Atopic dermatitis what you can eat. What you can eat with dermatitis and what is contraindicated. Video - Skin care for a child with atopic dermatitis

Content

Individual characteristics of the daily diet determine the state of human health. Especially when it comes to potential allergy sufferers, whose task is to exclude them from the daily menu harmful products, and eat only hypoallergenic food. For atopic dermatitis, a therapeutic diet is the key to a speedy recovery.

Nutrition for atopic dermatitis

This disease is characterized by a skin rash, the presence of which is complemented by an unbearable sensation of itching and burning of the skin, redness, and swelling of the upper layer of the epidermis. By choosing the principles of a hypoallergenic diet as the norm, you can prolong the period of remission of a chronic disease for a long time and eliminate regular exacerbations. Since the disease is allergic in nature, it is important to reduce exposure to potential allergens and additionally keep a food diary. The basic dietary requirements are as follows:

Eliminate the consumption of salt and sugar in full.
Refuse such bad habits like smoking, alcohol.
Reduce the volume of single servings, but increase the number of meals.
Drink enough water.
Discuss with a nutritionist the issue of food allergens, which in case of atopic dermatitis should be completely excluded from the treatment menu.
Eat foods rich in vitamins, minerals, and microelements.
Food should be cooked, as this can reduce the risk of exacerbation of atopic dermatitis. This is especially true for vegetables and red fruits.

Rotation diet for atopic dermatitis

Doctors resort to such a nutritional system when there is an urgent need to identify the main allergen and eliminate it from the daily menu of the affected party. The rotation diet provides for the presence of vegetable, meat, dairy, cereals, and fruit dishes in the daily diet, but selectively. For example, a representative of each group should appear on the table once every 4 days. This time is enough for him to show pronounced signs of an allergic reaction in case of interaction.

If there are no negative effects on the body, you can further experiment with dishes from these groups in order to determine for yourself the safest menu for every day with atopic dermatitis. The diet is the same, however, the disease is modified into a “dormant” stage, the risk of another exacerbation for the patient is minimal.

Elimination diet for atopic dermatitis

If a toxic substance has already been detected in the patient’s body, instead of a rotational diet, an elimination diet is prescribed, which provides for a number of restrictions depending on the characteristics of the clinical picture. Such a nutritional system does not exclude a two-day hunger strike, when the daily menu of a sick person contains only water and milk. Then it is necessary to gradually introduce new dishes, but remember the current prohibitions of the attending physician. Restrictions for atopic dermatitis apply to the following foods:

mushrooms;
pasta;
wheat, semolina;
any types of fish, meat;
tropical fruits, especially citrus fruits;
chewing gum due to the presence of questionable additives.

Diet for atopic dermatitis in children

Since the disease progresses equally in adults and childhood, at the first rash on the body, it is recommended to immediately consult a dermatologist. For example, a hypoallergenic diet for children with atopic dermatitis should become the norm of everyday life, and a sick child should adhere to its rules for a single year. It all starts with diathesis in infants, but when there is no timely treatment, the consequences for the health of the younger generation are the most unpredictable.

To avoid external and internal symptoms of atopic dermatitis, here is what Dr. Komarovsky suggests eating on a diet:

low-fat fermented milk products;
fruits, green vegetables;
lean meats cooked in their own juices or steamed;
gluten-free cereals;
low-fat varieties of fish prepared by boiling.
The following dishes should be prohibited in case of a characteristic illness:
conservation;
sausages, smoked meats;
honey, citrus fruits;
chocolate, cocoa;
baked goods and sweets;
first broths;
fatty and fried foods.

Hypoallergenic diet for nursing

You should also think about proper nutrition during the period of breastfeeding, when the health of the newborn baby completely depends on the daily diet of a young mother. It is important not only to enrich the menu with vitamins, but also to completely exclude potential allergens from it. If a mother’s diet for atopic dermatitis in a baby is chosen correctly, nothing threatens the baby’s health, and the appearance of a skin rash is not expected in the near future. Food products should contain protein and complex carbohydrates, but excessive amounts of fat will have to be temporarily abandoned.

