The study was designed to test the ability of sequential applications of bi
otin-containing ointment to increase serum biotin levels. Twenty atopic der
matitis patients (mean age, 20.5 yr) and 11 healthy subjects (mean age, 25.
5 yr) volunteered to participate in this study. The diagnosis of atopic der
matitis was established dermatologically. Seven grams per day of ointment c
ontaining 0.3% biotin and 1-4 g per day of steroid ointment were both appli
ed sequentially. The healthy subjects applied only biotin ointment. The bio
tin concentration was determined microbiologically. Before biotin treatment
, the average serum biotin level was significantly lower in atopic dermatit
is patients than in healthy subjects. The percutaneous application of bioti
n-containing ointment caused a significant increase in the serum biotin con
centration in both healthy subjects (from 41.5 +/- 10.0 to 50.2 +/- 9.2 nmo
l/L) and in atopic dermatitis patients (from 27.9 +/- 17.4 to 50.7 +/- 21.6
nmol/L), especially in patients whose initial level was low, and also coul
d be effective in regulating the atopic allergic response involving eosinop
hils. In conclusion, biotin appears to be readily absorbed through both nor
mal and dermatitis-affected human skin.