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Dietary exclusion for childhood atopic dermatitis.

Abstract

QUESTION

Atopic dermatitis (AD) (eczema) is very common in childhood. Parents are often concerned that food allergy plays a role in their child's eczema presentation and practise elimination diets for symptom control. Should I recommend that children with AD eliminate cow's milk or eggs from their diets?

ANSWER

There is insufficient evidence about the benefit of eliminating cow's milk in unselected patients with AD. Some evidence suggests that egg elimination might benefit those children with AD who are suspected of being allergic to eggs and who are sensitized to eggs; however, more research is needed in this population to guide the use of food elimination. Prolonged elimination diets that are not physician guided also put patients at risk of nutritional deficiencies and failure to thrive, and might actually contribute to the development of clinical food allergy.

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    Source

    MeSH

    Animals
    Dermatitis, Atopic
    Diet Therapy
    Eczema
    Eggs
    Food Hypersensitivity
    Humans
    Milk
    Pediatrics

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    26380852

    Citation

    Tait, Carmen, and Ran D. Goldman. "Dietary Exclusion for Childhood Atopic Dermatitis." Canadian Family Physician Medecin De Famille Canadien, vol. 61, no. 7, 2015, pp. 609-11.
    Tait C, Goldman RD. Dietary exclusion for childhood atopic dermatitis. Can Fam Physician. 2015;61(7):609-11.
    Tait, C., & Goldman, R. D. (2015). Dietary exclusion for childhood atopic dermatitis. Canadian Family Physician Medecin De Famille Canadien, 61(7), pp. 609-11.
    Tait C, Goldman RD. Dietary Exclusion for Childhood Atopic Dermatitis. Can Fam Physician. 2015;61(7):609-11. PubMed PMID: 26380852.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Dietary exclusion for childhood atopic dermatitis. AU - Tait,Carmen, AU - Goldman,Ran D, PY - 2015/9/19/entrez PY - 2015/9/19/pubmed PY - 2016/4/19/medline SP - 609 EP - 11 JF - Canadian family physician Medecin de famille canadien JO - Can Fam Physician VL - 61 IS - 7 N2 - QUESTION: Atopic dermatitis (AD) (eczema) is very common in childhood. Parents are often concerned that food allergy plays a role in their child's eczema presentation and practise elimination diets for symptom control. Should I recommend that children with AD eliminate cow's milk or eggs from their diets? ANSWER: There is insufficient evidence about the benefit of eliminating cow's milk in unselected patients with AD. Some evidence suggests that egg elimination might benefit those children with AD who are suspected of being allergic to eggs and who are sensitized to eggs; however, more research is needed in this population to guide the use of food elimination. Prolonged elimination diets that are not physician guided also put patients at risk of nutritional deficiencies and failure to thrive, and might actually contribute to the development of clinical food allergy. SN - 1715-5258 UR - https://www.unboundmedicine.com/medline/citation/26380852/full_citation L2 - http://www.cfp.ca/cgi/pmidlookup?view=long&pmid=26380852 DB - PRIME DP - Unbound Medicine ER -