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Clinical evaluation of AV DERMAC CREAM in cases of eczema and dermatitis: Principle Investigator: Dr Dimple Bhankharia Study Co-ordinator/CRO:Ashok Peepliwal, Integrated Clinical Research Sciences Pvt Ltd Introduction: Eczema is a general term encompassing various inflamed skin conditions. One of the most common forms of eczema is atopic dermatitis (or "atopic eczema"). Approximately 10 percent to 20 percent of the world population is affected by this chronic, relapsing, and very itchy rash at some point during childhood. Fortunately, many children with eczema find that the disease clears and often disappears with age. In general, atopic dermatitis will come and go, often based on external factors. Although its cause is unknown, the condition appears to be an abnormal response of the body’s immune system. In people with eczema, the inflammatory response to irritating substances overacts, causing itching and scratching. Eczema is not contagious and, like many diseases, currently cannot be cured. However, for most patients the condition may be managed well with treatment and avoidance of triggers. The other forms of eczema are Hand & Feet eczema, Nummular eczema, Allergic contact dermatitis, Photodermatitis, Lichen simplex chronicus & Xerotic eczema. Treatment: One of the most important components of an eczema treatment routine is to prevent scratching. Because eczema is usually dry and itchy, the most common treatment is the application of lotions or creams to keep the skin as moist as possible. These treatments are generally most effective when applied directly after bathing (within three minutes is a common recommendation) so that the moisture from the bath is "locked in." Cold compresses applied directly to itchy skin can also help relieve itching. If the condition persists, worsens, or does not improve satisfactorily, another effective treatment is the application of nonprescription corticosteroid creams and ointments to reduce inflammation However prolonged use of steroidal creams have been shown to be detrimental to the skin and causes drug resistance. AV DERMAC is a purely herbal preparation produced by M/s Amsar Private Limited, Indore consisting of herbal extracts such as proprietary fraction of Glycyrrhiza glabra, Selected Triterpenoids of Centella asiatica, anti-bacterial fraction of psorallea corylifolia. Study design: 19 patients were included in the study that had no previous treatment history. ( Fig. 1) Figure 1. Atopic dermatitis 1 2 Hand & Feet eczema Nummular eczema 2 2 4 Allergic contact dermatitis Photodermatitis 3 5 Lichen simplexchronicus Xerotic eczema All patients were screened for any other immune disorders and only those that were free of drug regimen were included. Each patient was given the product presented collapsible aluminum tubes with instruction about use and general hygiene. The patients were recalled every 7 days for 8 weeks and their condition noted along with any complaints. Patients number 2,3,10,11,15& 18 dropped out of the trial between 1st and 3 rd weeks. Results: Fig 2 100% improvement >75% improvement 5 6 50-75% improvement 0 25-50% improvement 3 4 Drop outs Fig 3 120% 100% 100% 100% 100% 80% 60% 60% 50% 40% Series2 25% 20% 0% Xerotic eczema Lichen simplex chronicus Photodermatitis Allergic contact dermatitis Nummular eczema Hand & Feet eczema Atopic Dermatitis 0% Discussion: AV DERMAC cream showed marked improvement in 63% of cases. The results are significant considering that the product is a non-steroidal natural product . Patients that used it with success showed much better skin tone on recovery without any marks or scarring. The product is safe and effective in human clinical use.