Anggraeni, S. and Prakoeswa, Cita Rosita Sigit and Damayanti and Umborowati, M.A. and Sari, M. and Hendaria, M.P. (2026) Profile of SCORAD, TEWL, and Skin pH values in mildmoderate adult atopic dermatitis patients in Surabaya. Journal of Pakistan Association of Dermatologists, 36 (1). 90 - 94. ISSN 09728988

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Abstract

Background Atopic dermatitis (AD) is a chronic inflammatory skin disease with skin barrier dysfunction, often persisting into adulthood and impairing quality of life. One of the main pathophysiological characteristics of AD is skin barrier dysfunction, commonly indicated by increased transepidermal water loss (TEWL) and altered skin pH. The SCORAD (Scoring Atopic Dermatitis) index is commonly used to assess disease severity. Objective This study aims to describe the profile of SCORAD, TEWL, and skin pH in adult patients with mild to moderate AD at Dr. Soetomo General Academic Hospital, Surabaya. Methods A descriptive cross-sectional study was conducted from January to October 2022. A total of 32 adult patients aged 18-64 years with clinically diagnosed mild to moderate AD were recruited using consecutive sampling. SCORAD assessments were conducted alongside TEWL and skin pH measurements using Tewameter MPA5 and pH meter devices, respectively. Statistical analysis was performed to evaluate the association of SCORAD, TEWL, and pH values with age and gender. Results The mean age of participants was 37.9±11.8 years, with a balanced sex distribution. Mean SCORAD was 22.2±6.1, TEWL was 20.8±10.2 g/m²/h, and skin pH was 5.3±0.5. Most patients (90.6) had mild AD. No statistically significant correlations were found between age or gender and any of the three measured variables. Conclusion SCORAD, TEWL, and skin pH profiles in adults with mild to moderate AD showed no significant association with age or gender, indicating the heterogeneity of the condition across demographic factors. © (2026), (Pakistan Association of Dermatologists). All rights reserved.

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