Are baths desirable in atopic dermatitis?

Sarre, M.E.; Martin, Ludovic; Moote, William; Mazza, Jorge; Annweiler, Cédric

doi:10.1111/jdv.12946

Cited by 10 publications

(9 citation statements)

References 66 publications

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“…Bathing practices vary among different clinical settings according to policies, experience, belief, tradition, aptitude (capability), attitude, habit, education levels, gender, and age differences. 14,15,27,28 Immersion tub bathing has greater constraints than showering. It can be time consuming and difficult to implement in developing countries, especially in rural areas.…”

Section: Discussionmentioning

confidence: 99%

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Skin hydration and transepidermal water loss after bathing compared between immersion and showering

Nitiyarom

Anuntarumporn

Wisuthsarewong

2021

Skin Research and Technology

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The skin is the largest organ of the human body. It provides several defensive and regulatory functions between the external environment and the internal tissues, including prevention of infection, maintenance of water content level, and reduced penetration of allergens and irritants. 1 The most important function of the skin is providing an effective physical barrier, which consists almost entirely of the epidermis, particularly its superficial layer -the stratum corneum (SC). 1 The SC serves as the principal barrier against the percutaneous penetration of chemicals and microbes. It is involved in the regulation of water release from the SC into the atmosphere, which is known as transepidermal water loss (TEWL). 1 The biophysical parameters of the skin, such as hydration, TEWL, skin surface pH, and elasticity, are all reflections of skin function. 2 Epidermal hydration or SC water content is assessed by measuring the electrical capacitance of the skin with a Corneometer ™ . 3 TEWL is considered to be one of the most relevant markers for measuring skin barrier function. [4][5][6][7]

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Section: Discussionmentioning

confidence: 99%

“…It can be time consuming and difficult to implement in developing countries, especially in rural areas. 28 Most infants and young children would rather sit and play in a bathtub than standing in the shower. In contrast, it is likely that younger adults would rather shower.…”

Section: Discussionmentioning

confidence: 99%

Skin hydration and transepidermal water loss after bathing compared between immersion and showering

Nitiyarom

Anuntarumporn

Wisuthsarewong

2021

Skin Research and Technology

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“…travel distance to the treatment centre). During discussions, experts agreed that balneotherapy (baths including potassium permanganate and bleach baths) would be an appropriate treatment for patients with moderate-to-severe AD with recurrent infections (case 4), but it was emphasized that the evidence level is poor (26,27). Systemic therapy (Table V).…”

Section: Discussionmentioning

confidence: 99%

Clinical Management of Atopic Dermatitis in Adults: Mapping of Expert Opinion in 4 Nordic Countries using a Modified Delphi Process

Thyssen¹,

Berents²,

Bradley³

et al. 2020

Acta Derm Venerol

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Atopic dermatitis is a disease associated with various skin complaints. There is currently no consensus on the diagnosis and treatment of atopic dermatitis in the Nordic region. We therefore gathered 15 Nordic dermatologists to discuss patient education, diagnosis and treatment of atopic dermatitis. Patient education was identified as essential for effective management of atopic dermatitis, and treatment with moderate-to-potent topical glucocorticosteroids and emollients, followed by systemic treatment, was recommended. This article provides insights into the challenges associated with effective management of atopic dermatitis across the Nordic region and provides recommendations for optimal patient care. Similarities and differences in the everyday clinical management of moderate-to-severe atopic dermatitis in Nordic countries are unknown. Using a modified Delphi approach, 15 dermatologists from Denmark, Finland, Norway and Sweden completed face-to-face and online questionnaires and participated in summary discussions to map expert opinion on the clinical management of moderate-to-severe atopic dermatitis in these Nordic countries. Through discussions, 6 adult patient profiles, reflecting common disease presentations of atopic dermatitis, were identified. Using these case profiles, diagnostic work-up, treatment goals, patient education and treatment approaches were discussed. Patient education was identified as essential for effective management. A treatment sequence of moderateto-potent topical glucocorticosteroids and emollients, followed by systemic treatment, was recommended, allowing 3 months to ascertain systemic treatment response before switching, if necessary. Consensus was not reached on systemic treatment choice, reflecting differences in clinical practice and reimbursement between countries. Practical, case-based clinical recommendations were developed for optimal patient care.

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“…The only parental issue that we observed in terms of behavior was that they did not let their child with AD swim in the pool. It has been suggested that swimming in pools and exposure to hard water trigger the onset of AD in atopic children because of chlorine oxidants, as bathing or bathing frequency with regular tap water seem to affect skin changes in AD …”

Section: Discussionmentioning

confidence: 99%

Parental knowledge, attitude, and behavior toward children with atopic dermatitis

et al. 2017

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Are baths desirable in atopic dermatitis?

Abstract: We found no evidence of an effect of 1-month tap water bathing on skin changes in AD. Only 29 percent of AD patients were favourable to baths. Use of baths in AD should be decided together with the patient.

Cited by 10 publications

References 66 publications

Skin hydration and transepidermal water loss after bathing compared between immersion and showering

Skin hydration and transepidermal water loss after bathing compared between immersion and showering

Clinical Management of Atopic Dermatitis in Adults: Mapping of Expert Opinion in 4 Nordic Countries using a Modified Delphi Process

Parental knowledge, attitude, and behavior toward children with atopic dermatitis

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