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Crude pine tar is obtained by the destructive distillation of pine wood. Its chief constituents include resin acids and other aromatic hydrocarbons. Unlike coal tar, pine tar is not a by-product of coal processing but is derived directly from the wood of pine trees.

Pine tar is a natural, sticky substance with a characteristic pine or wood smoke scent. It is often used in its natural form or slightly refined in various skincare products.

Pine tar is available in various formulations such as soaps, shampoos, and ointments. The choice of formulation depends on the skin condition being treated and the desired effect.

In dermatological preparations, pine tar is typically used in concentrations up to 2.3%.

Pine Tar is used in combination therapies in shampoos and body washes, with cleansing and moisturizing agents like Cocamidopropyl Betaine and Glycerin. Additionally, in products like soothing creams and soaps, it's blended with emollients and anti-inflammatory agents such as Tea Tree Oil and Sunflower Seed Oil. These combinations help in achieving a balanced skin care regimen. 

How Does Pine Tar Work in Skin Conditions?
Pine tar, known for its natural soothing and anti-inflammatory properties, plays a significant role in managing several skin disorders.

• Eczema: Eczema is a condition characterized by red, itchy, and inflamed skin. Pine tar is effective in soothing the itchiness and reducing inflammation associated with eczema. Its moisturizing properties also help alleviate the dryness that often accompanies this condition.
• Psoriasis: Psoriasis presents as red, scaly patches on the skin, often accompanied by itching and discomfort. While pine tar does not cure psoriasis, it can provide symptomatic relief. The tar's soothing action helps lessen itching and inflammation, making it a supportive treatment option.
• Atopic Dermatitis: Similar to eczema, atopic dermatitis is marked by dry, itchy, and inflamed skin. Pine tar aids in reducing the skin's irritation and redness, offering relief to individuals with this condition.
• Seborrheic Dermatitis: This condition primarily affects the scalp, causing scaly patches, red skin, and stubborn dandruff. Pine tar's properties can be beneficial in soothing the scalp, reducing flakiness, and easing the itching associated with seborrheic dermatitis.

In my professional opinion, pine tar's natural composition makes it a favorable option for patients looking for alternative or adjunctive treatments for these skin conditions. Its ability to soothe and reduce inflammation, coupled with its moisturizing effect, addresses the key symptoms of these disorders. Furthermore, pine tar is generally well-tolerated, making it suitable for long-term use, especially in cases of chronic conditions.

Pine tar can be a suitable option for treating children with certain skin conditions like eczema, due to its natural composition and lower risk of irritation. In pediatric dermatology, it is often considered a gentler alternative, especially for children who may be sensitive to stronger treatments or have a higher risk of drug absorption and toxicity.

It is not considered a cure for serious skin conditions but can significantly reduce symptoms such as itching, flaking, and scaling. Pine tar works by soothing the skin and providing a protective layer that aids in the skin's natural healing process.

Pine tar is generally recognized as safe for topical use, and its natural origins make it a popular choice in herbal and alternative medicine.

Pine Tar's Efficacy in Childhood Eczema
A recent study titled "Effect of pine-tar bath on disease severity in moderate-to-severe childhood eczema" conducted an investigator-blinded, crossover, randomized clinical trial. The study found that bathing with pine-tar significantly improved symptoms in children with moderate-to-severe eczema. Improvements were noted in disease severity scores, Staphylococcus aureus colonisation status, and blood IgE levels. The study concluded that pine-tar baths are an effective and recommendable adjuvant treatment for childhood eczema, with good acceptability and minimal safety risks. This underscores the therapeutic potential of pine tar in managing inflammatory skin conditions like eczema.