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Prinzipien der Behandlung und Schutz für empfindliche Haut

Principles of treatment and protection for sensitive skin

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Zusammenfassung

Patienten mit empfindlicher Haut klagen über Juckreiz, Brennen bzw. Stechen oder Spannungsgefühl der Haut bis hin zu Schmerzen nach Auftragen von Externa oder Exposition gegenüber bestimmten Umwelteinflüssen. In den meisten Fällen empfindlicher Haut bleibt die Ursache unklar. Nur bei wenigen Patienten kann eine allergische Kontaktdermatitis, toxisch-irritative Dermatitis oder Kontakturtikaria eindeutig diagnostiziert werden. Nach Ausschluss bekannter exogener oder endogener Ursachen sollte der Patient über die Charakteristika empfindlicher Haut aufgeklärt werden. Potenziell irritierende Substanzen und Verfahren sollten weitgehend gemieden oder zurückhaltend eingesetzt werden.

Abstract

Patients with sensitive skin complain of itching, burning, pricking or stretching sensations of the skin and even pain following application of external agents or exposure to certain environmental factors. In most cases of sensitive skin the cause remains unclear and allergic contact dermatitis, toxic irritant dermatitis or contact urticaria can be diagnosed only in a few patients. After exclusion of known exogenous or endogenous causes patients should be informed on the characteristics of sensitive skin. Potential irritating substances and procedures should be extensively avoided or utilized cautiously.

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Literatur

  1. Adams RM, Maibach HI (1985) A five-year study of cosmetic reactions. J Am Acad Dermatol 13:1062–1069

    Article  PubMed  CAS  Google Scholar 

  2. Agner T, Serup J (1989) Quantification of the DMSO-response – a test for assessment of sensitive skin. Clin Exp Dermatol 14:214–217

    Article  PubMed  CAS  Google Scholar 

  3. Amin S, Engasser P, Maibach HI (1998) Sensitive skin: What is it? In: Baran R, Maibach HI (Hrsg) Textbook of cosmetic dermatology, 2. Aufl. Martin Dunitz, London, S 343–349

  4. Basketter DA, Griffiths HA (1993) A study of the relationship between susceptibility to skin stinging and skin irritation. Contact Dermatitis 29:185–188

    Article  PubMed  CAS  Google Scholar 

  5. Basketter DA, Griffiths HA, Wang XM et al (1996) Individual, ethnic and seasonal variability in irritant susceptibility of skin: the implications for a predictive human patch test. Contact Dermatitis 35:208–213

    Article  PubMed  CAS  Google Scholar 

  6. Basketter D, Reynolds F, Rowson M et al (1997) Visual assessment of human skin irritation: a sensitive and reproducible tool. Contact Dermatitis 37:218–220

    Article  PubMed  CAS  Google Scholar 

  7. Basketter DA, Gilpin G, Kuhn M et al (1998) Patch tests versus use tests in skin irritation risk assessment. Contact Dermatitis 39:252–256

    Article  PubMed  CAS  Google Scholar 

  8. Baumann L (2002) Cosmetic dermatology – principles and practice. McGraw Hill, New York

  9. Benfeldt E, Serup J (1999) Effect of barrier perturbation on cutaneous penetration of salicylic acid in hairless rats: in vivo pharmacokinetics using microdialysis and non-invasive quantification of barrier function. Arch Dermatol Res 291:517–526

    Article  PubMed  CAS  Google Scholar 

  10. Berardesca E, Maibach HI (1991) Sensitive and ethnic skin. A need for special skin-care agents? Dermatol Clin 9:89–92

    PubMed  CAS  Google Scholar 

  11. Cotterill JA (1981) Dermatological non-disease: a common and potentially fatal disturbance of cutaneous body image. Br J Dermatol 104:611–619

    Article  PubMed  CAS  Google Scholar 

  12. Cotterill JA (1983) Clinical features of patients with dermatological non-disease. Semin Dermatol 2:203–205

    Google Scholar 

  13. De Lacharriere O, Jourdain R, Bastien P, Garrigue JL (2001) Sensitive skin is not a subclinical expression of contact allergy. Contact Dermatitis 44:131–132

