Moisturising (Moisturizing) Creams In Atopic Dermatitis (AD) (For Professionals)
Moisturising (Moisturizing) Creams In Atopic Dermatitis (AD) (For Professionals)
- Structure of the summary
1. Measuring their efficacy
2. Role of emollients
3. Where is the evidence ?
1. Measuring their efficacy or the importance of scoring system for physicians
- SCORAD
- Objective SCORAD
- 3 items criteria (more practical and easier to do in daily practice): based on erythema, oedema, excoriation
2. Role of emollients and 3. Where is the evidence ?
- emollients prevent infection, allergen penetration and restores the lipid epidermal barrier (cholesterol, ceramides). However there is no scientific evidence available !
- Emollients include creams, ointments and baths:
- Creams are better tolerated that ointments and compliance is better.
- Emollients are helpful and can be applied 3 to 6 times day (amazingly, no studies show the role of emollients !).
- Double pajamas keep the moisture and stockings covering the hands provide a physical barrier and stop excoriations from developing.
- Baths
- Bathe for 5 minutes in lukewarm water
- Add oils after 2 minutes
- But again for all this: no evidence !
Contributors:
Dr Christophe HSU – dermatologist. Geneva, Switzerland
Source of information: Oranje AP. Emollients for atopic eczema. 19th Congress of the European Academy of Dermatology and Venereology (EADV) – Gothenburg (Göteborg), Sweden (Sverige).
Category : atopic dermatitis - Modifie le 10.13.2010Category : dermatite atopique - Modifie le 10.13.2010Category : emolllients - Modifie le 10.13.2010Category : hydration de la peau - Modifie le 10.13.2010Category : skin moisturization - Modifie le 10.13.2010