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Bathing Additives for Atopic Dermatitis — A Systematic Review

Maarouf, Melody, MHS*; Hendricks, Aleksi J., BS*; Shi, Vivian Y., MD

doi: 10.1097/DER.0000000000000459

Bathing additives are regularly used for a range of inflammatory dermatoses that affect a large body surface area. Emerging evidence demonstrates that certain bathing additives have anti-inflammatory, skin barrier repair, antimicrobial, and antioxidative properties, all pertinent to atopic dermatitis. This review summarizes the mechanism and effects of Dead Sea salt, hard water, commercial baby cleansers, oatmeal, rice, and natural oils as bathing additives for the treatment of atopic dermatitis. The use of these compounds seems to augment the benefit of traditional treatments while also reducing the need for and side effects of prescription modalities. Bathing additives are useful adjuvant treatments for atopic dermatitis. Benefits of these compounds are derived from anti-inflammatory, antimicrobial, antioxidative, and skin barrier repair properties.

From the *College of Medicine and

Division of Dermatology, Department of Medicine, University of Arizona, Tucson.

Address reprint requests to Vivian Y. Shi, MD, Division of Dermatology, University of Arizona, 7165 N Pima Canyon Dr, Tucson, AZ 85718. E-mail:

V.Y.S. is a stock shareholder of Dermveda; has served as a paid advisor for Sanofi, Novartis, SUN Pharma, Pfizer, Menlo Therapeutics, GpSkin, the National Eczema Association, and Global Parents for Eczema Research; is an investigator for AbbVie and Leo Pharma; and has received research funding from the Foundation for Atopic Dermatitis and Skin Active Scientific. The other authors have no funding or conflicts of interest to declare.

© 2019 American Contact Dermatitis Society
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