Transepidermal water loss and absorption of hydrocortisone in widespread dermatitis

Br J Dermatol. 1993 Jun;128(6):633-5. doi: 10.1111/j.1365-2133.1993.tb00258.x.

Abstract

Percutaneous absorption of hydrocortisone was measured in three children and six adults with widespread dermatitis, after the application of 1% hydrocortisone cream. Before application of the cream, the transepidermal water loss (TEWL) was measured on six skin areas. A highly significant correlation was found between the post-application rise in plasma cortisol level and the mean transepidermal water loss. Thus, measurement of TEWL affords a simple, non-invasive method for assessing the systemic effect of hydrocortisone applied to widespread dermatitis.

MeSH terms

  • Adult
  • Child
  • Child, Preschool
  • Dermatitis / blood
  • Dermatitis / metabolism*
  • Dexamethasone
  • Female
  • Humans
  • Hydrocortisone / blood
  • Hydrocortisone / metabolism*
  • Male
  • Middle Aged
  • Skin / metabolism*
  • Skin Absorption / physiology*
  • Skin Physiological Phenomena
  • Water Loss, Insensible / physiology*

Substances

  • Dexamethasone
  • Hydrocortisone