated the relationship between the levels of sNfL and the severity of skin inflammation and scratching injuries in these patients using a newly-created Skin Inflammation and Scratch Lesions (SISL) score.

Results: A positive correlation was observed between sNfL levels and the severity of skin inflammation and scratch lesions as measured by the SISL score (Spearman’s rho = 0.70, p = 0.031). When correlated separately, both the “skin inflammation only” and “scratch lesions only” scores correlated positively with sNfL levels (Spearman’s rho = 0.68, p = 0.031; Spearman’s rho = 0.66, p = 0.041, respectively).

Conclusions: sNfL may be a potential biomarker for cutaneous nerve injury associated with skin inflammation and/or scratching.

Conflicts of Interest

The authors declare no conflicts of interest.

Data Availability Statement

The data are available from the corresponding author upon reasonable request.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.