Kate Newland, MBBS. Lachlan Warren, FACD. Michael Gold, FRACP.
Food allergy testing in infantile eczema: A clinical approach and algorithm
Article first published online: 12 JUN 2012
© 2012 The Authors. Australasian Journal of Dermatology © 2012 The Australasian College of Dermatologists
Australasian Journal of Dermatology
Volume 54, Issue 2, pages 79–84, May 2013
How to Cite
Newland, K., Warren, L. and Gold, M. (2013), Food allergy testing in infantile eczema: A clinical approach and algorithm. Australasian Journal of Dermatology, 54: 79–84. doi: 10.1111/j.1440-0960.2012.00911.x
- Issue published online: 14 APR 2013
- Article first published online: 12 JUN 2012
- Submitted 13 October 2011; accepted 26 February 2012.
- atopic eczema;
- food allergy;
- immunoglobulin E serological testing;
- skin prick testing
The complex relationship between food allergy and infantile eczema has prompted divergent approaches to investigating potential food triggers in eczematous patients. It is well recognised that a significant proportion of infants with eczema have immunoglobulin E-mediated food allergy, reported to range between 20–80%. Determining whether certain foods trigger an eczematous flare in individual infants with eczema is difficult. For all infants with eczema, good skin care is the mainstay of treatment but identifying and avoiding triggers (both allergic and non-allergic) is important in some infants. Given this, we have a developed an algorithm that can be used by dermatologists in the investigation and management of food allergies in infantile eczema. Issues such as patient selection, investigation and elimination diets are addressed, with reference to relevant evidence in the literature. Our aim is to provide dermatologists with a framework to manage food allergies in infantile eczema, allowing the problem to be addressed with confidence.