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Jaeger, T. ; Rothmaier, M.* ; Zander, H.* ; Ring, J.* ; Gutermuth, J. ; Anliker, M.D.*

Acid-coated textiles (pH 5.5-6.5) - a new therapeutic strategy for atopic eczema?

Acta Derm.-Venereol. 95, 659-663 (2015)
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Increased transepidermal water loss (TEWL) and decreased skin capacitance are characteristic features of the disturbed epidermal barrier in atopic eczema (AE). The "acid mantle", which is a slightly acidic film on the surface of the skin has led to the development of acidic emollients for skin care. In this context, the effect of citric acid-coated textiles on atopic skin has not been examined to date. A textile carrier composed of cellulose fibres was coated with a citric acid surface layer by esterification, ensuring a constant pH of 5.5-6.5. Twenty patients with AE or atopic diathesis were enrolled in the study. In a double-blind, half-side experiment, patients had to wear these textiles for 12 h a day for 14 days. On day 0 (baseline), 7 and 14, tolerability (erythema, pruritus, eczema, wearing comfort) and efficacy on skin barrier were assessed by TEWL skin hydration (corneometry/ capacitance), pH and clinical scoring of eczema (SCO-RAD). Citric acid-coated textiles were well tolerated and improved eczema and objective parameters of skin physiology, including barrier function and a reduced skin surface pH, with potential lower pathogenic microbial colonisation.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Atopic Eczema ; Acid-coated Textiles ; Transepidermal Water Loss (tewl) ; Skin Capacitance; Citric-acid; Water-loss; Dermatitis; Filaggrin; Barrier; Functionality; Children; Efficacy; Safety
ISSN (print) / ISBN 0001-5555
e-ISSN 1651-2057
Quellenangaben Volume: 95, Issue: 6, Pages: 659-663 Article Number: , Supplement: ,
Publisher Acta Dermato-Venereologica
Publishing Place Uppsala
Non-patent literature Publications
Reviewing status Peer reviewed