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How to choose a moisturizing cream for atopic skin?
Blog January 19, 2025

How to choose a moisturizing cream for atopic skin?

Dr. Yeonseung Choe
Dr. Yeonseung Choe
Chief Director

The image above effectively demonstrates the breakdown of the skin barrier during the cleansing process. The blue structures represent corneocytes, and the round, green elements within them are Natural Moisturizing Factors (NMF). NMFs are responsible for retaining moisture in the skin. The yellow substances filling the spaces between the blue corneocytes are various lipids. In summary, the skin barrier is a highly unique structure where NMFs, which hold moisture, are present within square-shaped corneocytes; these corneocytes are tightly bound together; and lipids fill the gaps between them like cement.

Impact of Cleansing

  • Moisture loss
  • Reduction in NMFs, which retain moisture
  • Decrease in lipids that firmly bind corneocytes together

During this process, the pH changes, the skin barrier is compromised, and there's a lack of essential materials for its repair. The continuous emphasis on the importance of proper cleansing stems from the fact that the skin's naturally formed barrier structure, designed to protect it, can be entirely ruined by harsh cleansing.

Natural Moisturizing Factor (NMF)

Substances within cells that can retain moisture are called Natural Moisturizing Factors (NMF). A representative NMF is amino acid. Since many amino acids are produced during the breakdown of filaggrin, genetic differences in filaggrin production capacity can be related to skin constitution.

Does an atopic constitution exist? Previous posts

In addition to amino acids, there are several other types of NMFs. Ingredients with hygroscopic properties, similar to NMFs, can be utilized as moisturizer components. Glycerin is a prime example, along with lactic acid, panthenol, and others.

Moisturizing Strategies

Strategies for skin moisturization focus on reducing moisture loss. Ingredients like glycerin and panthenol, which can effectively retain moisture, are called humectants. Conversely, forming an oily barrier on the skin's surface can prevent moisture evaporation. These ingredients are known as occlusives. Typical examples include petrolatum, commonly known as Vaseline, and lanolin. Furthermore, filling the spaces between corneocytes with substances similar to the yellow lipids mentioned earlier is referred to as an emollient action. Most moisturizers combine humectant, occlusive, and emollient ingredients to provide effective moisturization.

Recommended use of emollients in inflammatory dermatoses View resources

Precautions When Choosing Moisturizers

Products containing numerous 'beneficial' ingredients can sometimes be detrimental. This is especially true for sensitive skin with a compromised barrier, where irritation or allergic reactions may occur. When studying the principles of moisturizers, it becomes clear that it's best to choose products dedicated solely to moisturizing. Glycerin, which is almost universally included in moisturizers, is a well-researched and excellent ingredient.

Summary

  1. Moisturization is treatment.
  2. Uriage large-volume moisturizers are also recommendable.

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Dr. Yeonseung Choe

Dr. Yeonseung Choe Chief Director

I have met many patients who came after visiting multiple medical institutions and departments for persistent or recurrent conditions. Symptoms normally handled by different specialties—such as abdominal pain, headaches, palpitations, dizziness, and insomnia—may overlap in one person. Sometimes there is no clear improvement despite taking medication for each symptom, and being unwell gradually becomes part of daily life. In these cases, I look beyond individual diagnoses and examine how the symptoms connect and change together. Asking only about the most uncomfortable symptom today does not reveal the full course. I look at when the body first began to change and what happened after illness, surgery, childbirth, or starting and stopping medication. I also review changes in weight, diet, and sleep, then trace which symptoms improved with previous treatment and which remained. Test results, diagnoses, and the course of previous treatment are important for understanding the current condition. Clinical research in modern Korean medicine, physiological and pathological research in modern medicine, and observations recorded in classical Korean medicine texts offer different perspectives on the same body. Rather than fitting a patient into one perspective, I consider what each can and cannot explain and look for clues that connect symptoms and treatment histories that were previously considered separately.

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