Dermatology

Atopic Dermatitis

Expert Roundtables Podcast: Dietary Interventions in Pediatric Patients With Atopic Dermatitis

expert roundtables by Zelma C. Chiesa Fuxench, MD, MSCE, FAAD; Shawn G. Kwatra, MD; Peter A. Lio, MD

Overview

<p>Dietary interventions in pediatric atopic dermatitis remain controversial. While food allergies can exacerbate symptoms in a subset of patients, routine testing and broadly eliminating suspected foods from a child’s diet are discouraged. Emerging evidence suggests that certain supplements may help. Listen to today’s podcast to learn more about these issues.</p>

References

AAAAI/ACAAI JTF Atopic Dermatitis Guideline Panel; Chu DK, Schneider L, Asiniwasis RN, et al. Atopic dermatitis (eczema) guidelines: 2023 American Academy of Allergy, Asthma and Immunology/American College of Allergy, Asthma and Immunology Joint Task Force on Practice Parameters GRADE- and Institute of Medicine-based recommendations. Ann Allergy Asthma Immunol. 2024;132(3):274-312. doi:10.1016/j.anai.2023.11.009

Chang A, Robison R, Cai M, Singh AM. Natural history of food-triggered atopic dermatitis and development of immediate reactions in children. J Allergy Clin Immunol Pract. 2016;4(2):229-236.e1. doi:10.1016/j.jaip.2015.08.006

Davidson WF, Leung DYM, Beck LA, et al. Report from the National Institute of Allergy and Infectious Diseases workshop on “atopic dermatitis and the atopic march: mechanisms and interventions.” J Allergy Clin Immunol. 2019;143(3):894-913. doi:10.1016/j.jaci.2019.01.003

Lim JJ, Liu MH, Chew FT. Dietary interventions in atopic dermatitis: a comprehensive scoping review and analysis. Int Arch Allergy Immunol. 2024;185(6):545-589. doi:10.1159/000535903

Nielsen AY, Høj S, Thomsen SF, Meteran H. Vitamin D supplementation for treating atopic dermatitis in children and adults: a systematic review and meta-analysis. Nutrients. 2024;16(23):4128. doi:10.3390/nu16234128

Thyssen JP, Halling AS, Schmid-Grendelmeier P, Guttman-Yassky E, Silverberg JI. Comorbidities of atopic dermatitis-what does the evidence say? J Allergy Clin Immunol. 2023;151(5):1155-1162. doi:10.1016/j.jaci.2022.12.002

Vassilopoulou E, Comotti A, Douladiris N, et al. A systematic review and meta-analysis of nutritional and dietary interventions in randomized controlled trials for skin symptoms in children with atopic dermatitis and without food allergy: an EAACI task force report. Allergy. 2024;79(7):1708-1724. doi:10.1111/all.16160

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Zelma C. Chiesa Fuxench, MD, MSCE, FAAD

Assistant Professor of Dermatology
Perelman School of Medicine
University of Pennsylvania
Philadelphia, PA

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Shawn G. Kwatra, MD

Joseph W. Burnett Endowed Professor
Chair, Department of Dermatology
University of Maryland School of Medicine
Baltimore, MD

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Peter A. Lio, MD

Clinical Assistant Professor of Dermatology and Pediatrics
Northwestern University Feinberg School of Medicine
Founding Director
Chicago Integrative Eczema Center
Chicago, IL