Aim: Eczema or Atopic Dermatitis (AD) is associated with itch, sleep disturbance, impaired
life quality, reduced skin hydration, impaired epidermal barrier function and colonization by
Staphylococcus aureus (SA). We investigated an emollient with claimed multi-actions on barrier
repair, antihistaminergic and antimicrobial effects.
Methods: Consecutive AD patients were recruited. Swabs and cultures from eczematous areas, disease
severity (SCOring Atopic Dermatitis score: SCORAD), quality-of-life (Children Dermatology
Life Quality Index, CDLQI), Skin Hydration (SH), and Transepidermal Water Loss (TEWL) were
obtained before and 4-week following usage of the emollient. Global or General Acceptability of
Treatment (GAT) was obtained (as very good, good, fair or poor).
Results: 30 AD patients were recruited. 73% reported “very good” or “good”, whereas 27% reported
“fair” or “poor” GAT of the emollient. Following the use of the multi-action emollient, area
affected, disease intensity and severity significantly improved, especially in the very good/good
group (p=0.006-0.035). There was no significant improvement of itch or sleep scores, quality of
life, SH, TEWL, S. aureus colonization status, or use of topical treatments. When compared with
the historical data of another product, there was no statistical difference between the two creams.
Conclusion: The emollient is acceptable in nearly three-quarter of AD patients. Patients that accept
the moisturizer have less area affected, disease intensity and severity than the non-accepting counterparts
following its usage. Despite claim for multi-action, there were no appreciable quality-oflife,
anti-itch, skin barrier, and anti-microbial effects.