    Article  Google Scholar 

  14. Draelos ZD (1997) Sensitive skin: perceptions, evaluation, and treatment. Am J Contact Dermat 8:67–78

    Article  PubMed  CAS  Google Scholar 

  15. Draelos ZD (2000) Treating the patient with multiple cosmetic product allergies. A problemoriented approach to sensitive skin. Postgrad Med 107:70–72, 75–77

    Article  PubMed  CAS  Google Scholar 

  16. Effendy I, Weltfriend S, Patil S, Maibach HI (1996) Differential irritant skin responses to topical retinoic acid and sodium lauryl sulphate: alone and in crossover design. Br J Dermatol 134:424–430

    Article  PubMed  CAS  Google Scholar 

  17. Faller C, Bracher M, Dami N, Roguet R (2002) Predictive ability of reconstructed human epidermis equivalents for the assessment of skin irritation of cosmetics. Toxicol In Vitro 16:557–572

    Article  PubMed  CAS  Google Scholar 

  18. Fisher A (1980) Cosmetic actions and reactions: therapeutic, irritant and allergic. Cutis 26:22–29

    Google Scholar 

  19. Foy V, Weinkauf R, Whittle E, Basketter DA (2001) Ethnic variation in the skin irritation response. Contact Dermatitis 45:346–349

    Article  PubMed  CAS  Google Scholar 

  20. Francomano M, Bertoni L, Seidenari S (2000) Sensitive skin as subclinical expression of contact allergy to nickel sulfate. Contact Dermatitis 42:169–170

    PubMed  CAS  Google Scholar 

  21. Frosch PJ, Kligman AM (1977) A method for appraising the stinging capacity of topically applied substances. J Soc Cosmet Chem 28:197–209

    Google Scholar 

  22. Goffin V, Pierard-Franchimont C, Pierard GE (1996) Sensitive skin and stratum corneum reactivity to household cleaning products. Contact Dermatitis 34:81–85

    Article  PubMed  CAS  Google Scholar 

  23. Issachar N, Gall Y, Borell MT, Poelman MC (1997) pH measurements during lactic acid stinging test in normal and sensitive skin. Contact Dermatitis 36:152–155

    Article  PubMed  CAS  Google Scholar 

  24. Issachar N, Gall Y, Borrel MT, Poelman MC (1998) Correlation between percutaneous penetration of methyl nicotinate and sensitive skin, using laser Doppler imaging. Contact Dermatitis 39:182–186

    Article  PubMed  CAS  Google Scholar 

  25. Jourdain R, Lacharriere O, Bastien P, Maibach HI (2002) Ethnic variations in self-perceived sensitive skin: epidemiological survey. Contact Dermatitis 46:162–169

    Article  PubMed  CAS  Google Scholar 

  26. Jourdain R, Bastien P, Lacharrière O, Rubinstenn G (2005) Detection thresholds of capsaicin: a new test to assess facial skin neurosensitivity. J Cosmet Sci 56:153–166

    PubMed  CAS  Google Scholar 

  27. Lehmann P, Neumann NJ (2000) Photodermatosen. Ein Leitfaden zur Diagnostik. Steinkopff, Darmstadt

  28. Maibach HI (1987) The cosmetic intolerance syndrome. Ear Nose Throat J 66:49–53

    Google Scholar 

  29. Maibach HI, Lammintausta K, Berardesca E, Freeman S (1989) Tendency to irritation: sensitive skin. J Am Acad Dermatol 21:833–835

    Article  PubMed  CAS  Google Scholar 

  30. Marriott M, Holmes J, Peters L et al (2005) The complex problem of sensitive skin. Contact Dermatitis 53:93–99

    Article  PubMed  Google Scholar 

  31. Mills OH Jr, Berger RS (1991) Defining the susceptibility of acne-prone and sensitive skin populations to extrinsic factors. Dermatol Clin 9:93–98

    PubMed  Google Scholar 

  32. Morren M, Dooms-Goosens A, Heidbuchel M et al (1991) Contact allergy to dihydroacetone. Contact Dermatitis 25:326–327

