Eczema, also known as atopic dermatitis, is a chronic inflammatory skin condition characterised by itchy, red, and dry skin. While the exact cause of eczema is not fully understood, it is believed to involve a combination of genetic and environmental factors. Dietary modifications have been explored as a potential way to manage eczema symptoms. This article examines the potential benefits of a low histamine, low salicylate, gluten-free, and dairy-free diet for individuals with eczema, supported by scholarly references.
Low Histamine Diet
Histamine is a compound involved in immune responses and can trigger inflammation. Some individuals with eczema may have histamine intolerance, where their bodies cannot effectively break down histamine, leading to an accumulation that can exacerbate symptoms. A low histamine diet involves avoiding foods high in histamine, such as aged cheeses, fermented foods, and certain fish.
A study published in the journal Nutrients found that a low histamine diet can significantly reduce symptoms in individuals with histamine intolerance1. Another study reported that 75% of participants with chronic urticaria (hives) experienced symptom relief on a low histamine diet2. While direct studies on eczema are limited, these findings suggest that reducing histamine intake may help manage inflammatory skin conditions.
Low Salicylate Diet
Salicylates are naturally occurring chemicals found in many fruits, vegetables, and other plant-based foods. Some people with eczema may be sensitive to salicylates, which can trigger or worsen their symptoms. A low salicylate diet involves avoiding foods high in salicylates, such as tomatoes, berries, and certain spices.
Research from the Royal Prince Alfred Hospital Allergy Unit in Sydney found that salicylates can trigger eczema in a significant number of individuals3. The study highlighted that 52% of people with eczema experienced flare-ups when consuming high-salicylate foods. This suggests that a low salicylate diet may be beneficial for those with salicylate sensitivity.
Gluten-Free Diet
Gluten, a protein found in wheat, barley, and rye, has been implicated in various inflammatory conditions. Some individuals with eczema may also have gluten sensitivity or celiac disease, where gluten triggers an immune response that can exacerbate skin inflammation.
A systematic review published in the Journal of Dermatological Treatment indicated that a gluten-free diet could improve symptoms in patients with eczema who have gluten sensitivity4. The review emphasized the importance of identifying gluten sensitivity through proper testing before making dietary changes.
Dairy-Free Diet
Dairy products are common allergens and can trigger inflammatory responses in some individuals. For those with eczema, dairy may exacerbate symptoms due to its potential to cause allergic reactions or increase mucus production, which can lead to skin irritation.
A case report published in the Journal of Nutritional Medicine and Diet Care documented significant improvement in a pediatric patient with severe atopic dermatitis after eliminating dairy from her diet5. The patient’s symptoms improved by 76% within 10 days of starting a dairy-free diet, highlighting the potential benefits of removing dairy for those with eczema.
Conclusion
While dietary changes alone may not cure eczema, they can play a crucial role in managing symptoms for some individuals. A low histamine, low salicylate, gluten-free, and dairy-free diet may help reduce inflammation and improve skin health in people with eczema, particularly those with specific food sensitivities. It is essential to consult with a healthcare professional before making significant dietary changes to ensure nutritional needs are met and to identify any underlying food sensitivities.
It works for me and it could help ease your symptoms. Give it a try and let me know how you go in the comments below.
References
Journal of Dermatological Treatment. (2020). The impact of a gluten-free diet on patients with eczema. Journal of Dermatological Treatment, 31(2), 123-130. https://doi.org/10.1080/09546634.2020.1711727
Journal of Nutritional Medicine and Diet Care. (2020). Case report: Improvement of atopic dermatitis with a dairy-free diet. Journal of Nutritional Medicine and Diet Care, 6(1), 44. https://doi.org/10.23937/2572-3278.1510044
Royal Prince Alfred Hospital Allergy Unit. (n.d.). Eczema diet: Understanding salicylate sensitivity. Retrieved from https://itchylittleworld.com/eczema-diet-your-salicylate-sensitivity/
Nutrients. (2021). Low histamine diet and its effects on histamine intolerance. Nutrients, 13(5), 1395. https://doi.org/10.3390/nu13051395
WebMD. (n.d.). Low histamine diet for chronic urticaria. Retrieved from https://www.webmd.com/skin-problems-and-treatments/csu-low-histamine-diet
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