Background/aims: The hydration state of stratum corneum can be measured with different instruments. In the present study, five instruments were compared under different experimental in vitro conditions: Corneometer CM 820 and CM 825, Skicon 200, Nova DPM and DermaLab. Methods: A sorption‐desorption test, measurements on different filters and with liquids with different dielectric constants, measurement‐depth analysis and measurements on different agar plates were performed. Results: Good correlation between the values of the five instruments and μl (sorption test: varying from r= 0.8249 to r= 0.9635) and time (desorption test: correlation varying from r= 0.7615 to r=0.9909) could be demonstrated. A high Spearman correlation coefficient (r) could be proven for dielectric constant (dc)/CM 820 (r=0.9333), dc/CM 825 (r=0.9833) and dc/Nova DPM (r=0.9048). A lower correlation or no correlation was found for dc/DermaLab (r=0.8469; P=0.023) and dc/Skicon 200 (r=0.9000; P=0.083). Conclusions: For each of the five instruments, the electrical field of measurement can be assumed to cover the following depths: CM 820, between 30 and 45 μm; CM 825, around or less than 15 μm; Skicon 200, less than 15 μm; Nova DPM, between 45 and 60 μm; DermaLab, around or less than 15 nm.

Background/aims: The hydration state of stratum corneum can be measured with different instruments. In the present study, five instruments were compared under different experimental in vivo conditions: Corneometer CM 820 and CM 825 (both capacitance based), Skicon 200 (conductance), Nova DPM (impedance based capacitance) and DermaLab (capacitance). Methods: Seven anatomical sites were tested, a sorption‐de‐sorption test (SDT) and a moisture accumulation test (MAT) were performed. Different hydration states were created on the volar forearms by occluded application of an oil‐in‐water (o/w) emulsion, glycerol and urea containing oil‐in‐water (o/w) emulsion, an untreated control site and a site after lipid extraction with acetone. Measurements were performed 15 min after removal of occlusion. Results: The coefficient of variation for CM 820 ranged between 9.3% and 23.7%; for CM 825 between 14.9% and 36.8%; for Skicon 200 between 53.0% and 167.3%; for Nova DPM between 36.4% and 95.8%; for DermaLab between 23.6% and 45.6%. All devices showed a highly significant correlation (P<0.0001) with a high Spearman coefficient r ranging between 0.7928 and 0.9358. Conclusions: CM 820 and CM 825 seem to differentiate more precisely than Nova DPM, Skicon 200 and DermaLab in dry conditions according to previous findings, i.e., that conductance measurements might be more sensitive for hydrated skin and capacitance measurements might be more sensitive for dry skin conditions. The CM 825, the Skicon 200 and the Nova DPM are suitable for dynamic measurements of hydration parameters of the stratum corneum.

Physical irritants (friction, abrasive grains, occlusion) and detergents such as SLS represent a significant irritation risk and should be minimized, especially when acting together, as shown in our TRIT model.

Baker and confectioner apprentices have been included in a prospective follow-up study in the region of East Thuringia, to evaluate risk factors for the development of hand dermatitis. Starting in August 1996, the apprentices have been interviewed and examined in a standardized way right at the beginning (n=91) of their vocational training, 6 (n=79) and 12 months (n=63) later. To gain objective data, TEWL score was also assessed at 3 standardized sites on the hands. In their case histories, 3.3% (n=3) of the apprentices reported hand dermatitis. The 1st assessment after 2 to 4 weeks vocational training revealed hand eczema in 17.5% (n=16) of the individuals. At the follow-up after 6 months of training 29.1% (n=23), and after 12 month of training 27.0% (n=17), of the apprentices had hand dermatitis of mild to moderate severity. Within 6 months, the TEWL score rose significantly (p<0.001) from 11.9 g m(-2) h(-1) (-/+5.4) to 16.8 g m(-2) h(-1) (-/+9.5). After 12 months, the TEWL score was 14.9 g m(-2) h(-1) (-/+4.6). For the atopic skin diathesis (>10 points of Diepgen's atopy score), there was a significant tendency to be a predictive factor for the development of occupational hand dermatitis. TEWL score failed to correlate with the development of skin damage in our study. The same was true for respiratory atopy and metal sensitization.

Combined exposure to different irritants in the workplace may lead to irritant contact dermatitis, which is the main type of occupational dermatitis among bakers and confectioners. Following previous work on "tandem irritation", a panel of healthy volunteers was exposed twice daily for 4 days to the organic fruit acids: citric, malic, and lactic acid, either alone or in tandem application with 0.5% sodium lauryl sulphate (SLS) in a repetitive irritation test. Irritant cutaneous reactions were quantified by visual scoring and non-invasive measurement of transepidermal water loss and skin colour reflectance. Twice daily application of either citric or malic acid alone did not induce a significant irritant reaction. Combined exposure to one of the fruit acids and SLS caused marked barrier disturbance, but the latter irritant effect was smaller than that obtained by combined exposure to SLS and water. Thus, combined exposure to the above-mentioned fruit acids and SLS did not enhance cumulative skin irritation.