de Lucas Raúl, García-Millán Cristina, Pérez-Davó Azahara, Moreno Esther, Redondo Pedro
Department of Dermatology, Hospital Universitario La Paz, 28046 Madrid, Spain.
Dermatology Group Pedro Jaén, 28002 Madrid, Spain.
Children (Basel). 2019 Jan 29;6(2):17. doi: 10.3390/children6020017.
Atopic dermatitis (AD) is a chronic cutaneous inflammatory disorder, characterized by skin barrier disruption. Dermacare is a new cosmetic formulation, which enhances moisturization, reinforces and repairs the skin barrier, and prevents cutaneous microbiota imbalance. To demonstrate its safety and efficacy, a prospective, open-label, and multicenter study was carried out on patients diagnosed with mild to moderate AD. Transepidermal water loss (TEWL), clinical severity, Desquamation Index, Patient/Investigator Global Assessments, quality of life index, and tolerance were assessed. Adverse events were recorded. Daily application of the new treatment was well tolerated, and adverse events were absent. After 14 days, TEWL showed a 36.7% significant decrease ( = 0.035). At the end of the 28-day treatment, the Desquamation Index showed a reduction in 70% of patients; Eczema Area and Severity Index were reduced by 70.4% ( = 0.002); and skin irritation showed a significant reduction ( = 0.024). Likewise, Patient and Investigator Global Assessments reported a significant improvement in conditions and an overall global worsening when patients restarted their normal treatment. Parent's Index of Quality of Life Index significantly increased by 36.4% ( < 0.05) with Dermacare. In conclusion, a regular use of this new formulation can reduce the risk of relapse and extend the steroid-free treatment periods.
特应性皮炎(AD)是一种慢性皮肤炎症性疾病,其特征为皮肤屏障破坏。Dermacare是一种新型化妆品配方,可增强保湿效果、强化和修复皮肤屏障,并防止皮肤微生物群失衡。为证明其安全性和有效性,对诊断为轻度至中度AD的患者进行了一项前瞻性、开放标签的多中心研究。评估了经表皮水分流失(TEWL)、临床严重程度、脱屑指数、患者/研究者整体评估、生活质量指数和耐受性。记录了不良事件。每日应用这种新疗法耐受性良好,且未出现不良事件。14天后,TEWL显著下降了36.7%(P = 0.035)。在28天治疗结束时,70%的患者脱屑指数降低;湿疹面积和严重程度指数降低了70.4%(P = 0.002);皮肤刺激显著减轻(P = 0.024)。同样,患者和研究者整体评估报告称病情有显著改善,且当患者重新开始常规治疗时总体情况明显恶化。使用Dermacare后,父母生活质量指数显著提高了36.4%(P < 0.05)。总之,定期使用这种新配方可降低复发风险并延长无类固醇治疗期。