Transepidermal Water Loss Measurement (TEWL) is a quantitative assessment of the insensible water diffusion from the viable epidermis through the stratum corneum into the environment. This measurement serves as a primary, objective biomarker for evaluating the functional integrity of the skin barrier, where high values indicate significant barrier compromise. Clinically, we use this to monitor treatment efficacy and assess barrier recovery following insult.
Origin
This assessment originates from biophysics and dermatology, where quantifying water movement across a semi-permeable barrier is standardized. ‘Transepidermal’ defines the path across the skin layers, and ‘water loss’ specifies the substance being measured, typically using an open-chamber probe device. The integrity of the lipid matrix, influenced by hormonal health, directly determines the magnitude of this measurable loss.
Mechanism
Water passively moves down its concentration gradient from the relatively moist viable skin layers to the drier ambient air. The stratum corneum’s intercellular lipid organization acts as the primary impediment to this flux. Interventions that support healthy ceramide synthesis or modulate skin cell differentiation can decrease TEWL by optimizing this lipid barrier structure, thus conserving dermal hydration.
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