Skip to main content

Transepidermal Water Loss (TEWL)

  • Chapter
  • First Online:
Book cover Non Invasive Diagnostic Techniques in Clinical Dermatology

Abstract

The epidermal barrier is the outermost part of our body, or more precisely, of our skin. Approximately 90 % of the barrier function can be attributed to the stratum corneum. The importance of the epidermal barrier and more specifically the stratum corneum with its major components the corneocytes, the intercorneal bilamellar lipids, and the cornified envelope has become increasingly evident over the last years.

Skin as a barrier prevents the organism from loss of essential components such as ions, water, and serum proteins. The skin barrier also reflects internal processes, diseases, disease activity, and some of the lifestyle, manifested in intrinsic and extrinsic aging. It also has sociocultural functions and plays an important role in communication and self-expression. Transepidermal water loss (TEWL) is one of the most important parameters to evaluate the epidermal permeability barrier function of the skin. A low TEWL is generally a characteristic feature of an intact skin protective function. There are different methods for TEWL measurement, the unventilated (closed) chamber method, the ventilated chamber method, and the method using an open chamber. This chapter is mainly focused on the latter. To perform accurate and reliable measurements, variable factors related to the panelists, environment, and the instrument should be taken into account and will be addressed in this chapter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

SC:

Stratum corneum

TEWL:

Transepidermal water loss

References

  1. Elias PM, Choi EH (2005) Interactions among stratum corneum defensive functions. Exp Dermatol 14(10):719–726

    Article  PubMed  Google Scholar 

  2. Darlenski R, Sassning S, Tsankov N, Fluhr JW (2009) Non-invasive in vivo methods for investigation of the skin barrier physical properties. Eur J Pharm Biopharm 72(2):295–303

    Article  PubMed  CAS  Google Scholar 

  3. Pinnagoda J, Tupker RA, Agner T, Serup J (1990) Guidelines for transepidermal water loss (TEWL) measurement. A report from the Standardization Group of the European Society of Contact Dermatitis. Contact Dermatitis 22(3):164–178

    Article  PubMed  CAS  Google Scholar 

  4. Rogiers V (2001) EEMCO guidance for the assessment of transepidermal water loss in cosmetic sciences. Skin Pharmacol Appl Skin Physiol 14(2):117–128

    PubMed  CAS  Google Scholar 

  5. Angelova-Fischer I, Bauer A, Hipler UC et al (2005) The objective severity assessment of atopic dermatitis (OSAAD) score: validity, reliability and sensitivity in adult patients with atopic dermatitis. Br J Dermatol 153(4):767–773

    Article  PubMed  CAS  Google Scholar 

  6. Sugarman JL, Fluhr JW, Fowler AJ, Bruckner T, Diepgen TL, Williams ML (2003) The objective severity assessment of atopic dermatitis score: an objective measure using permeability barrier function and stratum corneum hydration with computer-assisted estimates for extent of disease. Arch Dermatol 139(11):1417–1422

    Article  PubMed  Google Scholar 

  7. Miteva M, Richter S, Elsner P, Fluhr JW (2006) Approaches for optimizing the calibration standard of Tewameter TM 300. Exp Dermatol 15(11):904–912

    Article  PubMed  Google Scholar 

  8. Fluhr JW, Feingold KR, Elias PM (2006) Transepidermal water loss reflects permeability barrier status: validation in human and rodent in vivo and ex vivo models. Exp Dermatol 15(7):483–492

    Article  PubMed  Google Scholar 

  9. Fluhr JW (2011) Practical aspects of cosmetic testing. How to set up a scientific study in skin physiology. Springer, Berlin/Heidelberg

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joachim W. Fluhr MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Berlin Heidelberg

About this chapter

Cite this chapter

Fluhr, J.W., Darlenski, R. (2014). Transepidermal Water Loss (TEWL). In: Berardesca, E., Maibach, H., Wilhelm, KP. (eds) Non Invasive Diagnostic Techniques in Clinical Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-32109-2_32

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-32109-2_32

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-32108-5

  • Online ISBN: 978-3-642-32109-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics