Atopic dermatitis represents a real challenge in public health as it affects a large percentage of children and adults. Affected individuals must cope with a significant psychosocial burden, in addition to dealing with the medical aspects of the disease. The purpose of this exploratory study is to collect clinical severity AD data, using PO-SCORAD (self-assessment by the subjects), SCORAD evolution, instrumental measurements and treatment follow up of subjects. The future objective is to develop a personalised prediction model of AD flares in order to improve management of AD by more accurate severity evaluations by the subject and the physician. Development of a method of early detection of flares will open new treatment pathways for AD management.
This study will be conducted as a French monocentric exploratory study in adults with mild to moderate Atopic Dermatitis, and will be conducted on a maximum 25 included subjects. The clinical study will include 4 study visits, after inclusion visit, and the maximum duration of the study for each subject will be 3 months : Day 1, Day 29, Day 57, Day 85. In case of AD flare suspicion, the investigator may recommend a complementary visit. Any complementary visit will be confirmed by investigator according to the subject's information: photographs and PO-SCORAD sent by the subject. If visit is confirmed, it will be scheduled as soon as possible. The objectives are: * to collect clinical AD severity data in order to evaluate natural AD evolution with clinical and subject's scales, during a three-month period. * to collect non-invasive instrumental AD data on a target area and on adjacent area: cutaneous hydration, epidermal barrier conditions and colorimetric parameters on cutaneous erythema * to examine clinical and instrumental AD data * to collect illustrative photographs of AD lesions
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
17
SCORAD and target SCORAD
TEWL, cutaneous hydration, skin lipidic analysis, colorimetry, hydration index
PO-SCORAD, target PO-SCORAD and subject's questionnaire
Skin Research Centre
Toulouse, France
Change on clinical evaluation (investigator evaluation) : SCORAD
The SCORAD is a scoring system based on the assessment of extent and intensity in a standardized manner
Time frame: Day1, Day29, Day57 and Day85
Change on clinical evaluation (investigator evaluation) : Target SCORAD
Target SCORAD is the sum of all SCORAD objective signs scores: erythema, oedema/papulation, oozing/crusts, excoriation, lichenification and dryness evaluated on a target area
Time frame: Day1, Day29, Day57 and Day85
Change on instrumental measurement performed by investigational team : TEWL
TEWL: Transepidermal water loss. TEWL tracks the passage of water through the skin
Time frame: Day1, Day29, Day57 and Day85
Change on instrumental measurement performed by investigational team : Lipidic analysis
The proportion of lipids will be analysed on specific bands of infrared spectra by calculation of area under curve of the peaks
Time frame: Day1, Day29, Day57 and Day85
Change on instrumental measurement performed by investigational team : cutaneous hydration
Cutaneous hydration evaluated by humidity of the stratum corneum. The measurement is based on capacitance measurement of the stratum corneum.
Time frame: Day1, Day29, Day57 and Day85
Change on instrumental measurement performed by investigational team : colorimetric parameter of cutaneous erythema
Evaluation with objective assessment the color of the surface of the skin. Data output will be in the form of the L\* a\* b\* color coordinate system. The a\* values (red/ green) will be assessed for quantifying the degree of erythema.
Time frame: Day1, Day29, Day57 and Day85
Change on instrumental measurement by subject
hydration index : mean value measured by a measuring pen on the skin
Time frame: each day, during 3 months
Change on Subject's evaluations : subject evaluation
PO-SCORAD : a fully validated self-assessment of the AD severity adapted from the SCORAD index; it is available on mobile's phone application.
Time frame: each day during 3 months
Change on Subject's evaluation : subject evaluation
target PO-SCORAD : The target PO-SCORAD is the sum of all PO-SCORAD objective signs scores: dryness of the skin without eczema, redness of the skin affected by eczema, swelling, oozing/ crust, scratching and thickening evaluated on the target area
Time frame: on Day1, Day29, Day57 and Day85
Change on Subject's evaluation : subject evaluation
Subject's questionnaire on lifestyle modifications, as potential flare triggers.
Time frame: once a month
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