Susceptibility to irritants: role of barrier function, skin dryness and history of atopic dermatitis

Br J Dermatol. 1990 Aug;123(2):199-205. doi: 10.1111/j.1365-2133.1990.tb01847.x.

Abstract

The susceptibility of the skin to various irritants was investigated with the aim of determining the role of the barrier function of the stratum corneum, skin dryness and whether a history of atopic dermatitis (AD) was a factor. The transepidermal water loss (TEWL) was measured using an evaporimeter and skin hydration using a Corneometer and by visual scoring. The group with a history of AD (n = 20) had a lower pre-exposure barrier function and a higher TEWL value following irritant exposure than the group with a history of allergic contact dermatitis (n = 18) and a control group (n = 18). Clinically dry skin was more susceptible than normal skin, though no difference was noted in the pre-exposure barrier function. The increased susceptibility to irritants in those with a past history of AD was probably due to impaired barrier function and/or the presence of a dry skin.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Dermatitis, Atopic / physiopathology*
  • Dermatitis, Contact / physiopathology
  • Female
  • Humans
  • Ichthyosis / physiopathology*
  • Irritants / adverse effects*
  • Male
  • Middle Aged
  • Skin / physiopathology
  • Sodium Dodecyl Sulfate
  • Time Factors
  • Water Loss, Insensible / drug effects

Substances

  • Irritants
  • Sodium Dodecyl Sulfate