Principles of complementary food introduction in atopic dermatitis
DOI: 10.32364/2587-6821-2021-5-6-421-426
A.S. Botkina, M.I. Dubrovskaya
Pirogov Russian National Research Medical University, Moscow, Russian Federation
Atopic dermatitis (AD) is one of the most common inflammatory skin disorders. In most patients, AD is a starting point for developing other atopic diseases, e.g., food allergy, allergic diseases of the gastrointestinal tract, allergic rhinitis, and asthma known under the umbrella of "atopic march". In addition to genetic predisposition, various environmental factors are essential for the development of this dermatosis. In young children, food is the most relevant factor. This paper discusses principles of the selection of complementary food, techniques, and terms of its introduction. Prolonging of breastfeeding, the adequate introduction of complementary food, and personified nutrition program prevent the atopic march. The authors highlight that there is no special diet for atopic dermatitis. Meanwhile, food should be safe, low allergy, and balanced to provide a child with essential macro-and micronutrients. In addition, the paper addresses the utility and vali dity of an elimination diet which should be prescribed only in established food sensitization and used under the control of a specialist.
Keywords: atopic dermatitis, atopic march, infancy, early childhood, nutrition, complementary foods, prevention.
For citation: Botkina A.S., Dubrovskaya M.I. Principles of complementary food introduction in atopic dermatitis. Russian Medical Inquiry. 2021;5(6):421–426 (in Russ.). DOI: 10.32364/2587-6821-2021-5-6-421-426.
Acknowledgement
Editorial Board is grateful to JSC "PROGRESS" for the assistance in technical edition of this publication.
About the authors:
Mariya I. Dubrovskaya — D. Sc. (Med.), professor of Acad. V.A. Tabolin Department of Hospital Pediatrics of the Pediatric Faculty, Pirogov Russian National Research Medical University; 1, Ostrovityanov str., Moscow, 117437, Russian Federation; ORCID iD 0000-0002-3487-2451.
Aleksandra S. Botkina — C. Sc. (Med.), associate professor of Acad. V.A. Tabolin Department of Hospital Pediatrics of the Pediatric Faculty, Pirogov Russian National Research Medical University; 1, Ostrovityanov str., Moscow, 117437, Russian Federation; ORCID iD 0000-0001-6890-2041.
Contact information: Alexandra S. Botkina, e-mail: botkina@gmail.com.
Financial Disclosure: no authors have a financial or property interest in any material or method mentioned.
There is no conflict of interests.
Received 19.07.2021.
Revised 05.08.2021.
Accepted 27.08.2021.
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