title: Barrier repair therapy for facial atopic eczema with a non-steroidal emollient cream containing rhamnosoft, ceramides and iso-leucine. A six-case report series.
abstract: Atopic eczema (AE) is a skin disease very common in paediatric population and face region is commonly involved. AE of the face represents a therapeutic challenge limiting the use, especially for long periods, of corticosteroid topical products due to the high risk of atrophic skin changes. Skin barrier alterations and reduction of innate immune mechanisms (reduced levels of anti-microbial peptides) are now considered the hallmarks of AE. Therefore emollient and barrier repair therapies with topical steroid-free substances could be an alternative or an adjuvant strategy in managing AE especially for the face. A non-steroidal, anti-inflammatory moisturizing cream with barrier repair actions, containing rhamnosoft, ceramides and L-isoleucine (ILE) (Nutratopic pro-AMP) has been recently developed for the specific treatment of AE of the face. We report a series of 6 pediatric cases (2 female and 4 male, age from 6 months to 4 years) with facial eczema in children treated with pro-AMP cream for two/four weeks as single treatment, applied twice daily in the affected area with photograph documentation (baseline and after treatment). Pictures of the skin lesions at baseline and after treatment were taken in all cases using a high-definition digital camera. Pro-AMP cream use was associated with a clinical relevant improvement of all signs of eczema. The product was well tolerated. This case series document the clinical efficacy of a barrier repair therapy cream containing rhamnosoft, ceramides and iso-leucine in the treatment of atopic eczema of the face.
authors.affiliation: Unit of Dermatology and Surgical Dermatology Sassuolo Hospital, Sassuolo, Modena, Italy - massimo.milani@isdin.com.
authors.forename: M
authors.initials: M
authors.lastname: Puviani
authors.forename: F
authors.initials: F
authors.lastname: Agostinis
authors.forename: M
authors.initials: M
authors.lastname: Milani
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000627:therapeutic use*; D002518:Ceramides / Q000008:administration & dosage / Q000627:therapeutic use*; D002675:Child, Preschool; D003876:Dermatitis, Atopic / Q000188:drug therapy*; D003879:Dermatologic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D004338:Drug Combinations; D004643:Emollients / Q000627:therapeutic use; D005148:Facial Dermatoses / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007223:Infant; D007532:Isoleucine / Q000627:therapeutic use*; D007930:Leucine / Q000008:administration & dosage / Q000627:therapeutic use*; D008297:Male; D063465:Skin Cream / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D002518:Ceramides; D003879:Dermatologic Agents; D004338:Drug Combinations; D004643:Emollients; C000595092:Nutratopic pro-AMP; D007532:Isoleucine; D007930:Leucine