Soak and Smear

Gutman, Ari; Kligman, Albert M.; Sciacca, Joslyn; James, William D.

doi:10.1001/archderm.141.12.1556

Cited by 75 publications

(16 citation statements)

References 4 publications

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“…Bathing with water can hydrate the skin and remove scale, crust, irritants, and allergens, which can be helpful for patients with AD. 23 However, if the water is left to evaporate from the skin, greater transepidermal water loss occurs. 24 Therefore, application of moisturizers soon after bathing is necessary to maintain good hydration status.…”

Section: Non-pharmacological Interventionsmentioning

confidence: 99%

See 1 more Smart Citation

Guidelines of care for the management of atopic dermatitis

Eichenfield

Tom

Berger

et al. 2014

Journal of the American Academy of Dermatology

1,005

510

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Atopic dermatitis (AD) is a common and chronic, pruritic inflammatory skin condition that can affect all age groups. This evidence-based guideline addresses important clinical questions that arise in its management. In this second of four sections, treatment of AD with non-pharmacological interventions and pharmacological topical therapies are reviewed. Where possible, suggestions on dosing and monitoring are given based on available evidence.

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Section: Non-pharmacological Interventionsmentioning

confidence: 99%

“…This “soak and smear” technique can improve response in cases where the topical anti-inflammatory alone is inadequate. 23 …”

Section: Non-pharmacological Interventionsmentioning

confidence: 99%

Guidelines of care for the management of atopic dermatitis

Eichenfield

Tom

Berger

et al. 2014

Journal of the American Academy of Dermatology

1,005

510

View full text Add to dashboard Cite

show abstract

“…There is a lack of objective evidence about the effects of bathing or showering in AD patients, although some guidelines or clinicians recommend daily bathing for several minutes in warm water with immediate application of an emollient [7, 18, 19]. AD guidelines have not provided coherent opinions regarding optimal bathing methods.…”

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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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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“…There is a paucity of evidence to determine the best bathing practices, as most recommendations stem from personal experience. The “soak and smear” technique of soaking in plain water for 20 minutes, followed by immediate and direct application of topical corticosteroids, can be beneficial in severely inflamed lesions [49]. There are no studies to support the use of bath additives, such as oils, emollients, and salts, in treating AD.…”

Section: Treatmentmentioning

confidence: 99%

Atopic Dermatitis: Early Treatment in Children

Huang

Cho

Leung

et al. 2017

Curr Treat Options Allergy

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OPINION STATEMENT Therapeutic regimens for the treatment and long-term management of AD traditionally had a two-fold objective of decreasing skin inflammation and repairing the defective skin barrier. Essential treatments for AD in children should include topical moisturizers for skin hydration and prevention of flares, topical anti-inflammatory medications (e.g. corticosteroids, calcineurin inhibitors, PDE4 inhibitor), allergen/irritant avoidance, and treatment of skin infections. Treatment regimens should be severity-based, and implemented in a stepwise approach tailored to the individual patient. This stepwise approach includes initial use of emollients, gentle skin care, and escalating to more potent anti-inflammatory treatments as the disease severity increases. Currently available systemic medications should be reserved for the presence of recalcitrance to topical therapies due to associated toxicities. We believe that early treatment of AD is not only essential in treating the skin disease, but also in preventing the development of additional atopic diseases, such as food allergy, asthma and allergic rhinitis. The defective skin barrier of AD permits a route of entry for food and environmental allergens, and upon exposure, keratinocytes secrete TSLP, which activates the TH2 pathway. This TH2 differentiation sets off the atopic march and the subsequent diseases that are seen. This review highlights treatment options and strategies in pediatric AD therapy with an emphasis on early therapy. Supporting evidence on the efficacy and safety of each intervention will be discussed.

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Soak and Smear

Cited by 75 publications

References 4 publications

Guidelines of care for the management of atopic dermatitis

Guidelines of care for the management of atopic dermatitis

Effect of bathing on atopic dermatitis during the summer season

Atopic Dermatitis: Early Treatment in Children

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