Assessment of the Severity of Atopic Dermatitis Using Atomic Force Microscopy Analysis of Skin Tape Strips

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Assessment of the Severity of Atopic Dermatitis Using Atomic Force Microscopy Analysis of Skin Tape Strips

Allergy, 2025; 0:1-3

This letter for the European Journal of Allergy and Clinical Immunology presents new results showing that atomic force microscopy (AFM) can non-invasively assess the severity of atopic dermatitis (AD) by measuring tiny surface changes on skin cells collected with tape strips. Researchers quantified “circular nanosize objects” (CNOs)—small protrusions linked to skin-barrier damage—using a new index called the Effective Corneocyte Topographical Index (ECTI). In 120 participants, ECTI increased consistently with AD severity, even in skin that looked normal, while natural moisturizing factor levels showed the opposite trend. These findings suggest that AFM-based nanoscale measurements could help detect early barrier impairment and objectively monitor AD progression or treatment response.

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