    Article  PubMed  CAS  Google Scholar 

  33. Muizzuddin N, Marenus KD, Maes DH (1998) Factors defining sensitive skin and its treatment. Am J Contact Dermat 9:170–175

    Article  PubMed  CAS  Google Scholar 

  34. Pierard GE, Arrese JE, Rodriguez C, Daskaleros PA (1994) Effects of softened and unsoftened fabrics on sensitive skin. Contact Dermatitis 30:286–291

    Article  PubMed  CAS  Google Scholar 

  35. Plewig G, Jansen T, Schürer NY (1997) Das Stratum corneum. Hautarzt 48:510–521

    Article  PubMed  CAS  Google Scholar 

  36. Reilly DM, Parslew R, Sharpe GR et al (2000) Inflammatory mediators in normal, sensitive and diseased skin types. Acta Derm Venereol 80:171–174

    Article  PubMed  CAS  Google Scholar 

  37. Richard A, Rougier A (2002) A test battery to insure the safety of topical products especially designed for sensitive skin: application for the development of a daily cream. Eur J Dermatol 12:LIV–LV

    PubMed  CAS  Google Scholar 

  38. Rietschel R, Fowler J (Hrsg) (2001) Fisher’s contact dermatitis, 5. Aufl. Lippincott Williams & Wilkins, Philadelphia

  39. Robinson MK (2002) Population differences in acute skin irritation responses. Race, sex, age, sensitive skin and repeat subject comparisons. Contact Dermatitis 46:86–93

    Article  PubMed  CAS  Google Scholar 

  40. Roussake-Schulze AV, Zafiriou E, Nikoulis D et al (2005) Objective biophysical findings in patients with sensitive skin. Drugs Exp Clin Res 31(Suppl):17–24

    Google Scholar 

  41. Ruëff F (2000) Allergische Kontaktdermatitis. In: Braun-Falco O, Gloor M, Korting HC (Hrsg) Nutzen und Risiko von Kosmetika. Springer, Berlin Heidelberg, S 90–99

  42. Seidenari S, Francomano M, Mantovani L (1998) Baseline biophysical parameters in subjects with sensitive skin. Contact Dermatitis 38:311–315

    Article  PubMed  CAS  Google Scholar 

  43. Vie K, Pons-Guiraud A, Dupuy P, Maibach H (2000) Tolerance profile of a sterile moisturizer and moisturizing cleanser in irritated and sensitive skin. Am J Contact Dermat 11:161–164

    Article  PubMed  CAS  Google Scholar 

  44. West I, Maibach HI (1995) Contact urticaria syndrome from multiple cosmetic components. Contact Dermatitis 32:121

    Article  PubMed  CAS  Google Scholar 

  45. Willis CM, Shaw S, De Lacharriere O et al (2001) Sensitive skin: an epidemiological study. Br J Dermatol 145:258–263

    Article  PubMed  CAS  Google Scholar 

  46. Williams S, Krueger N, Kescharwazi M et al (2005) Prävalenz „fettiger“, „trockener“, „normaler“ und „empfindlicher“ Haut in Deutschland. JDDG 3:161

    Article  Google Scholar 

  47. Wolf R (1994) Has mildness replaced cleanliness next to godliness? Dermatology 189:217–221

    Article  PubMed  CAS  Google Scholar 

  48. Zhai H, Hannon W, Hahn GS et al (2000) Strontium nitrate suppresses chemically induced sensory irritation in humans. Contact Dermatitis 42:98–100

    Article  PubMed  CAS  Google Scholar 

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  1. Universität Hamburg, Martin-Luther-King Platz 6, 20146, Hamburg, Deutschland

    M. Kerscher

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___ ___

Die Inhalte des Beitrags basieren auf „Hypersensitive Haut“, in: Kerscher M (Hrsg) (2009) Dermatokosmetik. 2. Aufl. Steinkopff, Darmstadt, S 57–67.

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Kerscher, M. Prinzipien der Behandlung und Schutz für empfindliche Haut. Hautarzt 62, 906–913 (2011). https://doi.org/10.1007/s00105-011-2210-1

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