Skin surface pH, stratum corneum hydration, trans-epidermal water loss and skin roughness related to atopic eczema and skin dryness in a population of primary school children

Acta Derm Venereol. 2000 May;80(3):188-91. doi: 10.1080/000155500750042943.

Abstract

Non-invasive investigations of skin morphology and function are standard tools to study the pathophysiology of several cutaneous disorders, yet they have not been used in population-based epidemiological studies. Here we examined skin surface pH, stratum corneum hydration, trans-epidermal water loss (TEWL) and skin roughness by profilometry in a study population comprising 377 primary school children (8-9 years old) as part of a multicentre survey on risk factors for allergic diseases in school children. Skin surface pH showed significant higher values (p=0.029) in the group with atopic eczema (n=45) compared with the group without atopic eczema; all other parameters did not differ significantly between children with and without atopic eczema. With increasing skin dryness there was a significant increase in pH values (p=0.004). Stratum corneum hydration showed a significant decrease with increasing dryness (p<0.001). Measurement of skin roughness also revealed a significant linear relationship with skin dryness (p=0.02). It is concluded that measurement of skin surface pH, corneometry and profilometry are useful non-invasive techniques to objectively assess skin dryness in epidemiological studies regarding atopic skin disease.

Publication types

  • Multicenter Study

MeSH terms

  • Body Water / metabolism*
  • Child
  • Dermatitis, Atopic / diagnosis
  • Dermatitis, Atopic / pathology
  • Dermatitis, Atopic / physiopathology*
  • Female
  • Galvanic Skin Response
  • Humans
  • Hydrogen-Ion Concentration
  • Male
  • Risk Factors
  • Skin / metabolism
  • Skin / pathology
  • Skin / physiopathology*
  • Water Loss, Insensible*