of the replacement of the physiological lipids that are reduced in the stratum corneum in patients with atopic dermatitis ad in addition it replenished the skin with ceramide a key lipid lacking in the corneal layer in patients with ad the compound offers an optimal ratio of 3 1 1 ceramides cholesterol and free fatty acids to help normalize the barrier function of the skin the invention acts by forming a vapor permeable barrier which allows a metabolic response to repair the skin and helps to normalize the ph in the stratum corneum this emulsion is readily reacted with diluted nitric acid and hot sulfuric acid and it is not sensitive to light in the metallic form in addition sodium hydroxide or anhydrous caustic soda is used to neutralize the acids 1 hepner d l castells m c latex allergy an update anesth analg 2003 96 1219 1229 2 ownby d r a history of latex allergy j allergy clin immunol 2002 110 s27 32 3 alenius h turjanmaa k palosuo t natural rubber latex allergy occup environ med 2002 59 419 424 4 constitutional chamber of the supreme court of justice judgment 2003 1432 may 6 2003 5 tesiorowski c c latex allergies in the health care worker j perianesth nurs 2003 18 18 31 6 turjanmaa k diagnosis of latex allergy alergy 2001 56 810.