{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T21:27:46Z","timestamp":1789507666444,"version":"build-2803163510"},"reference-count":49,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Sensitive skin poses a significant dermatological concern in India, influenced by diverse climatic conditions, cultural practices, and pollution levels. These factors contribute to the prevalence of sensitive skin, which is characterized by symptoms such as redness, itching, and dryness. Sensitive skin is better understood as a distinct syndrome rather than a linear progression from dry skin to conditions like acne, atopic dermatitis, and rosacea. The condition impacts the overall quality of life of affected individuals, making it crucial to understand its spectrum and management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A panel of 12 dermatologists from various regions of India provided expert insights into the characterization of sensitive skin. The dermatologists discussed the spectrum of sensitive skins and provided strategies for managing the condition. Their recommendations emphasized the importance of individualized skincare regimens tailored to the specific needs of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Several studies have discussed the heterogeneity of sensitive skin, indicating the complexity of its diagnosis and management. The market is saturated with a variety of cosmeceuticals aimed at addressing sensitive skin. However, there are no established guidelines for using these products, leading to the adoption of individualized skincare regimens as the most common approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This expert paper highlights the necessity of recommending cosmeceuticals in managing sensitive skin and emphasizes the importance of personalized skincare regimens. By comprehensively addressing the spectrum of sensitive skin, clinicians can prevent the progression to severe dermatological conditions, thereby safeguarding the skin barrier and improving the overall quality of life for individuals affected by sensitive skin.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2025.1625172","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T16:45:26Z","timestamp":1756226726000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Spectrum of sensitive skin in India: a collaborative expert position statement"],"prefix":"10.3389","volume":"12","author":[{"given":"Deepika","family":"Pandhi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun C.","family":"Inamadar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abir","family":"Saraswat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"De","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anchala","family":"Parthasaradhi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. S.","family":"Chandrasekhar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malavika","family":"Kohli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manjunath","family":"Shenoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murlidhar","family":"Rajagopalan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pravin","family":"Banodkar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saumya","family":"Panda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shital","family":"Poojary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priti","family":"Thakor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruchi","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Someshwar","family":"Rayasam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,8,26]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"29","DOI":"10.3389\/fmed.2019.00029","article-title":"Sensitive skin in the Indian population: an epidemiological approach","volume":"6","author":"Brenaut","year":"2019","journal-title":"Front Med (Lausanne)"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"98","DOI":"10.3389\/fmed.2019.00098","article-title":"The prevalence of sensitive skin","volume":"6","author":"Farage","year":"2019","journal-title":"Front Med (Lausanne)."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1001\/jamadermatol.2013.7932","article-title":"Prevalence of self-reported skin complaints and avoidance of common daily life consumer products in selected European regions","volume":"150","author":"Naldi","year":"2014","journal-title":"JAMA Dermatol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"800","DOI":"10.1016\/j.ad.2018.10.021","article-title":"Diagnosis and treatment of sensitive skin syndrome: an algorithm for clinical practice","volume":"110","author":"Guerra-Tapia","year":"2019","journal-title":"Actas Dermosifiliogr"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"9","DOI":"10.4103\/0378-6323.104664","article-title":"Sensitive skin: an overview","volume":"79","author":"Inamadar","year":"2013","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1111\/jdv.16000","article-title":"Pathophysiology and management of sensitive skin: position paper from the special interest group on sensitive skin of the international forum for the study of itch (IFSI)","volume":"34","author":"Misery","year":"2020","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1436","DOI":"10.1111\/jdv.15719","article-title":"Consensus-based European guidelines for treatment of atopic eczema (atopic dermatitis) in adults and children: part I","volume":"33","author":"Wollenberg","year":"2019","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"S49","DOI":"10.1016\/j.jaci.2017.01.009","article-title":"Current