Deleuran Mette, Georgescu Victor, Jean-Decoster Catherine
Department of Dermatology, Aarhus University Hospital, Aarhus, Denmark.
Laboratoires Dermatologiques Avène, Pierre Fabre Dermo-Cosmétique, Lavaur, France.
Dermatol Ther (Heidelb). 2020 Oct;10(5):1013-1029. doi: 10.1007/s13555-020-00415-6. Epub 2020 Jul 14.
Xerosis and pruritus are common manifestations of numerous dermatologic and systemic diseases. We evaluated the effectiveness of an emollient containing an Aquaphilus dolomiae extract (ADE-G1) for the management of pruritus and xerosis in patients of all age with a range of dermatologic and systemic diseases.
This open-label, real-world study involved 5910 patients from 33 European, South American, Asian, and North and South African countries, who applied the product for 7 days twice daily to the face and body after the skin had been cleansed and dried. The physician assessed xerosis severity and patients assessed pruritus severity, the duration of itch, sleep quality, and the impact of their skin disease on their quality of life, using scales derived from the SCORing Atopic Dermatitis (SCORAD) index and questionnaires, at inclusion and after 7 days of use.
The 7-day care regimen resulted in 56% and 60% reductions in xerosis and pruritus severity, respectively, regardless of the underlying pathology (p < 0.0001), with the largest decreases observed for patients with ichthyosis for xerosis and for patients post scabies treatment for pruritus. The mean sleep disturbance and mean total Dermatology Life Quality Index (DLQI) scores were also reduced by 58% and 60% (p < 0.0001), respectively. The emollient was effective whether the product was used alone or in combination with topical or systemic treatments and was well tolerated.
Our study shows that the 7-day regimen with the emollient was a universally effective treatment for pruritus and xerosis, regardless of the underlying pathology.
皮肤干燥和瘙痒是多种皮肤病和全身性疾病的常见表现。我们评估了一种含有嗜水白云石提取物(ADE-G1)的润肤剂对患有一系列皮肤病和全身性疾病的各年龄段患者的瘙痒和皮肤干燥的治疗效果。
这项开放标签的真实世界研究纳入了来自欧洲、南美、亚洲以及南非和北非33个国家的5910名患者,他们在清洁并擦干皮肤后,每天两次将该产品涂抹于面部和身体,持续7天。在纳入研究时以及使用7天后,医生使用源自特应性皮炎评分(SCORAD)指数的量表评估皮肤干燥的严重程度,患者评估瘙痒的严重程度、瘙痒持续时间、睡眠质量以及皮肤病对其生活质量的影响。
无论潜在病因如何,7天的护理方案分别使皮肤干燥和瘙痒严重程度降低了56%和60%(p<0.0001),其中鱼鳞病患者的皮肤干燥程度下降最为明显,疥疮治疗后的患者瘙痒程度下降最为明显。平均睡眠障碍和平均皮肤病生活质量指数(DLQI)总分也分别降低了58%和60%(p<0.0001)。无论该产品是单独使用还是与局部或全身治疗联合使用,润肤剂均有效,且耐受性良好。
我们的研究表明,无论潜在病因如何,使用该润肤剂进行7天的治疗方案对瘙痒和皮肤干燥具有普遍有效的治疗作用。