Treatment of Atopic Dermatitis with a Low-histamine Diet

Atopic dermatitis (AD) has numerous trigger factors. The question of whether foods can aggravate AD remains open to debate. Although a number of published papers have detailed the relationship between food allergies and AD, little research has examined the question of how food intolerance affects AD...

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Main Authors:	Chung, Bo Young, Cho, Soo Ick, Ahn, In Su, Lee, Hee Bong, Kim, Hye One, Park, Chun Wook, Lee, Cheol Heon
Format:	Online
Language:	English
Published:	Korean Dermatological Association; The Korean Society for Investigative Dermatology 2011
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3199434/

id	pubmed-3199434
recordtype	oai_dc
spelling	pubmed-31994342011-10-25 Treatment of Atopic Dermatitis with a Low-histamine Diet Chung, Bo Young Cho, Soo Ick Ahn, In Su Lee, Hee Bong Kim, Hye One Park, Chun Wook Lee, Cheol Heon Case Report Atopic dermatitis (AD) has numerous trigger factors. The question of whether foods can aggravate AD remains open to debate. Although a number of published papers have detailed the relationship between food allergies and AD, little research has examined the question of how food intolerance affects AD. For the purposes of this study, a six-year-old Korean boy with AD was admitted to the hospital for evaluation of the possibility of food, particularly pork, as a triggering factor in his skin disease. He had a history of worsening of symptoms when eating pork. Total serum IgE concentration was 157 IU/ml. House dust was class 2.2 (1.5 IU/ml) in MAST. All other MAST items were negative. In an oral food challenge test, he showed a positive result after eating 200 g of pork, but did not show a positive result after eating 60 g of pork. After discharge, we attempted to keep him on a balanced diet that included various types of food and prohibited him from eating food that contains a high level of histamine. After keeping the patient on a balanced and low-histamine dietary regimen, his AD symptoms showed improvement and have not worsened for more than seven months. A low-histamine, balanced diet could be helpful for AD patients having symptoms that resemble histamine intolerance in which their AD symptoms worsened after intake of histamine-rich foods, but in which food allergy tests are negative. Korean Dermatological Association; The Korean Society for Investigative Dermatology 2011-09 2011-09-30 /pmc/articles/PMC3199434/ /pubmed/22028584 http://dx.doi.org/10.5021/ad.2011.23.S1.S91 Text en Copyright © 2011 Korean Dermatological Association; The Korean Society for Investigative Dermatology http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Chung, Bo Young Cho, Soo Ick Ahn, In Su Lee, Hee Bong Kim, Hye One Park, Chun Wook Lee, Cheol Heon
spellingShingle	Chung, Bo Young Cho, Soo Ick Ahn, In Su Lee, Hee Bong Kim, Hye One Park, Chun Wook Lee, Cheol Heon Treatment of Atopic Dermatitis with a Low-histamine Diet
author_facet	Chung, Bo Young Cho, Soo Ick Ahn, In Su Lee, Hee Bong Kim, Hye One Park, Chun Wook Lee, Cheol Heon
author_sort	Chung, Bo Young
title	Treatment of Atopic Dermatitis with a Low-histamine Diet
title_short	Treatment of Atopic Dermatitis with a Low-histamine Diet
title_full	Treatment of Atopic Dermatitis with a Low-histamine Diet
title_fullStr	Treatment of Atopic Dermatitis with a Low-histamine Diet
title_full_unstemmed	Treatment of Atopic Dermatitis with a Low-histamine Diet
title_sort	treatment of atopic dermatitis with a low-histamine diet
description	Atopic dermatitis (AD) has numerous trigger factors. The question of whether foods can aggravate AD remains open to debate. Although a number of published papers have detailed the relationship between food allergies and AD, little research has examined the question of how food intolerance affects AD. For the purposes of this study, a six-year-old Korean boy with AD was admitted to the hospital for evaluation of the possibility of food, particularly pork, as a triggering factor in his skin disease. He had a history of worsening of symptoms when eating pork. Total serum IgE concentration was 157 IU/ml. House dust was class 2.2 (1.5 IU/ml) in MAST. All other MAST items were negative. In an oral food challenge test, he showed a positive result after eating 200 g of pork, but did not show a positive result after eating 60 g of pork. After discharge, we attempted to keep him on a balanced diet that included various types of food and prohibited him from eating food that contains a high level of histamine. After keeping the patient on a balanced and low-histamine dietary regimen, his AD symptoms showed improvement and have not worsened for more than seven months. A low-histamine, balanced diet could be helpful for AD patients having symptoms that resemble histamine intolerance in which their AD symptoms worsened after intake of histamine-rich foods, but in which food allergy tests are negative.
publisher	Korean Dermatological Association; The Korean Society for Investigative Dermatology
publishDate	2011
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3199434/
_version_	1611482822141280256

Treatment of Atopic Dermatitis with a Low-histamine Diet

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