Evidence map›Paper›PMID 37755506›Full record

ArticleArchives of dermatological research2023

Bleach baths enhance skin barrier, reduce itch but do not normalize skin dysbiosis in atopic dermatitis.

Ania Stolarczyk, Nelissa Perez-Nazario, Sara A Knowlden, Ellen Chinchilli, Alex Grier, Amy Paller, Steven R Gill, Anna De Benedetto, Takeshi Yoshida, Lisa A Beck

Open access · hybridAbstract readControlled Clinical Trial
In one paragraph

Article in Archives of dermatological research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Darier disease-A review highlighting new insights from the Darier Disease International Task Force.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Review
  2. Article
  3. Maladaptive immunity to the microbiota promotes neuronal hyperinnervation and itch via IL-17A.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  4. Review
  5. How we treat severe atopic dermatitis.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025
    Article
  6. Review
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Ania Stolarczyk *Department of Dermatology, University of Rochester Medical Center, 601 Elmwood Ave, Box 697, Rochester, NY, 14642, USA.ORCID http://orcid.org/0000-0002-6660-3918
Nelissa Perez-Nazario *Department of Dermatology, University of Rochester Medical Center, 601 Elmwood Ave, Box 697, Rochester, NY, 14642, USA.ORCID http://orcid.org/0009-0002-3980-5562
Sara A KnowldenDepartment of Dermatology, University of Rochester Medical Center, 601 Elmwood Ave, Box 697, Rochester, NY, 14642, USA.ORCID http://orcid.org/0000-0001-7483-2967
Ellen ChinchilliDepartment of Dermatology, University of Rochester Medical Center, 601 Elmwood Ave, Box 697, Rochester, NY, 14642, USA.ORCID http://orcid.org/0000-0002-3964-7173
Alex GrierUniversity of Rochester Genomics Research Center, University of Rochester Medical Center, Rochester, NY, USA.ORCID http://orcid.org/0000-0003-0581-9851
Amy PallerDepartment of Dermatology, Northwestern University, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-6187-6549
Steven R GillUniversity of Rochester Genomics Research Center, University of Rochester Medical Center, Rochester, NY, USA.ORCID http://orcid.org/0000-0002-2408-1373
Anna De BenedettoDepartment of Dermatology, University of Rochester Medical Center, 601 Elmwood Ave, Box 697, Rochester, NY, 14642, USA.ORCID http://orcid.org/0000-0001-6293-435X
Takeshi YoshidaDepartment of Dermatology, University of Rochester Medical Center, 601 Elmwood Ave, Box 697, Rochester, NY, 14642, USA.ORCID http://orcid.org/0000-0003-0133-5067
Lisa A BeckDepartment of Dermatology, University of Rochester Medical Center, 601 Elmwood Ave, Box 697, Rochester, NY, 14642, USA. lisa_beck@urmc.rochester.edu.ORCID http://orcid.org/0000-0002-8452-667X
University of Rochester Medical Center · USNorthwestern University · US

Funding

Biomarker Identification, Viral Susceptibility and Management in S. aureus Colonized AD PatientsU01AI152011 · NIAID · UNIVERSITY OF ROCHESTER · PI Lisa Ann Beck · 2020 to 2026
$3.2M
Effect of the PPAR Agonist Pioglitazone on Epidermal Barrier in Atopic DermatitisR21AR062357 · NIAMS · UNIVERSITY OF ROCHESTER · PI BECK, LISA ANN · 2012 to 2014
$380k
NIAID NIH HHS U01 AI152011NIAMS NIH HHS R21 AR062357NIH HHS 5R21AR062357
6 · The paper itself

Abstract

Studies have demonstrated that bleach baths improve atopic dermatitis (AD) severity; however, the effects on itch, skin barrier, and cutaneous microbial composition are less clear. We examined whether bleach baths reduce itch, normalize skin barrier function, reduce S. aureus absolute abundance, and increase microbial diversity in adults with AD who were colonized with S. aureus on their non-lesional skin. This was an open label, non-randomized, controlled trial performed at a single academic center. Fifteen AD and five non-atopic healthy controls (NA) were instructed to take two bleach baths (0.005% NaClO; 5-10 min duration) per week for a total of 12 weeks as add-on therapy. Adults 18 to 65 years (inclusive) with mild to severe AD were recruited with EASI score > 6.0, S. aureus culture positivity, access to a bathtub, and ability and willingness to maintain current topical or systemic treatments. They were evaluated at baseline (before bleach baths), 6 weeks, and 12 weeks after the intervention of twice-weekly bleach baths. Efficacy measurements included EASI as well as 5-D Pruritus and ItchyQoL™. Transepidermal water loss (TEWL) and stratum corneum (SC) integrity assay were performed to assess the skin barrier. Skin dysbiosis was measured by S. aureus cultivation, S. aureus abundance (qPCR of thermonuclease gene), and V1-V3 16S rRNA gene sequencing on non-lesional and lesional AD skin. After 12 weeks of bleach baths, 8/15 (53.3%) AD subjects achieved an EASI

Indexed as

Dermatitis, AtopicAdolescentAdultAgedBathsDysbiosisHumansMiddle AgedPruritusQuality of LifeRNA, Ribosomal, 16SSkinStaphylococcus aureusYoung AdultRNA, Ribosomal, 16SAtopic dermatitisBleach bathsItchSkin barrierSkin microbiomeStaphylococcus aureus

Identifiers

PMID37755506
PMCPMC10615920
OpenAlexW4387077756

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.