The Primary Prevention of Atopic Dermatitis

Joanne R. Chalmers, Sam F. Bremmer, Eric L. Simpson

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The development of a cost-effective prevention strategy for atopic dermatitis would represent a major public health advance. The disease is highly prevalent around the world and often heralds the onset of immunoglobulin-E-mediated allergic diseases. Most studies to date have utilized allergen avoidance strategies or dietary supplementation. More recently, a relatively large body of literature supports the use of probiotic supplementation to prevent atopic dermatitis, although the effect is modest and more confirmatory studies are needed. The use of partially hydrolyzed formulas for high-risk infants may also be considered when exclusive breastfeeding is not possible. Dietary restrictions and the delayed introduction of complimentary foods are not effective and may cause harm. The data do not support dust mite avoidance or omega fatty acid supplementation. Newer prevention strategies focusing on improving skin barrier dysfunction are under evaluation.

Original languageEnglish (US)
Title of host publicationEvidence-Based Dermatology
Subtitle of host publicationThird Edition
PublisherWiley-Blackwell
Pages127-135
Number of pages9
ISBN (Electronic)9781118357606
ISBN (Print)9781118357675
DOIs
StatePublished - Aug 11 2014

Keywords

  • Allergen avoidance
  • Atopic dermatitis
  • Eczema
  • Emollients
  • Hydrolyzed formula
  • Prevention
  • Probiotics

ASJC Scopus subject areas

  • Medicine(all)

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