Atopic dermatitis

Scholtz, J. R.

doi:10.1001/archderm.115.1.110

Cited by 10 publications

(9 citation statements)

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“…In 1872 Hebra (1) recommended frequent bathing three to four times daily, as an intervention for eczema. In 1964 Scholtz (2,3) advanced the concept that bathing may negatively impact individuals with AD. His “Scholtz regimen” advocated bathing avoidance and the application of a lipid‐free lotion at least once a day per patient preferences (4,5).…”

mentioning

confidence: 99%

Quantitative Assessment of Combination Bathing and Moisturizing Regimens on Skin Hydration in Atopic Dermatitis

Chiang

Eichenfield

2009

Pediatric Dermatology

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Background Standard recommendations for skin care for patients with atopic dermatitis stress the importance of skin hydration and the application of moisturizers. However, there is little objective data to guide recommendations regarding the optimal practice methods of bathing and emollient application. Objective This study quantified cutaneous hydration status after various combination bathing and/or moisturizing regimens. Methods Four bathing/moisturizer regimens were evaluated in ten subjects, five pediatric subjects with atopic dermatitis and five subjects with healthy skin. The regimens consisted of bathing alone without emollient application, bathing and immediate emollient application, bathing and delayed application, and emollient application alone. Each regimen was evaluated in all subjects, utilizing a cross-over design. Skin hydration was assessed with standard capacitance measurements. Results In atopic dermatitis subjects, emollient alone yielded a significantly (p<0.05) greater mean hydration over 90 min (206.2% baseline hydration) than bathing with immediate emollient (141.6%), bathing and delayed emollient (141%), and bathing alone (91.4%). The combination bathing and emollient application regimens demonstrated hydration values at 90 minutes not significantly greater than baseline. Atopic dermatitis subjects had a decreased mean hydration benefit compared to normal skin subjects. Conclusions Bathing without moisturizer may compromise skin hydration. Bathing followed by moisturizer application provides modest hydration benefits, though less than that of simply applying moisturizer alone.

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confidence: 99%

Quantitative Assessment of Combination Bathing and Moisturizing Regimens on Skin Hydration in Atopic Dermatitis

Chiang

Eichenfield

2009

Pediatric Dermatology

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“…Decades ago, most of the leading dermatologists advised that baths should not be given to eczematous infants and they were to be washed with tepid water [16][17][18][19][20]. In the 1960s the Scholtz regimen again prohibited bathing in eczematous patients [21,22]. Even today, two Toledo hospitals have eliminated diaper wipes and only allow wetted gauze pads for diaper changes in newborn babies.…”

Section: Contact Dermatitismentioning

confidence: 99%

Use of Informational/Instructional Sheets with Eczema Patients

Burkhart¹,

Burkhart²

2008

TODJ

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Contact dermatitis is not a homogenous entity, but rather a number of subtypes contributing to different clinical presentations. For better understanding, instructional sheets provide information that assists in patient care. Informational sheets on contact dermatitis, patch testing, hand dermatitis, stasis dermatitis, and poison ivy are reviewed for open forum. Although often considered archaic therapy, restriction in use of soaps/cleansers appears to aid in clinical improvement of contact irritant dermatitis. Patient education on patch testing is greatly aided by presenting visual material prior to formal discussion. An internet site for more information regarding culprit environmental allergens is presented. Some simple methods for patients to achieve clinical improvement with eczema, hand dermatitis, and poison ivy are presented.

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“…62 In the 1960s, the Scholtz regimen testified to the controversial relationship between AD and water, which was considered to be an irritating factor. 63 Pointing out the benefit provided by prohibiting bathing, Scholtz proposed that each patient be given copies of written instructions explaining that ''soap and water baths and showers are to be discontinued until further notice [. .…”

Section: Bathing and Showering: Hygienic Measures Still Controversialmentioning

confidence: 99%

Topical therapy of atopic dermatitis: Controversies from Hippocrates to topical immunomodulators

Tilles

Wallach²,

Taı̈eb

2007

Journal of the American Academy of Dermatology

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Atopic dermatitis

Cited by 10 publications

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Quantitative Assessment of Combination Bathing and Moisturizing Regimens on Skin Hydration in Atopic Dermatitis

Quantitative Assessment of Combination Bathing and Moisturizing Regimens on Skin Hydration in Atopic Dermatitis

Use of Informational/Instructional Sheets with Eczema Patients

Topical therapy of atopic dermatitis: Controversies from Hippocrates to topical immunomodulators

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