Efficacy of a Daily Protective Moisturizer with High UVB and UVA Photoprotection in Decreasing Ultraviolet Damage: Evaluation by Reflectance Confocal Microscopy

Acta Derm Venereol. 2017 Nov 15;97(10):1196-1201. doi: 10.2340/00015555-2736.

Abstract

Patients with photodermatoses or actinic keratosis benefit from very high ultraviolet B-ultraviolet A (UVB-UVA) photoprotection. However, poor compliance is an issue that jeopardizes adequate protection, leading to disease recurrence. This study evaluated the efficacy of a daily protective moisturizer with high UVB and UVA photoprotection applied 8 h before irradiation. A monocentric, open-label, prospective, control pilot study was performed including 10 patients. Patients were irradiated with UVB and UVA before and 8 h after topical application of the product. Reflectance confocal microscopy (RCM) assessment was performed 24 h later. Clinical assessment showed a statistically significant increase in minimal erythema dose (MED) after application of the product (p <0.001). Signs of UV damage according to RCM were not observed on photoprotected skin (p <0.05). Skin irradiated 8 h after applying a daily protective moisturizer presented an increase in MED and RCM findings that equal the findings for non-irradiated skin.

MeSH terms

  • Administration, Cutaneous
  • Adolescent
  • Adult
  • Drug Administration Schedule
  • Erythema / etiology
  • Erythema / pathology
  • Erythema / prevention & control
  • Female
  • Humans
  • Male
  • Microscopy, Confocal / methods*
  • Middle Aged
  • Photosensitivity Disorders / complications
  • Photosensitivity Disorders / diagnosis
  • Photosensitivity Disorders / drug therapy*
  • Pilot Projects
  • Prospective Studies
  • Skin / drug effects*
  • Skin / pathology
  • Skin / radiation effects*
  • Skin Cream / administration & dosage*
  • Skin Cream / adverse effects
  • Skin Diseases, Genetic / complications
  • Skin Diseases, Genetic / diagnosis
  • Skin Diseases, Genetic / drug therapy*
  • Sunburn / etiology
  • Sunburn / pathology
  • Sunburn / prevention & control*
  • Sunscreening Agents / administration & dosage*
  • Sunscreening Agents / adverse effects
  • Time Factors
  • Treatment Outcome
  • Ultraviolet Rays / adverse effects*
  • Young Adult

Substances

  • Sunscreening Agents

Supplementary concepts

  • Actinic Prurigo