SOMEONE Manages Severe Peanut Allergy for Eczema Child …

Louise shares on managing her son's peanut allergy and eczema

Louise shares on managing her son’s peanut allergy and eczema

This is a 2013 series focused on personal journey with eczema while managing a certain aspect of life. Today, we have Louise Jones, whose son has a severe peanut allergy and shares how she manages his allergies and eczema. Louise is passionate about learning and sharing on parenting severe nut allergy child at Nutmums.

Marcie Mom: Hi Louise, thanks for taking time to share with us about managing your son’s eczema and severe nut allergy. Let’s start with you sharing a little of your family allergy history, and about your son’s eczema.

Louise: Hi Mei, Thank you very much for asking me to share our journey. There is, in fact, very little in the way of family allergy history. I have mild asthma (but, touch wood, haven’t had to use an inhaler in years) and can get wheezy around cats. His dad sometimes has hay fever symptoms and his paternal grandmother had eczema as a child. Otherwise, there are no known allergies in either side of the family.

My son has had eczema since he was a baby. I’m not sure when exactly it started, but we were regularly using Oilatum and hydrocortisone cream by the time he was 6 months old. I remember one night him scratching his head so much in his sleep that the next day there was what looked like a graze covering half of his forehead. If I put him in scratch mitts, he would still rub and rub at his skin with the gloves until it bled. At 14 months, he had eczema herpeticum and we spent the day on the children’s ward. However, a short while after that, his eczema seemed to improve and, fortunately, at the moment, it is fairly mild.

Marcie Mom: When did you realize your son has severe nut/peanut allergy? Was there any particular incident of severe allergic reaction?

Louise: When my son was 20 months old, he ate a peanut butter cookie and had a severe anaphylactic reaction. That was our baptism of fire into the world of food allergies. We knew next to nothing about allergies before that point and, so far as we know, he hadn’t had any previous mild reactions to food.

He used to love chocolate chip and hazelnut cookies and had occasionally had a bite of cakes containing nuts. We didn’t avoid foods labelled “may contain nuts” and we had peanut butter in the house. However, that first reaction was the first occasion he had knowingly eaten peanut.

The reaction was extremely severe. Immediately after biting into the cookie, his lips swelled, one eye swelled closed and his breathing became loud and wheezy. Fortunately, his grandmother is a retired nurse and recognized it as anaphylaxis and called an ambulance. As this was his first allergic reaction, we hadn’t been prescribed an adrenaline auto-injector at that point. Although the paramedics arrived incredibly quickly, there was still a 10-15 minute time lag between the symptoms starting and him getting the adrenaline injection. He was taken to hospital and, as the doctors were concerned about the swelling in his throat, they decided they needed to put a breathing tube down. He spent the next 3 days in intensive care. However, within a week, he was back at home and to look at him, you would not have guessed what he had been through.

After that, his skin prick tests confirmed the peanut allergy but were negative for tree nuts (almonds, hazelnuts, walnuts etc). For now, we’ve decided to avoid all nuts, to reduce both the risk of confusion (it’s easier to tell his nursery, relatives etc “no nuts”) and cross-contamination.

Marcie Mom: Did avoidance of allergens for your child also result in improved skin?

Louise: I’m not sure, as at the time he was diagnosed with peanut allergy, his eczema was already improving. However, as well as having eczema, he had been quite a sickly baby. When he was little, this was put down to reflux. When he was around 12 months old, he had a series of chest infections, so the sickness at that stage was put down to catarrh. Following his anaphylactic reaction, the doctors got his asthma under control. It may be coincidence, but he then had far fewer chest infections and the sickness improved too.

Marcie Mom: One final question – what would be one reminder or key advice you have for parents of children with severe allergies?

Louise: Well, I would say please don’t hesitate to administer the EpiPen. We’ve used it twice since that initial reaction. The first time we used it turned out to be a false alarm (he had croup which had triggered his asthma), but the second time it stopped the anaphylactic reaction in its tracks. On both occasions, the hospital doctors told us we had done the right thing.

