Clothing materials interact with the skin in order to shape our cutaneous microenvironment. Cotton and silk have long been suggested for atopic dermatitis sufferers because to claimed patient comfort. Anti-microbial, anti-inflammatory, moisture-wicking, and calming characteristics of new synthetic textiles may supplement traditional care techniques in atopic patients. Researchers review current and emerging evidence for the selection of fabrics in patients with atopic dermatitis, including cotton, wool, lyocell, silk, anionic, cellulosic/cellulose based, zinc oxide coated, citric acid-coated, chitosan-coated, silver coated, borage seed oil-coated, ethylene-vinyl and polyurethane, and provide practical recommendations for clothing and bedding. Studies were considered if they met the following criteria: clinical trial, published in English, and fabric as the primary agent under study. Following that, studies were carefully reviewed by title, abstract, and full-text articles and chosen to explicitly address the effects of textiles in individuals with atopic dermatitis. Modern fabric production and processing processes that have resulted in the smaller diameter, smoother fibres such as super- and ultrafine merino wool and anti-microbial treatments appear to have an advantage. Traditional cotton and silk textiles offer conflicting results in terms of reducing atopic dermatitis symptoms and severity, but they have been found to be usually harmless. Large-diameter wool has been proven to cause itching and irritation; ultra- or superfine merino wool is non-pruritic and may be advised as a substitute. Silver-coated, chitosan-coated, and cellulose-based textiles are examples of emerging materials with the potential to reduce atopic dermatitis severity and Staphylococcus aureus burden. There is little evidence for zinc oxide-coated, acid-coated, polyurethane-coated, borage seed oil-coated, anionic, lyocell, and ethylene-vinyl textiles.
Atopic dermatitis symptoms and exacerbations can be reduced by using the right cloth.
Reference: https://link.springer.com/article/10.1007/s40257-020-00516-0
