Pruritus is defined as an unpleasant sensation of the skin that provoke the desire to scratch or rub. Its presence is an essential diagnostic feature. According to some European studies, 91% of patients with Atopic Dermatitis report suffering from pruritus at least once daily. And 58.1% of them experience chronic pruritus, leading to great deterioration in quality of life. Various internal and external factors may trigger pruritus. Mediators secretion such as keratinocyte-derived Thymic Stromal Lymphopoietin (TSLP) and Nerve Growth Factor (NGF) could activate nerve fibres which will eventually transmit signals to the brain causing the sensation of itching. Although being one of the major annoying symptoms faced by patients with Atopic Dermatitis, effective anti-itching treatments are not available. There is no consistent evidence that topical antihistamines can relief itch. Recently, a new spray named Atoderm 'SOS' is developed. The skin relief technology (by ambora extract and Epigallocatechin gallate (EGCG), associated to enoxolone) claimed to inhibit the release TSLP and NGF which eventually could reduce nerve signals to the brain for itchy feelings. Therefore, our group would like to test the efficacy of this proprietary anti-itch product with our paediatric patients using a wait-list approach as a control. It is aimed to demonstrate that the using the Atoderm 'SOS' spray topically whenever necessary can reduce the unpleasant itchy Atopic Dermatitis's symptom, improve quality of life, as well as to reduce the need for topical treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
A bottle of 200ml topical spray was used on the eczematous skin lesions for itch relief.
Department of Paediatrics, The Chinese University of Hong Kong
Hong Kong, Hong Kong
SCORing Atopic Dermatitis (SCORAD)
A questionnaire to examine the difference in eczema severity between two arms
Time frame: 4 weeks
The Patient Oriented Eczema Measure (POEM)
A questionnaire to examine the difference in eczema severity between two arms
Time frame: 4 weeks
Nottingham Eczema Severity Score (NESS)
A questionnaire to examine the difference in eczema severity between two arms
Time frame: 4 weeks
The Children's Dermatology Life Quality Index (CDLQI)
A questionnaire to examine the difference in quality of life between two arms
Time frame: 4 weeks
Pediatric Allergic Disease Quality of Life Questionnaire (PADQLQ)
A questionnaire to examine the difference in quality of life between two arms
Time frame: 4 weeks
Bacterial colonization
Investigating the presence of Staphylococcus aureus
Time frame: 4 weeks
dermatological parameters on skin
Measuring the level of skin hydration, transepidermal water loss, and erythema
Time frame: 4 weeks
seromarkers
Measuring the amount of Brain-derived neurotrophic factor, anti-Staphylococcal enterotoxin B antibody, Immunoglobulin E, and complete blood counts.
Time frame: 4 weeks
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