{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:33:35Z","timestamp":1747186415237,"version":"3.40.5"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,12,26]],"date-time":"2018-12-26T00:00:00Z","timestamp":1545782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Scrubbing of the skin during Hammam, a Turkish spa treatment, removes cells from the ultraviolet radiation absorbing stratum corneum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to assess if skin is more susceptible to sunburn after a Hammam treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this randomized controlled trial with a paired design, healthy adult participants with skin types 1\u20103 were randomized to receive Hammam treatment on one side of the back while the other side was used as control. Participants had 30\u00a0minutes of sun exposure on their backs. Erythema and pain were assessed before and 1, 4, 8, and 24\u00a0hours after sun exposure. Erythema was assessed by a visual scale and by using chromatography on high\u2010resolution photos. Pain was assessed with the Visual Analogue Scale (VAS). The primary outcome was the difference in chromatography\u2010assessed erythema from baseline to the 24\u2010hour assessment, compared between the Hammam\u2010 and the control side. Secondary outcomes were differences in pain and visually assessed erythema.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve participants were included with complete follow\u2010up. Eight participants had type\u20103 skin and four had type\u20102 skin. There was no difference between the Hammam and the control side for any of the outcomes. Even though erythema assessed by chromatography was slightly higher for the Hammam side, the difference was insignificant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Hammam treatment did not increase sunburn, measured by UV\u2010induced skin erythema and pain, compared with untreated skin following 30 minutes of sun exposure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.12829","type":"journal-article","created":{"date-parts":[[2018,12,27]],"date-time":"2018-12-27T06:38:08Z","timestamp":1545892688000},"page":"1372-1377","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["No effect of Turkish bath (Hammam) on sunburn after exposure to natural ultraviolet radiation: A randomized controlled blinded trial"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5774-5677","authenticated-orcid":false,"given":"Stina","family":"\u00d6berg","sequence":"first","affiliation":[{"name":"Center for Perioperative Optimization, Department of Surgery Herlev Hospital, University of Copenhagen Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siv","family":"Fonnes","sequence":"additional","affiliation":[{"name":"Center for Perioperative Optimization, Department of Surgery Herlev Hospital, University of Copenhagen Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristoffer","family":"Andresen","sequence":"additional","affiliation":[{"name":"Center for Perioperative Optimization, Department of Surgery Herlev Hospital, University of Copenhagen Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans\u2010Christian","family":"Pommergaard","sequence":"additional","affiliation":[{"name":"Department of Surgery and Transplantation Rigshospitalet Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Rosenberg","sequence":"additional","affiliation":[{"name":"Center for Perioperative Optimization, Department of Surgery Herlev Hospital, University of Copenhagen Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,26]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2013.05.021"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1206851109"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0303-6987.2005.00281.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.86.14.5605"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0781.2009.00403.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1747.1998.00436.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2009.08.006"},{"key":"e_1_2_8_9_1","first-page":"3071","article-title":"Short sun exposure of the gluteal region is safe\u2212a prospective, clinical, randomized trial","volume":"174","author":"Pommergaard HC","year":"2012","journal-title":"Ugeskr Laeger"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0846.2011.00505.x"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdermsci.2016.08.007"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(79)70001-6"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(76)90113-5"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193146"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.1998.02447.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-483X(03)00150-1"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.taap.2003.08.019"},{"key":"e_1_2_8_18_1","first-page":"11","article-title":"Acute effects of ultraviolet radiation on the skin","volume":"9","author":"Soter NA","year":"1990","journal-title":"Semin Dermatol"},{"key":"e_1_2_8_19_1","article-title":"Ultraviolet erythema: dose response and mediator diffusion","author":"Diffey BL","year":"2017","journal-title":"Photochem Photobiol Sci"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2007.12.007"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2010.04474.x"},{"key":"e_1_2_8_22_1","unstructured":"World Health Organization.Skin cancers[Internet]. 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