Exposure to cold airflow alters skin pH and epidermal filaggrin degradation products in children with atopic dermatitis

  • Jung Minyoung
    Department of Pediatrics, Kosin University Gospel Hospital, Kosin University School of Medicine
  • Kim Insung
    Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine
  • Lee Ji Young
    Department of Pediatrics, Hallym University Hangang Sacred Heart Hospital
  • Kim Hyun Mi
    Environmental Health Center for Atopic Diseases, Samsung Medical Center
  • Kwon Mijeong
    Environmental Health Center for Atopic Diseases, Samsung Medical Center
  • Kim Minjeong
    Graduate School of Pharmaceutical Sciences, College of Pharmacy, Ewha Womans University
  • Lim Kyung-Min
    Graduate School of Pharmaceutical Sciences, College of Pharmacy, Ewha Womans University
  • Kim Peter S.
    Department of Chemistry, Colorado College
  • Ahn Kangmo
    Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine Environmental Health Center for Atopic Diseases, Samsung Medical Center
  • Kim Jihyun
    Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine Environmental Health Center for Atopic Diseases, Samsung Medical Center

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Abstract

<p>Background: We aimed to evaluate the influence of cold airflow from the air conditioner on skin barrier function and filaggrin degradation products (FDPs) in children with atopic deramtitis (AD).</p><p>Methods: In a case-control study, 28 children with AD and 12 normal children without AD were exposed to one of two air conditioner modes (conventional or wind-free) for 2 h. Skin temperature, transepidermal water loss (TEWL), and skin pH were measured on right cheek and forearm at pre- and post-exposure time points. We also measured filaggrin and FDPs from the volar surface of the forearm.</p><p>Results: In AD patients, skin temperature on the forearm decreased after exposure to the conventional and wind-free modes (P < 0.001 and P = 0.026), and TEWL on the cheek and the forearm decreased in the wind-free mode (P = 0.037 and 0.002). Skin pH on the cheek increased only after exposure to the conventional mode in AD group (P = 0.002). However, no changes in TEWL and skin pH were found after exposure to either the conventional or the wind-free mode in the control group. In AD children, the levels of pyrrolidone carboxylic acid (PCA) and cis-urocanic acid (UCA) were reduced only after exposure to the conventional mode (all P = 0.033). The percent changes of PCA and cis-UCA were higher in the AD group than those in the control group after exposure to conventional mode (P = 0.029 and 0.046).</p><p>Conclusions: Skin barrier function in children with AD may be altered by the exposure to cold airflow from a conventional air conditioner.</p>

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