I would also warn parents to be aware of the increased peanut allergy risk if your child (or someone in your child’s immediate family) has eczema (or another atopic illness). I actually think this is something that doctors should spell out when they are diagnosing eczema and prescribing emollients and steroid creams for babies. If your baby has eczema, please talk to your doctor before introducing peanut into their diet – don’t be caught unawares like we were!

Marcie Mom: Thank you Louise for your sharing, and indeed many parents share about their worry that an ‘allergy accident’ will happen to their child and can certainly identify with your journey. For more on eczema herpeticum, refer here.

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Gettin Fit: Interview with Toni Jones | from house parties to housewife

Image belongs to Toni Jones

Image belongs to Toni Jones

Yes, another interview this week. I’m lucky to interview such inspirational people and to share their stories with you. Every time I read what they have to say, I feel motivated (especially when it comes to anything with health and fitness). It’s easy to stop when you don’t feel good (My whole family is battling a cold right now, and between taking care of my baby and myself, I have had no energy to do anything else). But when I read a good fitness story, I always find a way to pick up from where I left off. So, this could not have come at a better time. Today I’m talking with Toni Jones, 28, of Monrovia, CA, who is a trainer and who follows a gluten-free diet after discovering eczema on her baby.

Have you always been into health and fitness? Starting at a young age, I was always involved in sports but as far as nutrition goes, I knew very little. Coming from a single mother home and having two other siblings, there were days and nights where food was limited so we ate whatever we could find in the house at the time.

When did you find out about your allergy problems and how did that affect the food you eat? About two years ago when I gave birth to my youngest daughter, she had a bad eczema outbreak on her stomach and legs. I also had eczema behind my arms my whole life and creams never really took it away. I started to research “how to treat eczema” myself and experiment by eliminating foods. Once I took out gluten and dairy from my diet I started to see results and in no time my eczema was completely gone!

Since I was breast feeding at the time, taking it out of my diet -also took it out of my daughters diet and her eczema was completely gone too! That’s when I decided to get testing done to see what else I may be allergic or intolerant to.  I found out I’m allergic to corn, dairy, gluten and peanuts. Now, we eat like “cave men” as my husband says. We don’t eat processed foods and have to read all the labels. It was extremely overwhelming at first, but now that it’s been a few years, it has been a lot easier.

Are you the cook in the household or does your husband help? I do most of the cooking because I know what to get from stores and know the brands that are tolerant for me. My husband will occasionally help cook and do the grill if I prep it first because my way is like a different language to him.

Image belongs to Toni Jones

Image belongs to Toni Jones

Are there any websites that inspire your recipes? Yes! I have a top three that I love using…they are all blogs with people who have similar allergies to me. Against All Grain,  Elana’s Pantry and The Clean Program Blog

Does your family eat the same food as you? Absolutely. Creating healthy habits for my family is priority. I even started a book of my favorite recipes for them with pictures and notes. I want them to each have one when they grow up and go out on their own. I also make sure that both of my daughters go shopping with me to pick out vegetables and then they help me prepare them. It’s fun and they love knowing they did something so “grown-up”!

I love the book idea – may have to start my own!

How do you manage your workouts with taking care of your children? Do you involve them in the workouts? I usually do my workouts early in the morning before they wake up and before my husband goes to work or I do them later in evening once they are getting ready for bed and my husband takes over bath and bedtime. If those don’t work my girls come with me to workout and they usually try to “copy” me and we will skip rope together!

Favorite fitness wear? I love LuLu Lemon, it’s expensive but I love their pants! They fit great and they don’t become see-through as some do over time. The quality is great. As far as tops go, I love tank tops so I get whatever is on sale. Target has some great sports bras and tanks for great prices!

What’s your most favorite meal to make? Two words, SLOW COOKER! I love using it because it’s super easy, and not time consuming. I’m free to run errands, play with my kids, or do house work- all while dinner is being cooked. My favorite thing to make is throw in so chicken, a lot of veggies, season to taste and there you go! I usually use the slow cooker when I know my days are so busy.

I agree. My slow cooker is one of my favorite things about fall. That, and my birthday, of course.

If you do have a cheat meal, what is it? I love Pizza!

