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A sticky mess-Are moisturizers overused in dermatitis care?
1Professor Emerita, Department of Dermatology, Case Western Reserve University, Cleveland, Ohio; Dermatologists of the Central States, Columbus, Ohio.
Journal of the American Academy of Dermatology
|August 12, 2024
Summary
Moisturizers may worsen dermatitis by disrupting the skin microbiome and increasing itch. This review examines moisturizer benefits and risks, proposing moderated clinical use in dermatitis management.
Area of Science:
- Dermatology
- Microbiology
- Immunology
Background:
- Microbial dysbiosis is linked to allergic sensitization and skin barrier issues in dermatitis.
- Moisturizer occlusion can promote microbial dysbiosis and exacerbate itch in dermatitis patients.
Purpose of the Study:
- To review the evidence on the benefits and adverse effects of moisturizers in dermatitis.
- To propose moderation in the clinical application of moisturizers for dermatitis.
Main Methods:
- Literature review of studies on moisturizer use in dermatitis.
- Analysis of evidence regarding skin barrier function, microbial balance, and itch.
Main Results:
- Moisturizers can contribute to microbial dysbiosis and increased pruritus.
- Despite potential adverse effects, moisturizers are standard in dermatitis care guidelines.
Conclusions:
- The role of moisturizers in dermatitis requires careful consideration due to potential negative impacts on the skin microbiome.
- Moderating moisturizer use may be beneficial for managing dermatitis and associated symptoms.
Keywords:
atopic dermatitiscontact dermatitisemollientshigh value caremicrobial dysbiosismoisturizersMore Related Videos
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