2014年11月10日月曜日

Eczema of infants may be prevented by moisturizing while moisturizing might disturb improvement of eczema

An article was published in the wall street journal this Nov. The title is “Are you bathing your baby too much?”
You can read the whole contents in the following site.

http://online.wsj.com/articles/are-you-bathing-your-baby-too-much-1415031555

In the article, a recent paper of Dr. Simpson is introduced. It revealed that high-risk infants of eczema were prevented from developing illness by frequent application of emollient.
http://www.jacionline.org/article/S0091-6749(14)01118-X/abstract

On the other hand, some patients with eczema, especially TSA/W patients, improve by stopping emollients as I have already written.
http://mototsugufukaya.blogspot.jp/2013/06/is-moisturizing-really-help-to-cure.html

It sounds controversy or very confusing. But it is not so difficult to explain logically. It only means that avoidance of the risk of oncet is different from the way how to treat the illness.

I explain it to be concrete. If I had two babies and one was with eczema while the other not, I would use emollient frequently for the purpose of prevention of eczema to the latter. But I might not use emollient to the baby with eczema because I consider maturartion of the skin is disturbed by it.
Emollient is supposed to prevent immunological sensitization of various antigens in the immature skin of high risk babies. On the other hand, emollient may delay maturation of skin against environmental dryness. In eczema-undeveloped babies, the merit of emollient is greater than demerit while in eczema-developed babies demerit might exceed merit because they have already been sensitized.

I don’t recommend using too much soaps or detergents to both babies. It is because they remove natural emollient which is produced by babies themselves. On the other hand, I recommend adequate disinfectant therapy in patients with eczema.
http://mototsugufukaya.blogspot.jp/2013/06/disinfectant-therapy-to-staphs-on.html
Soaps are different from disinfectants. I am afraid that might be another confusing problem among patients attention should be called to.
 
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