[Nutrition and atopic eczema].Z Hautkr 1987; 62 Suppl 1:96-9ZH
Food incompatibility plays a minor role, especially in the case of adult patients, in the complex, multifactorial genesis of the atopic eczema. For approximately 10% of the cases of atopic eczema in children further forms of therapy, including dietary measures, should be considered, apart from the basic therapy according to standard dermatological rules. With this in mind, a test by means of an elimination diet is recommended (elimination of eggs, chicken, milk and possibly colourings and preservatives, citrus fruit, tomatoes, fish and nuts). Due to the difficulty in dietary treatment pharmacological prevention of food allergy (Colimmune) is of theoretical importance. Recently interest has been concentrated on possible roles of lipid mediators in atopic eczema. Leukotriene B4, found in the skin of eczema patients in increased concentration, has been proved to be a mediator. At the moment pilot studies are being carried out on the influence of mediator metabolism by dietary measures.