en
Scientific article
English

Are avoidance diets still warranted in children with atopic dermatitis?

Published inPediatric Allergy and Immunology, vol. 31, no. 1, p. 19-26
Publication date2020
Abstract

Nearly 40% of children with moderate-to-severe atopic dermatitis (AD) have IgE-mediated food allergy (FA). This clinical observation has been extensively documented by experimental data linking skin inflammation in AD to FA, as well as by food challenges reproducing symptoms and avoidance diets improving AD. Although food avoidance may improve AD, avoidance diets do not cure AD, may even have detrimental effects such as progression to immediate-type allergy including anaphylactic reactions, and may significantly reduce the quality of life of the patient and the family. AD care should focus upon optimal medical management, rather than dietary elimination. Food allergy testing is primarily indicated when immediate-type allergic reactions are a concern. In recalcitrant AD, if food is being considered a possible chronic trigger, a limited panel of foods may be tested. An avoidance diet is only indicated in patients clearly identified as food allergic by an appropriate diagnostic food challenge, and after adequately informing the family of the limited benefits, and possible harms of an elimination diet.

Keywords
  • Anaphylaxis
  • Atopic dermatitis
  • Avoidance diet
  • Food allergy
  • IgE testing
  • Oral tolerance induction
  • Quality of life
Citation (ISO format)
EIGENMANN, Philippe et al. Are avoidance diets still warranted in children with atopic dermatitis? In: Pediatric Allergy and Immunology, 2020, vol. 31, n° 1, p. 19–26. doi: 10.1111/pai.13104
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
ISSN of the journal0905-6157
317views
0downloads

Technical informations

Creation08/18/2020 10:34:00 AM
First validation08/18/2020 10:34:00 AM
Update time03/15/2023 10:46:26 PM
Status update03/15/2023 10:46:25 PM
Last indexation05/05/2024 5:19:26 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack