Effects of Skin Care with Shower Therapy on Children with Atopic Dermatitis in Elementary Schools

Mochizuki, Hiroyuki; Muramatsu, Reiko; Tadaki, Hiromi; Mizuno, Takahisa; Arakawa, Hirokazu; Morikawa, Akihiro

doi:10.1111/j.1525-1470.2009.00887.x

Cited by 37 publications

(26 citation statements)

References 2 publications

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“…Our results are consistent with those of a previous study by Mochizuki et al [30], who reported an improvement of skin symptoms in elementary school children with AD using a skin care program including a shower therapy in the summer season. Our study was also conducted in only the summer season to exclude the influence of seasonal variation.…”

Section: Discussionsupporting

confidence: 93%

“…In addition, it was expected that the use of moisturizers had less of an effect on the study results because humidity is high during the summer months. Mochizuki et al [30] examined the effects of showers with plain water and reported a significant improvement of the skin lesions in AD patients. The possibility that plain water removes irritants or contributes to skin hydration cannot be excluded.…”

Section: Discussionmentioning

confidence: 99%

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Effect of bathing on atopic dermatitis during the summer season

Kim

Ban

Park

et al. 2012

Asia Pacific Allergy

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BackgroundThere are little objective data regarding the optimal practice methods of bathing, although bathing and the use of moisturizers are the most important facets to atopic dermatitis (AD) management.ObjectiveWe performed this study to evaluate the effect of bathing on AD.MethodsNinety-six children with AD were enrolled during the summer season. Parents were educated to bathe them once daily with mildly acidic cleansers, and to apply emollients for 14 days. Parents recorded the frequency of bathing and skin symptoms in a diary. Scoring AD (SCORAD) scores were measured at the initial and follow-up visits. Patients were divided into two groups, based on the compliance of bathing; poor compliance was defined as ≥ 2 bathless days.ResultsThere was an improvement of SCORAD score, itching, and insomnia in the good compliance group (all p < 0.001). The mean change in SCORAD score from the baseline at the follow-up visit was greater in the good compliance group than the poor compliance group (p = 0.038).ConclusionDaily bathing using weakly acidic syndets can reduce skin symptoms of pediatric AD during the summer season.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Effect of bathing on atopic dermatitis during the summer season

Kim

Ban

Park

et al. 2012

Asia Pacific Allergy

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“…Explanation: In Japan, three school tap water showering intervention studies, involving children with AD, were conducted . Showering significantly reduced symptoms of AD.…”

Section: Cq10 Is Showering Useful For Reducing Symptoms Of Ad?mentioning

confidence: 99%

Clinical Practice Guidelines for the Management of Atopic Dermatitis 2016

Saeki,

Nakahara,

Tanaka

et al. 2016

The Journal of Dermatology

147

176

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Atopic dermatitis (AD) is a disease characterized by relapsing eczema with pruritus as a primary lesion. Most patients have an atopic predisposition. The definitive diagnosis of AD requires the presence of all three features: (i) pruritus; (ii) typical morphology and distribution of the eczema; and (iii) chronic and chronically relapsing course. The current strategies to treat AD in Japan from the perspective of evidence-based medicine consist of three primary measures: (i) the use of topical corticosteroids and tacrolimus ointment as the main treatment for the inflammation; (ii) topical application of emollients to treat the cutaneous barrier dysfunction; and (iii) avoidance of apparent exacerbating factors, psychological counseling and advice about daily life. The guidelines present recommendations to review clinical research articles, evaluate the balance between the advantages and disadvantages of medical activities, and optimize medical activity-related patient outcomes with respect to several important points requiring decision-making in clinical practice.

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“…Moreover, we and other authors reported that skin test with autologous sweat was positive in the majority of patients with AD 5,6 and that clinical symptoms of children with AD significantly improved during the summer if they took showers at schools. [7][8][9] We previously revealed that semipurified sweat antigen, which was obtained from human sweat by a combination of various chromatography steps, induced histamine release from the basophils of 77% of patients with AD 10 and 66% of patients with cholinergic urticaria. 11 The histamine release by sweat antigen was mediated by specific IgE.…”

mentioning

confidence: 99%