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Am J Perinatol 2001; 18(7): 393-396
DOI: 10.1055/s-2001-18698
DOI: 10.1055/s-2001-18698
ORIGINAL ARTICLES
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4693
Transepidermal Water Loss and Skin Hydration in Preterm Infants During Phototherapy
Further Information
Publication History
Publication Date:
03 December 2001 (online)
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ABSTRACT
TEWL and skin hydration was measured in 7 body areas before and during phototherapy in 31 preterm infants (gestational age 25 to 36 weeks). Each patient served as his/her own control. There was a mean increase of 26.4% in TEWL during phototherapy. Most prominent increases were recorded in the cubital fossa (45.9%), groin (36.4%), and back (29%). There were no significant differences in stratum corneum moisture in six of the seven body areas before and during phototherapy. This study provides a better understanding of skin physiology during phototherapy in preterm infants and has important implications for the estimation of fluid replacement.
KEYWORD
Phototherapy - preterm - transepidermal water loss
REFERENCES
- 1 Cremer R J, Perryman P W, Richards D H. Influence of light on the hyperbilirubinemia of infants. Lancet . 1958; 1 1097-1102
- 2 Lucey J, Ferreiro M, Hewitt J. Prevention of hyperbilirubinemia of prematurity by phototherapy. Pediatrics . 1968; 41 1047-1054
- 3 Paul Y K, Wu M B, Hodgman J E. Insensible water loss in preterm infants: changes with postnatal development and non-ionizing radiant energy. Pediatrics . 1974; 54 704-712
- 4 Oh W, Karecki H. Phototherapy and insensible water loss in the newborn infant. Am J Dis Child . 1972; 124 230-232
- 5 Oh W, Yao A C, Hanson J S. The effects of phototherapy on peripheral blood flow and insensible water loss in newborn infants. Clin Res . 1972; 20 283-287
- 6 Kjartansson S, Hammarlund K, Sedin G. Insensible water loss from the skin during phototherapy in term and preterm infants. Acta Pediatr . 1992; 81 764-768
- 7 Harpin V A, Rutter N. Barrier properties of the newborn infant's skin. J Pediatr . 1983; 102 419-425
- 8 Evans N J, Rutter N K. Development of the epidermis in the newborn. Biol Neonate . 1968; 47 74-80
- 9 Nachman R L, Esterly N B. Increased skin permeability in preterm infants. J Pediatr . 1971; 79 628-632
- 10 Williams M L, Hanley K, Elias P M, Feingold K R. Ontogeny of the epidermal permeability barrier. Investing Dermatol Symp Proc . 1998; 3 75-79
- 11 Hammarlund K, Sedin G. Transepidermal water loss in newborn infants. Acta Pediatr Scand . 1979; 68 795-801
- 12 Rutter N, Hull D. Water loss from skin of term and preterm babies. Arch Dis Child . 1979; 54 858-868
- 13 Williams P R, Oh W. Effects of radiant warmer on insensible water loss in newborn infants. Am J Dis Child . 1974; 128 511-514
- 14 Lund C H, Nonato B L, Kuller J M, Franck L S, Cullander C, Durand D J. Disruption of barrier function in neonatal skin associated with adhesive removal. J Pediatr . 1977; 131 367-372
- 15 Washington J L, Bron A W, Starrett A L. The question of diarrhea and phototherapy. Pediatrics . 1972; 49 279-280
- 16 Yosipovitch G, Maayan-Metzger A, Merlob P, Sirota L. Skin barrier properties in different body areas in neonates. Pediatrics . 2000; 106 105-108