RT Book, Section A1 Baumann, Leslie SR Print(0) ID 1174541590 T1 Barrier Repair Ingredients T2 Cosmeceuticals and Cosmetic Ingredients YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 9780071793988 LK dermatology.mhmedical.com/content.aspx?aid=1174541590 RD 2024/04/20 AB The skin barrier is a watertight seal around the keratinocytes in the upper levels of the epidermis. It prevents evaporation of water from the surface of the skin, which is known as transepidermal water loss (TEWL). It is important to note that TEWL is not the same as sweating or perspiration. Increased TEWL occurs when a defect in the permeability barrier allows excessive water to be lost to the atmosphere. The skin barrier decreases TEWL and helps keep unwanted compounds out of the skin, such as allergens and irritants. Skin with an injured barrier is more susceptible to contact and irritant dermatitis as well as infection. Skin barrier perturbation can be caused by many different factors such as detergents, acetone, friction, ultraviolet exposure, prolonged or frequent water immersion, cholesterol-lowering drugs, low-fat diets, and genetic predisposition (e.g., to disorders of filaggrin).