Atopic Eczema
Conditions
Keywords
Atopic eczema, Human milk, Topical treatment, Children
Brief summary
The aim of this small pilot study is to assess the potential effects and risks of applying fresh human milk locally on eczema spots in children with atopic eczema. This is a split body, controlled, randomized and physician blinded pilot study, of children with atopic eczema with two similar contralateral eczema spots having a mother breastfeeding the child or a sibling. Fresh expressed milk and emollient is to be applied on the intervention spot and emollient alone on the control area, three times a day for four weeks. Severity and area of the eczema spots is evaluated weekly, and samples from milk and the spots were analysed weekly with respect to bacterial colonisation.
Interventions
Topical application of human milk followed by emollient
Topical application of emollient
Sponsors
Study design
Eligibility
Inclusion criteria
* Children with atopic eczema according to Hanifin and Rajkas criteria with a mother breastfeeding the child or a sibling. * The eczema spots in the treatment and control areas were to be similar in features and extent as well as being localized on contralateral parts of the body.
Exclusion criteria
* Children were excluded if the severity of the eczema spots indicated need for treatment with antibiotics and/or steroids.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportional change in area of the eczema spot from baseline | four weeks | The primary outcome was proportional change in area (cm2) of the eczema spot from baseline, as measured by Visitrak™ (Smith & Nephew), a portable device used to measure the area of wounds. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Transmission of bacteria from mother's milk to eczema spots in the child | four weeks | The secondary outcome was to assess transmission of bacteria from mother's milk to eczema spots in the child. |