guidelines for the evaluation and management of atopic dermatitis: a comparison of the joint task force practice parameter and American Academy of Dermatology guidelines","volume":"139","author":"Eichenfield","year":"2017","journal-title":"J Allergy Clin Immunol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1111\/j.1473-2130.2004.00082.x","article-title":"Sensitive skin: a complex and multifactorial syndrome","volume":"3","author":"Pons-Guiraud","year":"2004","journal-title":"J Cosmet Dermatol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1097\/01634989-199809000-00007","article-title":"Factors defining sensitive skin and its treatment","volume":"9","author":"Muizzuddin","year":"1998","journal-title":"Am J Contact Dermat"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"556","DOI":"10.1111\/srt.13156","article-title":"Association between biophysical properties and anxiety in patients with sensitive skin","volume":"28","author":"Manav","year":"2022","journal-title":"Skin Res Technol"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/j.0105-1873.2006.00886.x","article-title":"Sensory, clinical and physiological factors in sensitive skin: a review","volume":"55","author":"Farage","year":"2006","journal-title":"Contact Derm"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1111\/j.1365\u20132230.2009.03487.x","article-title":"How do perceptions of sensitive skin differ at different anatomical sites? An epidemiological study","volume":"34","author":"Farage","year":"2009","journal-title":"Clin Exp Dermatol"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"3","DOI":"10.2340\/00015555-2235","article-title":"Pathophysiological study of sensitive skin","volume":"96","author":"Buh\u00e9","year":"2016","journal-title":"Acta Derm Venereol"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1111\/j.1600-0625.2009.00861.x","article-title":"Putative neuronal mechanisms of sensitive skin","volume":"18","author":"St\u00e4nder","year":"2009","journal-title":"Exp Dermatol"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"8","DOI":"10.3390\/ijms20081811","article-title":"The dynamics of the skin's immune system","volume":"20","author":"Nguyen","year":"2019","journal-title":"Int J Mol Sci"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1111\/cod.13233","article-title":"Filaggrin. Filaggrin gene mutations in hand eczema patients in the Indian subcontinent: a prospective case-control study","volume":"80","author":"Handa","year":"2019","journal-title":"Contact Derm"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"545","DOI":"10.4103\/0378-6323.100518","article-title":"Filaggrin mutations and the skin","volume":"78","author":"De","year":"2012","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1007\/s12098-020-03231-0","article-title":"Prevalence of filaggrin gene R501X mutation in Indian children with allergic diseases","volume":"87","author":"Chauhan","year":"2020","journal-title":"Indian J Pediatr"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"2058","DOI":"10.1111\/jocd.13829","article-title":"Does sensitive skin represent a skin condition or manifestations of other disorders?","volume":"20","author":"Chen","year":"2021","journal-title":"J Cosmet Dermatol"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/978-3-642-12264-4_4","article-title":"Skin barrier function","volume-title":"Krutmann J, Humbert P, editors. Nutrition for healthy skin: Strategies for clinical and cosmetic practice","author":"Elias","year":"2010"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1590\/abd1806-4841.2016354","article-title":"Skin barrier in rosacea","volume":"91","author":"Addor","year":"2016","journal-title":"An Bras Dermatol"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1590\/abd1806-4841.201756111","article-title":"Sensitive skin: review of an ascending concept","volume":"92","author":"Duarte","year":"2017","journal-title":"An Bras Dermatol"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.annder.2019.05.007","article-title":"Sensitive skin, reactive skin","volume":"146","author":"Misery","year":"2019","journal-title":"Ann Dermatol Venereol"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1016\/S1046-199X(97)90000-2","article-title":"Sensitive skin: perceptions, evaluation, and treatment","volume":"8","author":"Draelos","year":"1997","journal-title":"Am J Contact Dermat"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1111\/jocd.15519","article-title":"Expert consensus on holistic skin care routine: focus on acne, rosacea, atopic dermatitis, and sensitive skin syndrome","volume":"22","author":"Goh","year":"2023","journal-title":"J Cosmet Dermatol"},{"key":"ref27","author":"Amarendra","year":"2019"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"6","DOI":"10.18203\/issn.2455-4529.IntJResDermatol20204577","article-title":"Expert consensus on defining sensitive skin and role of cosmeceuticals: an Indian perspective","volume":"6","author":"Kohli","year":"2020","journal-title":"Int J Res Dermatol"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"75","DOI":"10.3121\/cmr.2017.1363","article-title":"The role of moisturizers in addressing various kinds of dermatitis: a review","volume":"15","author":"Purnamawati","year":"2017","journal-title":"Clin Med Res"},{"key":"ref30","first-page":"10","article-title":"Colloidal oatmeal part I: history, basic science, mechanism of action, and clinical