Best and worst part of being a trainer? I love helping clients feel great about themselves. I want them to look in the mirror and be happy about what they see back. I want my clients to feel strong, healthy and sexy! My favorite is seeing them smile from ear to ear when they tell me about how they went shopping and dropped sizes or just how great and energized they feel.

I wouldn’t say there as any “worse” thing about being a trainer, but something that does grind my bones is when I have someone who trains and I’ve worked so hard to create a program for them and they just disregard it and blame me for their lack of weight loss. I always say “What you eat in private, you wear in public.” As a trainer I can only do so much to help someone achieve their goals but if they can’t put in the effort and meet me in the middle, they won’t see change.

Screen Shot 2013-08-04 at 12.14.28 PM

Image belongs to Toni Jones

What motivates you every day? I motivate myself. I see how far I’ve come mentally and physically and I’m proud of what I’m accomplishing and have accomplished. I love learning about the human body and nutrition and I feel inspired all the time. Seeing old pictures of myself when I didn’t have kids and seeing them now after having two and feeling more beautiful than ever is pretty amazing!

Where do you get your workout inspiration? I’ve learned from so many great trainers by shadowing them. They all had different views and programs but I can really appreciate the diversity of it all. I also love how women these days are really becoming stronger and seeing that being model skinny isn’t what it’s all about. It’s about being strong and feeling beautiful no matter what body type you may have. I used to box so creating workouts that are empowering and fun is my style. I want my clients to be proud of themselves and see how strong they have become but most importantly having fun is the key!

What projects are you working on right now? I’m currently in the middle of creating a workout program for women and men where we meet three times a week for six weeks and do workouts while eating properly. I want to teach them to live healthy and NOT diet! It’s about changing your lifestyle and being active to achieve better health. Everyone is capable of it, you just need to start!

What is the best part about your health and lifestyle change? As I mentioned earlier, as a kid we didn’t always have food around so learning about nutrition was like learning whole new language. I always struggled with weight issues because i barely ate or when I did eat it was all the wrong stuff. I hated how I looked and it made me so depressed growing up. When I had my first daughter I was determined to change because I wanted her to see me happy and love myself. I didn’t want her to learn that looking at yourself in the mirror meant criticizing your flaws.

I wanted her to know that when she looks in the mirror that girls that she sees is beautiful no matter what! I’ve changed my body by workout out and eating healthy, but I also changed my mind. Even with stretch marks from my pregnancy I still find them beautiful because it reminds me that my body was used to create these two little humans. That young girl who  always had weight issues and eczema no longer exists. I’m a confident, strong  and independent women, mother and wife. I won’t stop at nothing to help other women and men feel the same way. I mean, “YOLO” right ;)

You can find out more about Toni Jones on her blog, I’ll Start on Monday and you can also follow her on Facebook under Get it Right, Get it Tight. Who inspires you to keep living healthy? Whether they motivate you to eat better or workout more, I would love to know! Share in the comments and on Facebook, Twitter and Instagram with the hashtag #healthmotivator and maybe I can score an interview with them, too! Check out my Pinterest for more healthy inspiration

Eczema's Link to Food Allergies | Nature Supplies News

It is already well known how allergic skin conditions as well as eczema are related to certain food allergies. Despite this established health fact, researchers from King’s College London in the U.K. did some further research on determining the role that the immunity of the skin plays. According to their research, they have discovered how skin barrier defects like eczema can cause and even determine what foods a person may be allergic to instead of the food allergies being the cause of skin barrier defects.

outbreaks of eczemaThe Study Done by King’s College

The results of the research were based on the data gathered from analysing 600 3-month old babies who were breast fed only. The researchers did skin tests on the infants for genes which were considered as conducive for the outbreaks of eczema. They then determined that infants who had impaired skin barriers were 6 times more prone to being sensitive to cow’s milk, peanuts, and eggs compared to babies who were healthy—regardless of their genetic predisposition.

The Challenge to the Findings by the King’s College Researchers

It is known how breastfeeding is the ideal way and is much better for infants compared to bottle feeding. However, because of modern lifestyles, even the moms aren’t always healthy and not equipped with milk which can enhance their child’s immunity. Because of GMOs or genetically modified organisms, some placentas have had traces of the highly toxic glyphosate which is a kind of pesticide.

