Elimination diets offered only mild improvement, and most parents reintroduced foods.
reported little or no improvement with elimination diets, and nearly 80% reintroduced the eliminated foods, based on survey data from nearly 300 parents., major allergy organizations do not currently recommend elimination diets as a treatment for AD, said Nadia Makkoukdji, MD, a pediatrician at Jackson Memorial Hospital, Miami, in a presentation at the American College of Allergy,
Overall, 42% of parents identified food triggers for their child’s AD. The most commonly identified triggers were milk , tree nuts/seeds/peanuts , and eggs . The researchers were surprised by how many parents changed their child’s diet in the belief that certain foods exacerbated their child's AD, “although this perception aligns with the common concern that food allergens can trigger or worsen atopic dermatitis flares,” Makkoukdji toldThe current study highlights the need for more awareness of the limited impact of dietary modifications on AD in the absence of confirmed food allergies, Makkoukdji said.
This lack of effect of dietary changes is often frustrating to patients because of the persistent “common wisdom” that points to diet as a root cause of AD, Lio told. “Many practitioners continue to recommend excluding foods such as gluten or dairy from the diet, but generally these are only of modest help,” and although patients wish that dietary changes would fix the problem, most are left wondering why these changes didn’t help them, he said.
True food allergies are much more common in patients with AD compared with individuals without AD, but the current study is not addressing these types of allergies, Lio emphasized. “If someone has true allergy to peanuts, for example, they should not be eating them; we also know that they are not ‘cheating’ because these patients would not merely have an eczema flare; they would have,” he said.
Atopic Eczema Dermatitis Diet Children Child Childhood Pediatrics Kids Food Allergy Food Hypersensitivity Allergy Peanut Allergy Peanut Anaphylaxis Allergy To Peanuts Anaphylaxis Asthma Asthmatic Microbiome Microbiota Urticaria And Angioedema Urticaria And Angio-Oedema Pediatric Dermatology Board Certification Boards Board Recertification Eczema Stress
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