Skin barrier development and childhood inflammatory skin diseses

Skin barrier development and childhood inflammatory skin diseses

What we know

  • The skin of infants and children is still developing: the epidermis, dermis and subcutis have different proportions and functions compared to adults. 

  • One major pediatric skin condition is Atopic Dermatitis (AD; eczema). It is characterized by barrier dysfunction (e.g., increased transepidermal water loss), immune/inflammatory dysregulation, and altered skin-microbiome interactions. 

  • Research in pediatric dermatology is expanding because many treatments for adults don’t translate directly to children (due to growth, metabolism, safety issues). 

Why it matters

  • Early childhood is a critical time: barrier defects and inflammation may set the stage for later atopic disease, sensitization, and even systemic allergic disease (allergic march).

  • Understanding how skin develops and how it fails gives insight into prevention (e.g., early moisturizing) and treatment tailored for children.

  • The burden: skin problems are a large part of pediatric visits. 

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