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Dietary treatment of childhood atopic eczema/dermatitis syndrome (AEDS).

Abstract

OBJECTIVE

This review summarizes the research and clinical evidence in favour of dietary intervention aimed at eliminating allergenic foods in the management of atopic eczema/dermatitis syndrome (AEDS).

DATA SOURCES

The data source was PubMed, using a search algorithm selecting for clinical studies of AEDS, diet therapy and food allergy in all children to October 2003. Also included is a commentary based on the authors' clinical experience in the allergy unit of a university hospital in Italy.

RESULTS

Fourteen prospective studies matched the entry criteria. Diverse trial designs, diagnostic criteria, types of dietary intervention and length of observation periods precluded meta-analytic methods. Allergenic food exclusion claimed efficacy in 13 of the 14 studies and was most useful in infants, in patients with elevated immunoglobulin E levels and/or multiple food sensitization and in patients with a diagnosis of food allergy.

CONCLUSION

Dietary intervention in the form of an elimination diet is efficacious in children with AEDS when a specific diagnosis of food allergy has been made. Diagnostic evaluation of food allergy should be performed in all children with eczema, particularly in younger children and those with severe forms of the disease.

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  • Authors+Show Affiliations

    ,

    Department of Child and Maternal Medicine,The Fatebenefratelli/Melloni University Hospital, Milan, Italy.

    , , ,

    Source

    Allergy 59 Suppl 78: 2004 Aug pg 78-85

    MeSH

    Child
    Dermatitis, Atopic
    Food Hypersensitivity
    Humans

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    15245364

    Citation

    Fiocchi, A, et al. "Dietary Treatment of Childhood Atopic Eczema/dermatitis Syndrome (AEDS)." Allergy, vol. 59 Suppl 78, 2004, pp. 78-85.
    Fiocchi A, Bouygue GR, Martelli A, et al. Dietary treatment of childhood atopic eczema/dermatitis syndrome (AEDS). Allergy. 2004;59 Suppl 78:78-85.
    Fiocchi, A., Bouygue, G. R., Martelli, A., Terracciano, L., & Sarratud, T. (2004). Dietary treatment of childhood atopic eczema/dermatitis syndrome (AEDS). Allergy, 59 Suppl 78, pp. 78-85.
    Fiocchi A, et al. Dietary Treatment of Childhood Atopic Eczema/dermatitis Syndrome (AEDS). Allergy. 2004;59 Suppl 78:78-85. PubMed PMID: 15245364.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Dietary treatment of childhood atopic eczema/dermatitis syndrome (AEDS). AU - Fiocchi,A, AU - Bouygue,G R, AU - Martelli,A, AU - Terracciano,L, AU - Sarratud,T, PY - 2004/7/13/pubmed PY - 2004/11/9/medline PY - 2004/7/13/entrez SP - 78 EP - 85 JF - Allergy JO - Allergy VL - 59 Suppl 78 N2 - OBJECTIVE: This review summarizes the research and clinical evidence in favour of dietary intervention aimed at eliminating allergenic foods in the management of atopic eczema/dermatitis syndrome (AEDS). DATA SOURCES: The data source was PubMed, using a search algorithm selecting for clinical studies of AEDS, diet therapy and food allergy in all children to October 2003. Also included is a commentary based on the authors' clinical experience in the allergy unit of a university hospital in Italy. RESULTS: Fourteen prospective studies matched the entry criteria. Diverse trial designs, diagnostic criteria, types of dietary intervention and length of observation periods precluded meta-analytic methods. Allergenic food exclusion claimed efficacy in 13 of the 14 studies and was most useful in infants, in patients with elevated immunoglobulin E levels and/or multiple food sensitization and in patients with a diagnosis of food allergy. CONCLUSION: Dietary intervention in the form of an elimination diet is efficacious in children with AEDS when a specific diagnosis of food allergy has been made. Diagnostic evaluation of food allergy should be performed in all children with eczema, particularly in younger children and those with severe forms of the disease. SN - 0105-4538 UR - https://www.unboundmedicine.com/medline/citation/15245364/full_citation L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0105-4538&date=2004&volume=59&issue=&spage=78 DB - PRIME DP - Unbound Medicine ER -