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Dietary modifications in atopic dermatitis: patient-reported outcomes
Adi Nosrati1, Ladan Afifi1, Melissa J Danesh1
1a Department of Dermatology , University of California San Francisco , San Francisco , CA , USA.
The Journal of Dermatological Treatment
|January 4, 2017
Summary
Many atopic dermatitis (AD) patients try dietary changes, finding improvements by excluding foods like gluten and adding vegetables. Physician discussions about diet
Area of Science:
- Dermatology
- Nutrition Science
- Patient-Reported Outcomes
Background:
- Atopic dermatitis (AD) patients frequently use dietary changes to manage their condition.
- Patient perceptions and outcomes of these dietary interventions are crucial for understanding AD management.
Purpose of the Study:
- To investigate patient-reported outcomes and perceptions of dietary modifications for atopic dermatitis (AD).
- To understand the impact of specific dietary exclusions and additions on AD symptom improvement.
Main Methods:
- A cross-sectional study involving 169 patients with atopic dermatitis (AD).
- A 61-question survey was administered to gather data on dietary habits, perceptions, and experienced outcomes.
Main Results:
- 87% of AD patients reported trying dietary exclusions, most commonly junk food, dairy, and gluten.
- Significant skin improvement was reported by patients excluding white flour, gluten, and nightshades.
- 79.9% of patients added foods like vegetables, fish oil, and fruits, with notable improvements from vegetables, organic foods, and fish oil.
- While 93.5% of patients desired physician discussion on diet's role in AD, only 32.5% consulted a dermatologist.
Conclusions:
- Dietary modifications are prevalent among atopic dermatitis (AD) patients.
- The role of diet in AD management, including potential benefits and risks, warrants thorough discussion between physicians and patients.
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