Measurement and interpretation of sebum production and excretion
It is important to note that there are three components relating to functional measurements of sebaceous gland activity . The first is the rate of synthesis of sebum, referred to as sebum production; the second component is its delivery through the pilosebaceous duct - the follicular reservoir - and, the third, the excretion of sebum onto the skin surface, technically called sebum excretion. Methods are now available to measure these three interrelated functions.
Note that the term 'casual level' refers to a random collection of lipid from the skin surface without any prior preparation of the skin. This is a measure of the sebum excretion and the lipid which has accumulated since the skin was last washed. Casual level techniques are no longer recommended for in-depth physiological studies of the sebaceous system. All techniques for measuring either sebum excretion or sebum production require some preliminary preparation of skin to remove the casual lipid remaining on the skin from when the skin was last touched or washed. Such techniques include the use of absorbent papers or wiping of the skin surface with gauze soaked in an organic solvent such as ether or hexane. This latter technique may also remove some of the sebum from the storage/delivery area, i.e. from the upper part of the pilosebaceous duct.
Histological techniques have been widely used to assess the function of the sebaceous gland but other techniques are preferred. The size of glands are analysed either by planimetry or by using a computerassisted device such as the Magiscan. More recently, Simpson et al have used individual sections of sebaceous glands and, by incubating them with radiolabelled precursors, have been able to relate the metabolism of hormones with size of the glands. This technique will be discussed.