Efficacy of a shower cream and a lotion with skin-identical lipids in healthy subjects with atopic dry skin

J Cosmet Dermatol. 2018 Jun;17(3):477-483. doi: 10.1111/jocd.12668. Epub 2018 May 10.

Abstract

Background: Atopic dermatitis is a chronic, pruritic inflammatory skin disease that adversely affects quality of life.

Aims: The current study evaluates the efficacy of a shower cream and a lotion, each with skin-identical lipids and emollients, in the treatment of atopic dry skin of subjects with a history of atopic condition.

Methods: In all, 40 healthy females with clinically dry skin on the lower legs were enrolled in the study and underwent 4 weeks of daily use of the shower cream and 2 additional weeks of both the shower cream and the body lotion. Subjects were evaluated at day 0, week 4, and week 6. Skin barrier function was assessed by Tewameter® , skin hydration by Corneometer® , smoothness and desquamation by Visioscan® , and stratum corneum architecture by reflectance confocal microscopy (RCM). The investigator assessed the degree of dryness, roughness, redness, cracks, tingling and itch, and subjective self-assessment evaluated the perception of skin soothing, smoothness, and softness.

Results: Skin barrier function and skin moisture maintenance were significantly improved using the shower cream. The lotion with physiological lipids, together with the shower cream, also improved skin barrier function and moisture. Both the shower cream and the body lotion reduced clinical dryness, roughness, redness, cracks, tingling and itch, according to the dermatologist, and increased soothing, smoothness, and softness, according to the subjects of the study.

Conclusion: The combination of a shower cream and a lotion with physiological lipids efficiently restores skin barrier function and increases skin hydration, becoming an effective skin-care option for patients with atopic dry skin.

Keywords: atopic; dermatology; emulsions; skin; skin physiology/structure.

MeSH terms

  • Adolescent
  • Adult
  • Asthma / complications
  • Baths
  • Dermatitis, Atopic / complications
  • Emollients / therapeutic use*
  • Female
  • Healthy Volunteers
  • Humans
  • Lipids / therapeutic use
  • Middle Aged
  • Rhinitis, Allergic / complications
  • Skin Cream / chemistry
  • Skin Cream / therapeutic use*
  • Skin Diseases / complications
  • Skin Diseases / drug therapy*
  • Skin Diseases / physiopathology
  • Skin Physiological Phenomena
  • Young Adult

Substances

  • Emollients
  • Lipids