efficacy in the treatment of atopic dermatitis","volume":"19","author":"Allais","year":"2020","journal-title":"J Drugs Dermatol"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"836931","DOI":"10.1155\/2012\/836931","article-title":"Management of patients with atopic dermatitis: the role of emollient therapy","volume":"2012","author":"Catherine Mack Correa","year":"2012","journal-title":"Dermatol Res Pract"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"142","DOI":"10.4103\/0378-6323.93629","article-title":"Oatmeal in dermatology: a brief review","volume":"78","author":"Pazyar","year":"2012","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"ref33","first-page":"1","article-title":"Anti-inflammatory activities of colloidal oatmeal (Avena sativa) contribute to the effectiveness of oats in treatment of itch associated with dry, irritated skin","volume":"14","author":"Reynertson","year":"2015","journal-title":"J Drugs Dermatol"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"984","DOI":"10.1111\/all.15491","article-title":"Early initiation of short-term emollient use for the prevention of atopic dermatitis in high-risk infants-the STOP-AD randomised controlled trial","volume":"78","author":"N\u00ed Chaoimh","year":"2023","journal-title":"Allergy"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1111\/exd.12658","article-title":"Keratinocyte differentiation and upregulation of ceramide synthesis induced by an oat lipid extract via the activation of PPAR pathways","volume":"24","author":"Chon","year":"2015","journal-title":"Exp Dermatol"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"AB71","DOI":"10.1016\/j.jaad.2010.09.317","article-title":"Comparing the effectiveness of an oatmeal cream versus a prescription device cream in improving skin moisturization and barrier function in moderate to severe dry skin","volume":"64","author":"Nebus","year":"2011","journal-title":"J Am Acad Dermatol"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"279","DOI":"10.4103\/0019-5154.182427","article-title":"Moisturizers: the slippery road","volume":"61","author":"Sethi","year":"2016","journal-title":"Indian J Dermatol"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1007\/s00403-021-02243-w","article-title":"Comorbidities and treatment patterns in adult patients with atopic dermatitis: results from a nationwide multicenter study","volume":"314","author":"Campanati","year":"2022","journal-title":"Arch Dermatol Res"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"698","DOI":"10.1111\/jdv.17929","article-title":"Prevalence and characteristics of atopic dermatitis among young adult females and males-report from the Swedish population-based study BAMSE","volume":"36","author":"Johansson","year":"2022","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1136\/pgmj.2006.045377","article-title":"Acne: more than skin deep","volume":"82","author":"Ayer","year":"2006","journal-title":"Postgrad Med J"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"2415","DOI":"10.2147\/CCID.S392165","article-title":"Acne comorbidities","volume":"15","author":"Wang","year":"2022","journal-title":"Clin Cosmet Investig Dermatol"},{"key":"ref42","volume-title":"Rosacea. PubMed","author":"Farshchian","year":"2021"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"170","DOI":"10.7861\/clinmed.2021-0257","article-title":"Psoriasis: a brief overview","volume":"21","author":"Raharja","year":"2021","journal-title":"Clin Med (Lond)"},{"key":"ref44","volume-title":"Keratosis pilaris","author":"Pennycook","year":"2020"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13098-016-0176-y","article-title":"Skin disorders in diabetes mellitus: an epidemiology and physiopathology review","volume":"8","author":"De Macedo","year":"2016","journal-title":"Diabetol Metab Syndr"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"e38961","DOI":"10.7759\/cureus.38961","article-title":"A comprehensive overview of skin complications in diabetes and their prevention","volume":"15","author":"David","year":"2023","journal-title":"Cureus"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"401","DOI":"10.2147\/CMAR.S52256","article-title":"Daily baseline skin care in the prevention, treatment, and supportive care of skin toxicity in oncology patients: recommendations from a multinational expert panel","volume":"5","author":"Bensadoun","year":"2013","journal-title":"Cancer Manag Res"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"1186","DOI":"10.4143\/crt.2017.435","article-title":"The impact of skin problems on the quality of life in patients treated with anticancer agents: a cross-sectional study","volume":"50","author":"Lee","year":"2018","journal-title":"Cancer Res Treat"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1111\/j.1600\u20130625.2009.00932.x","article-title":"Bifidobacterium longum lysate, a new ingredient for reactive skin","volume":"19","author":"Gu\u00e9niche","year":"2010","journal-title":"Exp Dermatol"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1625172\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T16:45:28Z","timestamp":1756226728000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1625172\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,26]]},"references-count":49,"alternative-id":["10.3389\/fmed.2025.1625172"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2025.1625172","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,26]]},"article-number":"1625172"}}