Other POPs or persistent organic pollutants are also in the environment and these settle in body fasts. Since the breasts are made mostly of fats, they can be passed on to the infants who are being breast fed. Because of these factors, it can be said that unless a woman has a healthy diet and is considered as free of most toxins, there is even a danger of giving her baby contaminated milk.

Breastfeeding was the sure way to go to keep babies healthy but because of the modern day contaminants, it’s no longer a sure-fire way. According to Dr. Natasha Campbell-McBride, breastfeeding can be considered safe by determining the mother’s gut health. From her studies, she discovered how a baby’s basic foundation for its gut biology may come from when it gulps some of the fluids that the mother has in her birth canal.

The researchers from King’s College London weren’t able to factor some conditions which could have affected their study on the infants such as: the mother’s health and her breast milk’s condition, if the mother used birth control pills, if the mother’s gut was healthy, and even the vaccinations which have already been given to the infants.

According to other studies done by Dr. Campbell-McBride, infants who were not able to get a healthy and normal gut flora right from the beginning and those who then had to drink contaminated breast milk would result in their susceptibility to allergies, digestive problems, asthma, as well as eczema. These conclusions are all based on her numerous GAPS cases which can back up her claims.

Take-aways linked to asthma and eczema



 

By Dr Cory Couillard 

New research has found that eating highly processed convenience foods can lead to an increased risk of asthma and eczema in children. Rising levels of allergy-related conditions in more than 500,000 children in over 50 countries have been directly correlated to poor dietary patterns.
Data showed children risked severe asthma, watery eyes, itchy skin and eczema when consuming foods such as take-away burgers and other convenience foods. 
It was found that teenagers who ate three or more weekly servings of take-aways had a 39 per cent increased risk of severe asthma. Six and seven-year-olds were found to have a 27 per cent greater risk.  
“If the associations between fast foods and the symptom prevalence of asthma, rhinoconjunctivitis and eczema is causal, then the findings have major public health significance owing to the rising consumption of fast foods globally,” according to the study authors, Prof Innes Asher, from the University of Auckland in New Zealand, and Prof Hywel Williams, from the University of Nottingham in the UK.
 

Treating the cause of asthma
Take-away foods often contain dangerous levels processed sugars, saturated- and trans-fatty acids that can negatively harm one’s immune system. The strength of one’s immune system is directly related to the body’s ability to fight off and respond to allergens that are in our environment.  
The common treatment includes inhalers, creams and other ointments that treat the symptoms without addressing the underlying cause of the conditions. Conditions that are developed at an early age are commonly more difficult to treat and reverse over time.   
Fruits boost one’s immunity
The report demonstrates the importance of eating plenty of fruit.  Fruits are rich in antioxidants, vitamins and minerals and are found to be protective against immune suppression.  
Simply by eating three or more portions of fruit per week was found to cut the risk of severe asthma, eczema and rhinoconjunctivitis by 11 to 14 per cent.  
Historically individuals who have asthma were not required to follow a special diet. The findings of the study suggest that an improved diet could improve or lessen the severity of asthma symptoms as well.  
Asthma UK advises people with asthma to eat a healthy, balanced diet that includes at least five servings of fruit or vegetables every day and fish more than twice a week.  
Other contributing food allergies can be looked at if the individual is consuming the adequate amount of fruits and vegetables as well. Food products such as cow’s milk, nuts, gluten, shellfish and foods that have preservatives and colourings can possibly make the conditions worse.  
 

Vitamin D and asthma
Increasing one’s vitamin D can significantly improve asthma according to recent research published in the Annals of Allergy, Asthma and Immunology.  Researchers found that vitamin D deficiency is linked to increased airway reactivity, lower lung function and worse asthma control.  
Vitamin D supplementation may improve asthma control by blocking inflammation in the airways and lungs. Inflammation is the leading cause of airway constriction and asthma. 
 
