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Prebiotics and probiotics in atopic dermatitis
Emilia Rusu1, Georgiana Enache1,2, Raluca Cursaru1
1Department 2 Infectious Diseases, Epidemiology, Microbiology, Parasitology, Virology, Diabetes, Endocrinology, 'Carol Davila' University of Medicine and Farmacy, 010458 Bucharest, Romania.
Probiotics and prebiotics show promise for atopic dermatitis. Supplementation, particularly probiotics for at least 8 weeks, may improve symptom severity by enhancing gut health and immune response.
Area of Science:
- Immunology
- Microbiome research
- Dermatology
Background:
- Atopic dermatitis is linked to increased intestinal permeability and reduced skin microbiome diversity.
- Prebiotics and probiotics are increasingly studied for their therapeutic potential in managing inflammatory skin conditions.
Purpose of the Study:
- To review current literature on the benefits of prebiotics and probiotics for atopic dermatitis.
- To analyze treatment effects across different age groups and identify knowledge gaps.
Main Methods:
- Systematic literature search of PubMed, Scopus, Embase, and Cochrane databases until June 5, 2018.
- Keywords included 'prebiotic', 'probiotic', 'atopic dermatitis', 'Severity Scoring of Atopic Dermatitis (SCORAD)'.
Main Results:
- Probiotics may improve atopic dermatitis severity by modulating the gut microbiome and immune system, enhancing intestinal barrier function.
- Evidence suggests benefits across infants, children, adults, and during pregnancy/lactation, with most trials supporting at least 8 weeks of probiotic use.
Conclusions:
- Probiotic and prebiotic interventions show potential for atopic dermatitis management.
- Further research is needed on optimal dosing, duration, and personalized treatment strategies based on individual microbiome profiles.
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