Vol 2, No 4 (2016)
Review paper
Published online: 2017-02-14

open access

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I-modulia® in clinical trials — the use of emollients in atopic dermatitis patients

Joanna Narbutt, Aleksandra Lesiak
Forum Dermatologicum 2016;2(4):139-143.

Abstract

Atopic dermatitis (AD) is a chronic, recurring and inflammatory skin disease. Clinically AD is characterised by severe pruritus and skin lesions of typical morphology and localisation dependent on patient’s age. Pathogenesis of AD is complex; genetic, immunological and environmental factors are strongly involved in the process. Recently impairment in function of epidermal barrier is believed to play an essential role in development of AD. Systematic use of emollients plays a key role in the process of restoring epidermal barrier and elimination of skin dryness and pruritus. I-modulia®, extract from bacteria Aquaphilus dolomiae (Neisseriaceae) is an innovative product used in new generation of emollients. It has unique anti-inflammatory and anti-pruritic properties. In the studies it was shown that I-modulia® significantly enhances synthesis of anti-inflammatory interleukin-10 and restores the normal function of regulatory T cells. These properties point out to its enability to suppress inflammation. According to guidelines the use of emollients is a mainstay therapy of AD as they play an active role in the therapeutic process via their anti-inflammatory and immunosuppresive action. Recent data show beneficial role of emollients in primary prophylaxis of AD and the clinicians strongly recommend their use from first days of child’s life.