Vitamin D is often called “the sunshine vitamin” because our bodies make it when we are exposed to sunlight but it is also available in one’s diet. Vitamin D rich foods include:
Fish such as tuna fish, salmon, mackerel and sardines 
Eggs 
Dairy products such as milk, cheese and yogurt 
A healthy diet means eating natural versus processed food items.  Fruits, vegetables and healthy-lean meats will strengthen one’s immune system versus deplete it. To prevent or treat asthma – improve your diet.
 

Dr Cory Couillard is an 
international healthcare speaker and columnist for numerous 
newspapers, magazines, websites and publications throughout the world. He works in collaboration with the World Health Organisation’s goals of disease prevention and global healthcare education. Views do not necessarily reflect endorsement. 
 
E-mail: 
drcorycouillard@gmail.com
Facebook: Cory Couillard
Twitter: Cory_Couillard

 

Ask the Naturopathic Doctor: What products can I use for my eczema …

Dear Dr. Whimsy,

I have had eczema for a long time and I have treated it for the most part with moisturizing. I am like 90% there, but my scalp continues to be itchy and flaky. I was wondering if you could suggest a product in your store for me. I have tried T/Gel once and it reduced itching and flakiness quite a bit but I’ve been a little skeptical about using it every day. I know that those treatments become less effective over time. What do you suggest? I can come into the store as well. Thanks!

Jason 

First off, thank you for taking the time to write and for asking such a great question. Eczema, also known as “atopic dermatitis,” is a relatively common skin condition that is believed to affect approximately 7% of Americans. Typical symptoms of eczema include chronic red, dry, cracked and itchy skin that can become darkened or hardened with repeated scratching. Eczema often occurs in childhood when a child is first introduced to solid foodand it is usually resolved after age 3, or it may continue to exist long into adulthood.

There is quite a bit of evidence that would suggest that food allergies play at least a partial role in developing eczema, with genetics also playing a possible role. For that reason, many naturopaths and alternative health care providers choose to run a test known as a “Comprehensive G.I Health panel.” The test can help determine what foods you may be sensitive to or allergic to. Your doctor may also check to determine if you have an elevation in the antibody IgE, which is associated with food sensitivities. You may also want to consider an elimination diet that excludes common food allergens like milk, eggs, peanuts, soy, wheat, citrus fruits, and chocolate. Many people who abstain from foods they are sensitive to for a period of 3-6 months or longer may be able to reintroduce them later on.

In addition to considering food allergies/sensitivities, consider taking omega-3 fatty acids at dosages of 3000 mg a day, as well astaking omega-6 from borage oil, evening primrose oil, or black current oil. We currently sellomega-6 oils by Jarrow, Spectrum, Udo’s Choice, Health from the Sun, and our Erewhon supplements. You might also want to add a probiotic that is rich in the strains Lactobacillus reuteriand Lactobacillus rhamnosis. Currently, Erewhon offers both strains, in the Nature’s Way “Reuteri” and Jarrow Formulas “Jarro-Dophilus EPS 5 billion,” which is conveniently shelf-stable.

For a good scalp treatment you may also think about applying coconut oil over night to your scalp for its anti-inflammatory effects. We also carry a great shampoo called “MSM,” by Ultra Aesthetics that many people benefit from.Of course, speak to your doctor before beginning any changes to your diet or before adding any supplements.

Thanks again for a great question.

Sincerely,
Dr. Whimsy

From the outside in: How eczema could lead to food allergies …

View the article’s original source
Author: Iona Twaddell

Baby with eczema

Baby with eczema

New research suggests that babies might become sensitive to food through damaged skin, for example in eczema.

You wouldn’t think you could develop a food allergy through your skin, but according to new research a weaker skin barrier as caused by eczema could lead to food sensitivity.

Researchers from King’s College London and a Wellcome Trust-funded lab at the University of Dundee, studied 600 three-month-old babies. They found that babies with weaker skin, especially those with a form of eczema called atopic dermatitis, were over six times more likely to be sensitive to certain foods like egg, cow’s milk and peanut than their healthy-skinned peers, meaning that they had a positive allergy test in reaction to these foods.

