Food allergen-free diet in severe atopic dermatitis related to food allergy

Guillet, Marie-Hélène; Anyfantakis, V.; Guillet, G.

doi:10.4103/0378-6323.79715

Cited by 5 publications

(2 citation statements)

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“…The impact of psoriasis was less in “symptoms and feelings” (mean 2.08), “personal relationships” (3.15), and “work and school” (1.58). This result is contrary to studies from India ( 26 ) and South Africa ( 27 ), which have reported that “daily activities” are the most affected domains. On the other hand, studies from Thailand ( 28 ) and Malaysia ( 24 ) found symptoms and feelings as the highest domain and daily activities as the second.…”

Section: Discussioncontrasting

confidence: 99%

Health-related quality of life and its determinants among patients with psoriasis at a referral hospital in Northwest Ethiopia

Belachew,

Chanie,

Gizachew

et al. 2023

Front. Med.

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ObjectivesThis study assessed health-related quality of life (HRQoL) and its determinants among patients with psoriasis having follow-ups at the University of Gondar Comprehensive Specialized Hospital (UoGCSH).Design, setting, and participantsA cross-sectional institutional-based study was conducted at the dermatologic clinic of UoGCSH from June to August 2022. Four hundred eligible patients with psoriasis were included in the study using a systematic random sampling technique.The main outcome measuredThe Dermatology Life Quality Index (DLQI) measurement scale was used to assess HRQoL. The relationship between HRQoL and independent predictor variables was investigated using bivariable and multivariate logistic regression analyses. Statistical significance was defined as a p-value of <0.05 at the 95% CI.ResultsOf the 422 study subjects approached, 400 respondents with psoriasis were included in the final analysis. The mean (±SD) age was 39.8 (±17.2) years, and 56% were women. The most commonly prescribed medications were topical corticosteroids (68.3 %). The mean (±SD) DLQI was 13.05 (7.82). More than three-fourths (78.5%) of the patients' HRQOL was affected, and its severity ranged from very large to extremely large. Being male (adjusted odd ratio) (AOR) = 0.373, 95% CI (0.171, 0.773), the use of alternative therapy (AOR) = 0.237, 95% CI (0.114, 0.494), duration of diseases (AOR) = 0.184, 95% CI (0.061, 0.557), duration on medication (AOR) =3.75, 95% CI (1.32, 10.73), presence of comorbidity (AOR) = 6.199, 95% CI (1.921, 20.00), and income were found to have a significant association with poor HRQoL.ConclusionPsoriasis patients had reduced HRQoL, which was lower than that of the normal population. The study identified that several variables contributed to this reduced HRQoL. Predictors that take into account interventions were essential for preserving patients' HRQoL.

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Section: Discussioncontrasting

confidence: 99%

Health-related quality of life and its determinants among patients with psoriasis at a referral hospital in Northwest Ethiopia

Belachew,

Chanie,

Gizachew

et al. 2023

Front. Med.

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“…Marie-Helene et al [37] conducted a 3 year prospective study on a pediatric population of 100 children that SPT-positive and IgE-positive for foods, specifically egg in 67%, peanut in 54%, milk in 30%, sea shells in 26.9%, wheat flour in 16.8%, fish in 11.2%, soy in 8.9%, and mustard in 4.5%. During the observation period, patients avoided foods they were allergic to.…”

Section: Atopic Dermatitismentioning

confidence: 99%

The Role of Nutrition in Immune-Mediated, Inflammatory Skin Disease: A Narrative Review

et al. 2022

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Immune-mediated inflammatory skin diseases are characterized by a complex multifactorial etiology, in which genetic and environmental factors interact both in genesis and development of the disease. Nutrition is a complex and fascinating scenario, whose pivotal role in induction, exacerbation, or amelioration of several human diseases has already been well documented. However, owing to the complexity of immune-mediated skin disease clinical course and breadth and variability of human nutrition, their correlation still remains an open debate in literature. It is therefore important for dermatologists to be aware about the scientific basis linking nutrition to inflammatory skin diseases such as psoriasis, atopic dermatitis, hidradenitis suppurativa, bullous diseases, vitiligo, and alopecia areata, and whether changes in diet can influence the clinical course of these diseases. The purpose of this narrative review is to address the role of nutrition in immune-mediated inflammatory skin diseases, in light of the most recent and validate knowledge on this topic. Moreover, whether specific dietary modifications could provide meaningful implementation in planning a therapeutic strategy for patients is evaluated, in accordance with regenerative medicine precepts, a healing-oriented medicine that considers the whole person, including all aspects of the lifestyle.

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Food Avoidance Diets for Dermatitis

Scott

Hammond

Nedorost

2015

Curr Allergy Asthma Rep

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Food allergy is relatively common in both children and adults, and its prevalence is increasing. Early exposure of food allergens onto skin with an impaired epidermal barrier predisposes to sensitization and prevents the development of oral tolerance. While immediate-type food allergies are well described, less is known about delayed-type food allergies manifesting as dermatitis. This is due, in part, to limitations with current diagnostic testing for delayed-type food allergy, including atopy patch testing. We conducted a systematic review of food avoidance diets in delayed-type food allergies manifesting as dermatitis. While beneficial in some clinical circumstances, avoidance diets should be used with caution in infants and children, as growth impairment and developmental delay may result. Ultimately, dermatitis is highly multifactorial and avoidance diets may not improve symptoms of delayed-type food allergy until combined with other targeted therapies, including restoring balance in the skin microbiome and re-establishing proper skin barrier function.

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Food allergen-free diet in severe atopic dermatitis related to food allergy

Cited by 5 publications

References 0 publications

Health-related quality of life and its determinants among patients with psoriasis at a referral hospital in Northwest Ethiopia

Health-related quality of life and its determinants among patients with psoriasis at a referral hospital in Northwest Ethiopia

The Role of Nutrition in Immune-Mediated, Inflammatory Skin Disease: A Narrative Review

Food Avoidance Diets for Dermatitis

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