アトピー性皮膚炎における食物制限が子供の成長におよぼす影響

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Food allergy has been pointed out as an etiology of some cases of atopic dermatitis in children. The diagnosis of food allergy is difficult, being necessary the test for food elimination and administration. The demonstration of food antibody in the blood by RAST is unreliable in the diagnosis of food allergy. However, food elimination has been often ordered by the doctor or carried out by judgment of the mother herself on the basis of positive RAST in blood examination. We examined the growth of 84 children with atopic dermatitis visited the dermatology clinic, Aiiku Hospital. Twenty eight children (33%) received food elimination therapy before hospital visit. The body weight and length in males and body weight in females tended to be lower compared with those without food elimination. Foods eliminated were mainly eggs, cows milk and milk products, soybeans and wheat. Children eliminated these foods three kinds or more showed especially delayed growth compared with other children. After stoppage of food elimination, half of these children revealed improvement of growth of body weight. None of these children showed deterioration of atopic dermatitis and rash improved by skin care external application treatment. Therefore, food allergy is not considered as etiology of atopic dermatitis in these children. We should be careful about food elimination therapy in developing children with atopic dermatitis, since growth disturbance may occur due to nutritional deficiency.
2001-04-12

アトピー性皮膚炎における食物制限が子供の成長におよぼす影響

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