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Children with Dry Skin and Atopic Predisposition: Outcome Measurement with Validated Scores for Atopic Dermatitis
Sabine Sawatzky1, Marianne Schario, Andrea Stroux
1Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charitx00E9; - Universitx00E4;tsmedizin Berlin, Berlin, Germany.
Insights
Daily emollient application improved dry skin and sleep in infants and children at risk for atopic dermatitis (AD). Parents also reported reduced anxiety regarding their child
Area of Science:
- Pediatric Dermatology
- Dermatology
- Clinical Trials
Background:
- Dry skin is prevalent in childhood, with limited research on skincare's impact on infants at risk for atopic dermatitis (AD).
- Investigating daily skincare interventions is crucial for managing dry skin and preventing AD in high-risk infants.
Purpose of the Study:
- To assess the effect of daily emollient application on dry skin in infants and children at risk for AD.
- To evaluate changes in AD severity, sleep quality, parental anxiety, and skin microtopography.
Main Methods:
- A 16-week randomized trial involving 43 children (G1, G2) and 22 infants (G3).
- Groups applied either plant-based (G1, G3) or petrolatum-based (G2) emollients daily.
- Outcomes measured using Severity Scoring of Atopic Dermatitis (SCORAD), Patient-Oriented SCORing Atopic Dermatitis (PO-SCORAD), parental questionnaires, and Visioscan® microtopography analysis.
Main Results:
- Significant reduction in SCORAD index across all groups by week 16.
- Improved sleep scores observed by week 12 (G1) and week 16 (G2).
- Reduced parental anxiety noted in G3 by week 12 and 16; decreased skin scaliness in all groups.
Conclusions:
- Daily emollient therapy effectively improves skin condition and sleep in infants and children with dry skin at risk for AD.
- Plant-based and petrolatum-based emollients show comparable benefits in improving skin health.
- Further research is warranted to confirm the preventive effects of daily emollient therapy in this cohort.
Background:
Dry skin is a common skin condition in childhood. Few studies exist investigating the influence of daily skin care on dry skin in infants at risk of developing atopic dermatitis (AD). We aimed to assess the effect of skin care on dry skin in this special cohort using validated scores for AD and analysis of skin microtopography.
Methods:
43 children were randomized to group 1 (G1) and group 2 (G2) and 22 infants to group 3 (G3). During 16 weeks, G1 and G3 applied daily a plant-based emollient and G2 a petrolatum-based emollient. The core outcome was assessed by Severity Scoring of Atopic Dermatitis (SCORAD) and Patient-Oriented SCORing Atopic Dermatitis (PO-SCORAD). The influence on the parents' life was evaluated by a questionnaire and microtopography by Visioscan® VC 98.
Results:
The SCORAD index declined significantly until week (W) 16 in all groups (p ≤ 0.041). The sleeplessness score analyzed by PO-SCORAD was highly reduced after W12 in G1 and after W16 in G2 (p ≤ 0.030). The influence on the parents' anxiety was reduced in G3 at W12 and W16 (p = 0.016). The Visioscan parameter scaliness strongly diminished at W4 (p ≤ 0.049) and W16 (p ≤ 0.013) in all groups.
Conclusions:
This trial demonstrates improved skin conditions and sleep following daily emollient application in infants and children having dry skin and being at risk of AD. Especially parents of infants showed a reduced fear that their children might develop AD. Further studies are required to investigate the preventive effect of daily emollient therapy in this special cohort evaluating the outcome measures used in this trial.
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