Prakoeswa Cita Rosita Sigit, Anggraeni Sylvia, Umborowati Menul Ayu, Sari Maylita, Hendaria Made Putri, Thahir Tanziela Firdausi
Department of Dermatology, Venereology and Aesthetic, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Department of Dermatology, Venereology and Aesthetic, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
Dermatol Res Pract. 2024 Dec 23;2024:3586393. doi: 10.1155/drp/3586393. eCollection 2024.
Atopic dermatitis (AD) is a chronic, inflammatory skin condition characterized by eczema lesions and dry, itchy skin. Recent guidelines for the management of AD emphasize the importance of using moisturizers in the management of AD. This study is a double-blind clinical trial to determine the effectiveness of moisturizers containing anti-inflammatory ingredients compared with moisturizers without anti-inflammatory ingredients for skin hydration in mild to moderate adult AD patients for 14 days at the Dermatology and Venereology Outpatient Clinic at Dr. Soetomo General Academic Hospital. There was a significant difference ( < 0.05) at the baseline and day 14 skin hydration values in the experiment group with anti-inflammatory ingredients (35.97 ± 6.04-66.06 ± 15.84) and the control group without anti-inflammatory ingredients (40.74 ± 10.94-56.12 ± 8.34). After comparison, there was a significant difference ( < 0.05) in the skin hydration value between the experiment group and the control group on the 14th day. There was also a significant difference in the improvement of skin hydration outcomes between both groups ( < 0.05). The severity of the disease using Scoring Atopic Dermatitis (SCORAD) showed a significant difference ( < 0.05) between the experiment group and the control group after 2 weeks of intervention. The addition of anti-inflammatory ingredients in the moisturizer, namely, shea butter, bacterial lysate, allantoin, bisabolol, extract, , and in a moisturizer containing occlusive (dimethicone), humectants (glycerin, saccharide, butylene glycol, and hyaluronic acid), and emollient (shea butter and squalane) was shown to be significantly better in improving skin hydration in patients with mild to moderate AD.
特应性皮炎(AD)是一种慢性炎症性皮肤病,其特征为湿疹样皮损以及皮肤干燥、瘙痒。近期的AD管理指南强调了在AD管理中使用保湿剂的重要性。本研究是一项双盲临床试验,旨在比较含抗炎成分的保湿剂与不含抗炎成分的保湿剂对轻度至中度成年AD患者皮肤水合作用的效果,试验在苏托莫综合学术医院皮肤科和性病门诊进行,为期14天。含抗炎成分的实验组(35.97±6.04 - 66.06±15.84)与不含抗炎成分的对照组(40.74±10.94 - 56.12±8.34)在基线和第14天的皮肤水合值存在显著差异(P<0.05)。比较后发现,实验组和对照组在第14天的皮肤水合值存在显著差异(P<0.05)。两组在皮肤水合结果改善方面也存在显著差异(P<0.05)。使用特应性皮炎评分(SCORAD)评估疾病严重程度,干预2周后实验组和对照组之间存在显著差异(P<0.05)。在含有封闭剂(二甲基硅氧烷)、保湿剂(甘油、糖类、丁二醇和透明质酸)和润肤剂(乳木果油和角鲨烷)的保湿剂中添加抗炎成分,即乳木果油、细菌裂解物、尿囊素、红没药醇、提取物等,在改善轻度至中度AD患者皮肤水合作用方面表现明显更好。