Evidence map›Paper›PMID 34921679›Full record

Trial reportThe British journal of dermatology2022

Enhancement of stratum corneum lipid structure improves skin barrier function and protects against irritation in adults with dry, eczema-prone skin.

Simon G Danby, Paul V Andrew, Linda J Kay, Abigail Pinnock, John Chittock, Kirsty Brown, Samuel F Williams, Michael J Cork

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The British journal of dermatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
8.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 69 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. The Role of Ceramides in Metabolic and Cardiovascular Diseases.Journal of cardiovascular development and disease · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Gels (Basel, Switzerland) · 2024
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Simon G DanbySheffield Dermatology Research, Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield Medical School, Sheffield, UK.ORCID 0000-0001-7363-140X
Paul V AndrewSheffield Dermatology Research, Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield Medical School, Sheffield, UK.
Linda J KaySheffield Dermatology Research, Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield Medical School, Sheffield, UK.
Abigail PinnockSheffield Dermatology Research, Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield Medical School, Sheffield, UK.
John ChittockSheffield Dermatology Research, Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield Medical School, Sheffield, UK.ORCID 0000-0002-1595-7441
Kirsty BrownSheffield Dermatology Research, Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield Medical School, Sheffield, UK.
Samuel F WilliamsSheffield Dermatology Research, Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield Medical School, Sheffield, UK.
Michael J CorkSheffield Dermatology Research, Department of Infection, Immunity & Cardiovascular Disease, University of Sheffield Medical School, Sheffield, UK.ORCID 0000-0003-4428-2428
University of Sheffield · GBRoyal Hallamshire Hospital · GB

Funding

L'Oreal
6 · The paper itself

Abstract

backgroundThe skin of patients with atopic dermatitis is characterized by abnormal stratum corneum lipid levels. Consequently, the lamellar matrices are disrupted and skin barrier function is diminished, increasing skin sensitivity to irritants and allergens.

objectivesTo determine whether a cream containing ceramides, triglycerides and cholesterol in a multivesicular emulsion can reinforce the skin barrier and protect against skin irritation.

methodsA randomized observer-blind intrapatient-controlled study in 34 adults with dry, eczema-prone skin was conducted. Each participant underwent 4 weeks of treatment with the test cream on one forearm and lower leg and a reference emollient cream on the other. Skin properties were determined before and after treatment. Lipid structure was assessed by Fourier-transform infrared spectroscopy using a novel interface.

resultsSkin barrier integrity was greater at sites treated with the test cream [effect size for area under the transepidermal water loss curve -162, 95% confidence interval (CI) -206 to -118]. Skin sensitivity to sodium lauryl sulfate was reduced (-0·5 points visual redness, 97·57% CI -1·00 to -0·25), as was transepidermal water loss (-15·3 g m

conclusionsThe test cream facilitates skin barrier restoration and protects the skin from dryness and irritation. Compared with a commonly prescribed emollient in the UK, the test cream is highly suited to the management of dry, sensitive skin.

Indexed as

EczemaSkin AbnormalitiesAdultEmollientsHumansSkinSodium Dodecyl SulfateWaterWater Loss, InsensibleEmollientsSodium Dodecyl SulfateWater

Identifiers

PMID34921679
PMCPMC9321855
OpenAlexW4200523666

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.