Aloe vera, wheat germ oil, tea tree extract and honey-based emollient cream in the management of atopic dermatitis: a post-hoc analysis
DOI:
https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20233180Keywords:
Atopic dermatitis, Itching, Dry skin, Hydration, Emollient, MoisturizerAbstract
Background: Atopic dermatitis is a chronic skin condition characterized by dry, itchy and inflamed skin. This study evaluated the complementary benefits efficacy and tolerability of emollient c containing Aloe vera, Wheat germ oil, tea tree extract, and honey in patients with dry skin conditions.
Methods: Cross-sectional analysis for clinical cases with dry skin receiving moisturizing cream formulation was undertaken at 156 centres. 286 case records of atopic dermatitis receiving standard of care as cleansers, Topical corticosteroids, moisturizers were further analysed for improvement in skin dryness and itchiness.
Results: Regular use of Emollient formulation containing aloe vera, wheat germ oil, tea tree extract, honey was further analysed along with safety assessment over 8 weeks of observation period. The mean age of the study participants was 36.58 years. There was significant change in VAS score for dryness (p-value< 0.01), itch (p-value <0.01) with Patient Global Assessed rating as good (64.23%) for effectiveness and ease of application. Mild stinging, mild burning and irritation was experienced by 5 (1.75%) patients.
Conclusions: The aloe vera, wheat germ oil, tea tree extract, honey enriched emollient formulation was efficacious and well tolerable in study participants in providing moisturizing, antimicrobial, and anti-inflammatory effects making it a preferred complementary therapy for managing atopic dermatitis following the short course therapy with TCS as a pertinent clinical strategy to avoid the atopic flares in such cases.
References
Asher MI, Montefort S, Bjorkst B, Lai CKW, Strachan DP, Weiland SK et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. The Lancet. 2006;368(9537):733-43.
McKenna SP, Doward LC. Quality of life of children with atopic dermatitis and their families. Curr Opin Allergy Clin Immunol. 2008;8:228-31.
Wei W, Anderson P, Gadkari A. Extent and consequences of inadequate disease control among adults with a history of moderate to severe atopic dermatitis. J Dermatol. 2018;45(2):150-57.
Senra MS, Wollenberg A. Psychodermatological aspects of atopic dermatitis. Br J Dermatol. 2014;170(1):38-43.
Barbeau M, Bpharm HL. Burden of atopic dermatitis in Canada. Int J Dermatol. 2006;45(1):31-6.
Reynolds T, Dweck AC. Aloe vera leaf gel: a review update. J Ethnopharmacol. 1999;68(1-3):3-37.
Zhong H, Li X, Zhang W, Shen X, Lu Y, Li H. Efficacy of a New Non-drug Acne Therapy: Aloe Vera Gel Combined With Ultrasound and Soft Mask for the Treatment of Mild to Severe Facial Acne. Front Med (Lausanne). 2021;8:662640.
Eisenmenger M, Dunford N. Bioactive Components of Commercial and Supercritical Carbon Dioxide Processed Wheat Germ Oil. J Am Oil Chemists' Society. 2008;85(1):55-61.
Carson CF, Riley TV. Antimicrobial activity of the major components of the essential oil of Melaleuca alternifolia. J Appl Bacteriol. 1995;78(2):264-9.
May J, Chan CH, King A, Williams L, French GL. Time-kill studies of tea tree oils on clinical isolates. J Antimicrob Chemother. 2000;45:639-43.
Burlando B, Cornara L. Honey in dermatology and skin care: a review. J Cosmet Dermatol. 2013;12(4):306-13.
Kwakman PH, Te Velde AA, De Boer L, Vandenbroucke-Grauls CM, Zaat SA. Two major medicinal honeys have different mechanisms of bactericidal activity. PLoS One. 2011;6(3):e17709
Horimukai K, Morita K, Narita M, Kondo M, Kitazawa H, Nozaki M, et al. Application of moisturizer to neonates prevents development of atopic dermatitis. J Allergy Clin Immunol. 2014;134(4):824-30.
Shuren J. Skin protectant drug products for over-the-counter human use, final monograph. Federal Register. 2003;68(107):33362-81.
Shelton RM. Aloe-Vera. Its chemical and therapeutic properties. Int J Dermatol. 1991;30(10):679-83.
Klein AD, Penneys NS. Aloe-Vera. J Am Acad Dermatol. 1988;18(1):714-20.
Vardy D, Cohen A, Tchetov T, Medvedovsky E, Biton A. A double-blind, placebo-controlled trial of an Aloe vera (A. barbadensis) emulsion in the treatment of seborrheic dermatitis. J Dermatolog Treat. 1999;10(1):7-11.
Atallahi M, Amir Ali Akbari S, Mojab F, Alavi Majd H. Effects of wheat germ extract on the severity and systemic symptoms of primary dysmenorrhea: a randomized controlled clinical trial. Iran Red Crescent Med J. 2014;16(8):e19503.
Yuldasheva NK, Ulʼchenko NT, Glushenkova AI. Wheat germ oil. Chem Nat Compd. 2010;46:97-8.
Kwakman PHS, Van den Akker JPC, Güçlü A, Aslami H, Binnekade JM, De Boer L et al. Medical‐grade honey kills antibiotic‐resistant bacteria in vitro and eradicates skin colonization. Clin Infect Dis.2008;46(11):1677-82.
Maddocks SE, Jenkins RE, Rowlands RS, Purdy KJ, Cooper RA. Manuka honey inhibits adhesion and invasion of medically important wound bacteria in vitro. Future Microbiol. Future Medicine Ltd London, UK. 2013;8(12):1523-36.
Carter DA, Blair SE, Cokcetin NN, Bouzo D, Brooks P, Schothauer R, Harry EJ. Therapeutic manuka honey: no longer so alternative. Front. Microbiol. Frontiers Media SA. 2016;7(265):569.
Lee DS, Sinno S, Khachemoune A. Honey and wound healing: an overview. Am J Clin Dermatol. 2011;12(3):181-90.
Alangari AA, Morris K, Lwaleed BA, Lau L, Jones K, Cooper R et al. Honey is potentially effective in the treatment of atopic dermatitis: Clinical and mechanistic studies. Immun Inflamm Dis. 2017;5(2):190-99.
Carson CF, Hammer KA, Riley TV. Melaleuca alternifolia (Tea Tree) oil: a review of antimicrobial and other medicinal properties. Clin Microbiol Rev. 2006;19(1):50-62.
Wallengren J. Tea tree oil attenuates experimental contact dermatitis. Arch Dermatol Res. 2011;303(5):333-8.