The research, published in the Journal of Investigative Dermatology, was part of the EAT (Enquiring About Tolerance) study, which investigates whether introducing common allergens like peanuts into the diet at 3 (as opposed to 6) months might help reduce food allergies later on. Allergies occur when the immune system responds to a substance (allergen) that is actually harmless, attacking it. All the children involved were breastfed from birth, so had never eaten any solid food, let alone the allergenic food they were exposed to here. Therefore, any sensitivity to the food could not have been because immune cells in the digestive system were exposed to allergenic food. Immune cells elsewhere must have been exposed to the allergens. The suggestion is that with a weakened barrier to the outside world (like the thinner skin found in eczema), allergens present in the environment can make contact with immune system cells that are found in the skin, triggering an allergic immune response. So food allergies develop from the outside in, starting at the skin.

The link between eczema and allergies (including asthma) has long been known, but this is one of the first studies showing this effect in young babies and directly assessing the effectiveness of the skin barrier. Researchers tested food sensitivity by using a tiny needle containing a sample of the allergenic food to prick an area of the baby’s skin. If the skin reacted by forming a swelling, this counted as food sensitivity. The food causing the most reactions was egg white, followed by cow’s milk and peanut. If a baby’s eczema was more severe, so was their reaction to the food.

Of course, food sensitivity doesn’t necessarily lead to a clinical allergy. Nevertheless, the findings have implications for both the study of eczema and food allergies. Says Dr Carsten Flohr, first author on the study, “If we can repair the skin barrier and treat atopic dermatitis, we might also be able to reduce the risk of food allergies.”

Furthermore, the skin is not the only place where food allergies will develop. Children can have a food sensitivity without having eczema first. Other genes will also have an impact on the development of both eczema and food sensitivity, reacting with environmental factors like hygiene, water hardness and bacteria found on the skin. Part of EAT’s remit is to follow these children up to see if, as the researchers suspect, exposure to these allergens earlier on in life, at three months, may help reduce future allergies – a practice that goes against current government recommendations.

Though it seems counterintuitive that being fed potential allergens early could reduce later allergies, while exposure through the skin increases them, Dr Flohr says it makes sense if you think evolutionarily. “Anything that reaches the immune system from across the digestive tract is seen as ‘good’ because the food given to us by our parents is not likely to be harmful.” It’s different for things coming through the skin, which tend to be ‘bad’ things like parasites. Thus, immune cells in the gut might see most things they come across as harmless, those in the skin will label anything they’re exposed to as harmful.

Reference

  • Flohr C, Perkin M, Logan K, Marrs T, Radulovic S, Campbell LE, Maccallum SF, McLean WH, & Lack G (2013). Atopic Dermatitis and Disease Severity are the Main Risk Factors for Food Sensitization in Exclusively Breastfed Infants. Journal of Investigative Dermatology. PMID: 23867897
Image credit: Flickr, Christina Spicuzza

Natural Eczema Treatment for Children – Eczema Treatment Guide

Eczema is a skin problem that causes the skin to become dry and irritated with blisters appearing over a period of time. This is a nagging trouble when it occurs in children. There is lot of irritation and children get into the habit of scratching the inflamed region and this further aggravates the problem.

While medication and treatment can help there are some simple natural eczema treatment for children that can provide constant and long term relief. Some of the options that one can try are given below.

Eczema Treatment for ChildrenNatural Eczema Treatment for Children :-

1)      First thing to remember is to keep the child well moistured.
It is best to make use of natural moisturizer such as olive oil or coconut oil on the affected area and massage it so that it gets well absorbed into the skin.

2)      It is also important that children have bathe everyday with a mild anti bacterial soap so that all the germs and bacterial infections are kept at bay and the symptoms of eczema come down gradually.

3)      Even cold water compressions on the inflamed and itchy skin give a lot of relief and can be done safely several times a day to get relief within a few days of time.

4)      It is also necessary that the child suffering from eczema is well hydrated as dehydration leads to skin dryness and whereby the symptoms of itching and redness make it even worse.

5)      Another important factor that contributes to eczema in children is the diet.
Many children have a very sensitive digestion where certain foods such as eggs, milk or soy based products have a reaction.

