Saratov JOURNAL of Medical and Scientific Research

Modern child skin care products as a basic treatment in atopic dermatitis

Year: 2016, volume 12 Issue: №3 Pages: 487-489
Heading: Dermatovenerology Article type: Author's opinion
Authors: Shchegelskaya T.Yu.
Organization: Science and Technology Complex "Avanta" (Krasnodar, Russia)

The aim of the proposed study is to demonstrate the benefits of using specialized cosmetic products as part of basic skin care for children with Atopic Dermatitis (AD). The epidermal barrier dysfunction is known to be the leading factor in pathogenesis of atopic dermatitis and it manifests as dry skin, imbalance in the composition of lipids of the stratum corneum and water-lipid mantle and alterations in the activity of proteases. Due to xerosis, the skin gets easily affected by allergens, irritants and pathogenic microorganisms, which triggers the "itch-scratch" cycle and can lead to AD exacerbation and significantly deteriorate the quality of life of the patient. The basic skin care using the moisturizing and soothing cosmetic products (emollients) is acknowledged by all major Guidelines for treatment of AD as an important part of therapy. Significant improvements in skin status as well as the child's well-being can be achieved with use of this simple to understand skin care algorithm that includes proper skin cleansing, moisturizing and itch prevention.

1. Akdis С, Akdis M, Bieber T, et al. Diagnosis and treatment of atopic dermatitis in children and adults / European Academy of Allergology and Clinical Immunology; American Academy of Allergy, Asthma and Immunology/PRACTALL Consensus Report. Allergy 2006; 61 (8): 969-987
2. Ring J, Alomar A, Bieber T, et al. Guidelines for treatment of atopic eczema (atopic dermatitis). Part I. Journal of the European Academy of Dermatology and Venereology 2012; 26 (8): 1045-1060
3. Cork MJ, Danby SG, Vasilopoulos Y, et al. Epidermal barrier dysfunction in atopic dermatitis. Journal of Investigative Dermatology 2009; 129 (8): 1892-1908
4. Smeden J van, Bouwstra J. Stratum Corneum Lipids: Their Role for the Skin Barrier Function in Healthy Subjects and Atopic Dermatitis Patients. In: Skin Barrier Function. Basel: Karger Publishers, 2016; p. 8-26
5. Levin J, Friedlander SF, Del Rosso JQ. Atopic Dermatitis and the Stratum Corneum. Part 2: Other Structural and Functional Characteristics of the Stratum Corneum Barrier in Atopic Skin. The Journal of Clinical and Aesthetic Dermatology 2013; 6 (11): 49-54
6. Ishikawa J, Narita H, Kondo N, et al. Changes in the ceramide profile of atopic dermatitis patients. Journal of Investigative Dermatology 2010; 130 (10): 2511-2514
7. Williams MR, Gallo RL. The role of the skin microbiome in atopic dermatitis. Current Allergy and Asthma Reports 2015; 15 (11): 1-10
8. Callen J, Chamlin S, Eichenfield LF, et al. A systematic review of the safety of topical therapies for atopic dermatitis. British Journal of Dermatology 2007; 156 (2): 203-221
9. Kravcheya SS, Igonina IA, BakulevAL. Combined external therapy of atopic dermatitis/ Klinicheskaya dermatologiya i venerologiya 2011; (1): 41-44
10. Bronkhorst Е, Schellack N. Effects of childhood atopic eczema on the quality of life. Current Allergy & Clinical Immunology 2016; 29 (1): 18-22
11. Metz M, Wahn U, Gieler U, et al. Chronic pruritus associated with dermatologic disease in infancy and childhood: update from an interdisciplinary group of dermatologists and pediatricians. Pediatric Allergy and Immunology 2013; 24 (6): 527-539
12. Blume-Peytavi U, Cork MJ, Faergemann J, et al. Bathing and cleansing in newborns from day 1 to first year of life: recommendations from a European round table meeting. Journal of the European Academy of Dermatology and Venereology 2009; 23 (7): 751-759
13. Catherine Mack Correa M, Nebus J. Management of patients with atopic dermatitis: the role of emollient therapy. Dermatology Research and Practice 2012; DOI:10.1155/2012/836931
14. CorkMJ, Britton J, Butler L, et al. Comparison of parent knowledge, therapy utilization and severity of atopic eczema before and after explanation and demonstration of topical therapies by a specialist dermatology nurse. British Journal of Dermatology 2003; 149 (3): 582-589
15. Lindh JD, Bradley M. Clinical Effectiveness of moisturizers in atopic dermatitis and related disorders: a systematic review. American Journal of Clinical Dermatology 2015; 16 (5): 341-359
16. Giam YC, Hebert AA, Dizon MV, et al. A review on the role of moisturizers for atopic dermatitis. Asia Pacific Allergy 2016; 6 (2): 120-129
17. Tlish MM, Gluzmin Ml, Kartashevskaya Ml, Psavok FA. Atopic dermatitis in children: prospects of using innovation products as an external therapy. VestnikDermatologiii Venerologii 2016; (2): 96-102.

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