Epogam evening primrose oil treatment in atopic dermatitis and asthma

C A Hederos1, A Berg

  • 1Paediatric Clinic, Health Centre, Gripen, Karlstad, Sweden.

Insights

Evening primrose oil supplementation showed no significant benefit for childhood atopic dermatitis or asthma symptoms compared to placebo. While essential fatty acid levels increased, clinical improvements in eczema were not statistically different between groups.

Area of Science:

  • Dermatology and Nutritional Science
  • Pediatric Atopic Diseases Research

Background:

  • Essential fatty acids (EFAs) are proposed to benefit atopic diseases.
  • Atopic dermatitis is a chronic inflammatory skin condition common in children.
  • Asthma frequently co-exists with atopic dermatitis in pediatric populations.

Purpose of the Study:

  • To evaluate the efficacy of evening primrose oil (Epogam) supplementation in children with atopic dermatitis.
  • To assess the impact of Epogam on co-existing asthma symptoms and general well-being.

Main Methods:

  • A 16-week, double-blind, placebo-controlled, parallel-group study involving 58 children with atopic dermatitis.
  • Participants received either Epogam evening primrose oil or placebo capsules.
  • Data collected included symptom diaries, medication use, peak expiratory flow, and clinician-assessed disease activity.

Main Results:

  • Plasma essential fatty acid concentrations significantly increased in the Epogam group.
  • Significant improvements in eczema symptoms were observed overall, but without a statistically significant difference between the Epogam and placebo groups.
  • No significant therapeutic effects were demonstrated for asthma symptoms or fidgeting.

Conclusions:

  • Evening primrose oil supplementation did not show a significant therapeutic advantage over placebo for childhood atopic dermatitis.
  • The study found no evidence of benefit for co-existing asthma symptoms or general fidgeting in the treated children.
  • Further research may be needed to clarify the role of essential fatty acids in managing atopic diseases.

Related Concept Videos

COPD: Management Using Bronchodilators and Corticosteroids01:26

COPD: Management Using Bronchodilators and Corticosteroids

Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
Asthma III: Clinical Manifestations01:13

Asthma III: Clinical Manifestations

Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...