Children start to have rashes and itching that triggers of eczema and therefore such foods should be avoided. During these times giving a diet rich in vitamin C such as citrus fruits etc should be given to alleviate the symptoms of eczema in children.

With all these natural remedies that have been suggested above it is important to remember that each child has a different body constitution. So the parent should try something new in a small way and introduce the child to it gradually.

When some new remedies are introduced all of a sudden the child may develop allergies that again turn out hard to go. It is also advisable to conduct some allergy tests for the child before confirming the real cause and factors for trigger of eczema so that those factors can be avoided.

From the outside in: How eczema could lead to food allergies …

Baby with eczema

Baby with eczema

New research suggests that babies might become sensitive to food through damaged skin, for example in eczema.

You wouldn’t think you could develop a food allergy through your skin, but according to new research a weaker skin barrier as caused by eczema could lead to food sensitivity.

Researchers from King’s College London and a Wellcome Trust-funded lab at the University of Dundee, studied 600 three-month-old babies. They found that babies with weaker skin, especially those with a form of eczema called atopic dermatitis, were over six times more likely to be sensitive to certain foods like egg, cow’s milk and peanut than their healthy-skinned peers, meaning that they had a positive allergy test in reaction to these foods.

The research, published in the Journal of Investigative Dermatology, was part of the EAT (Enquiring About Tolerance) study, which investigates whether introducing common allergens like peanuts into the diet at 3 (as opposed to 6) months might help reduce food allergies later on. Allergies occur when the immune system responds to a substance (allergen) that is actually harmless, attacking it. All the children involved were breastfed from birth, so had never eaten any solid food, let alone the allergenic food they were exposed to here. Therefore, any sensitivity to the food could not have been because immune cells in the digestive system were exposed to allergenic food. Immune cells elsewhere must have been exposed to the allergens. The suggestion is that with a weakened barrier to the outside world (like the thinner skin found in eczema), allergens present in the environment can make contact with immune system cells that are found in the skin, triggering an allergic immune response. So food allergies develop from the outside in, starting at the skin.

The link between eczema and allergies (including asthma) has long been known, but this is one of the first studies showing this effect in young babies and directly assessing the effectiveness of the skin barrier. Researchers tested food sensitivity by using a tiny needle containing a sample of the allergenic food to prick an area of the baby’s skin. If the skin reacted by forming a swelling, this counted as food sensitivity. The food causing the most reactions was egg white, followed by cow’s milk and peanut. If a baby’s eczema was more severe, so was their reaction to the food.

Of course, food sensitivity doesn’t necessarily lead to a clinical allergy. Nevertheless, the findings have implications for both the study of eczema and food allergies. Says Dr Carsten Flohr, first author on the study, “If we can repair the skin barrier and treat atopic dermatitis, we might also be able to reduce the risk of food allergies.”

Furthermore, the skin is not the only place where food allergies will develop. Children can have a food sensitivity without having eczema first. Other genes will also have an impact on the development of both eczema and food sensitivity, reacting with environmental factors like hygiene, water hardness and bacteria found on the skin. Part of EAT’s remit is to follow these children up to see if, as the researchers suspect, exposure to these allergens earlier on in life, at three months, may help reduce future allergies – a practice that goes against current government recommendations.

Though it seems counterintuitive that being fed potential allergens early could reduce later allergies, while exposure through the skin increases them, Dr Flohr says it makes sense if you think evolutionarily. “Anything that reaches the immune system from across the digestive tract is seen as ‘good’ because the food given to us by our parents is not likely to be harmful.” It’s different for things coming through the skin, which tend to be ‘bad’ things like parasites. Thus, immune cells in the gut might see most things they come across as harmless, those in the skin will label anything they’re exposed to as harmful.

Reference

  • Flohr C, Perkin M, Logan K, Marrs T, Radulovic S, Campbell LE, Maccallum SF, McLean WH, & Lack G (2013). Atopic Dermatitis and Disease Severity are the Main Risk Factors for Food Sensitization in Exclusively Breastfed Infants. Journal of Investigative Dermatology. PMID: 23867897
Image credit: Flickr, Christina Spicuzza