Food allergens are not so much dangerous as their concentration in the daily diet of a nursing mother. Here is a list of prohibited food ingredients on the diet to eliminate the risk of developing cross-allergy in atopic dermatitis in the future:

Chicken egg combined with broths and meat. A high concentration of protein for lactation is also harmful.
It is better not to combine cow's and goat's milk in one meal during lactation. It is also recommended not to combine the consumption of veal, beef, and infant formula with such drinks.
Potatoes, as a natural product containing starch, are best not combined with red peppers, cabbage, eggplants, and tomatoes in one meal.
Beetroot itself is a fresh allergen, and its combination in one meal with spinach only intensifies a progressive allergic reaction.
It is advisable not to consume strawberries, currants and wild strawberries at the same time, otherwise you will have to take an additional anti-allergy drug when feeding your baby.

Diet for atopic dermatitis in adults

If this disease is present in the body of the older generation, daily nutrition should also be dietary and exclude the presence of allergic ingredients. The recommended diet for dermatitis in adults takes into account intolerance to certain foods that cause skin rashes on the body, swelling and itching. The disease is chronic, so the patient will have to adhere to the recommended table for the rest of his life, which reflects acceptable and prohibited foods on occasion and for every day.

Menu for atopic dermatitis

The presence of a rotation and elimination diet in the life of a clinical patient is only welcome, since in this way it is possible to enrich daily menu, make it varied, healthy and as safe as possible for health. Daily nutrition for dermatitis protects against direct contact with allergens, which, penetrating into the gastrointestinal tract, provoke the appearance of hemorrhagic rashes and urticaria on the skin. An approximate menu for atopic dermatitis has the following features:

Breakfast for patients with atopic dermatitis: buckwheat porridge cooked in water with olive oil, a portion of green tea.
Second breakfast: soak or bake an apple, preferably green, unsweetened varieties.
Lunch: vegetable soup, boiled beef or steamed cutlet.
Afternoon snack: banana or pear.
Dinner: boiled or stewed low-fat fish, stewed cabbage.

With atopic dermatitis, it is important to control fluid intake. The optimal option for the patient is 2 liters of water per day. In addition, it is allowed to consume herbal decoctions and teas, compotes from unsweetened fruits and jelly from sour berries. Under such circumstances, the disease transforms into a remission stage, which, with a properly selected diet, can be maintained for a single year.

What not to eat if you have dermatitis

In the atopic form of the characteristic disease, there is a standard list of prohibited foods, the use of which becomes one of the main causes of the next attack, the appearance of a profuse rash on the skin. Not only adult patients, but also parents should know this when administering infant first feeding. Here's what you shouldn't eat if you have atopic dermatitis:

marinades and first broths;
kvass, beer and carbonated drinks;
products containing histamine liberators, for example, cheeses, sausages, ham;
vinegar, horseradish, mayonnaise;
nuts and honey;
alcoholic drinks in any concentration of ethyl alcohol;
coffee and chocolate.

What can you eat if you have atopic dermatitis?

With the development of a characteristic illness, vegetarianism is encouraged, i.e. For starters, it is recommended to choose lean vegetable broths. Other approved products for atopic dermatitis relieve the burden on the digestive organs, while being distinguished by their hypoallergenic effect. This:

rice, oatmeal, buckwheat porridge;
bleached and white vegetables;
olive and butter in limited portions;
fermented milk products;
low-fat meats.

Table of foods for atopic dermatitis

Seborrheic, perioral and other forms of dermatitis are chronic diseases that are treated by a dermatologist. Patients have to constantly take medications, adhere to a therapeutic diet, and intensive vitamin therapy for life. The list of products for atopic dermatitis is presented below, from which you can significantly diversify your daily diet:

Prohibited Products	Eligible Products
	boiled chicken, beef
sugar and salt	vegetarian soups
pasta	refined vegetable oil
	lean meats
	juice, fruit drink, compote
semolina	buckwheat, wheat,
whole milk	fermented milk products
wheat bread	Rye bread
peas, beans	vegetable, fruit puree

Recipes for atopic dermatitis

From the food products suggested in the table, you can prepare a diet that is healthy and safe for atopic dermatitis. Additionally, it is recommended to agree on the permitted ingredients with the attending physician in order to exclude a deterioration in general well-being or a relapse of the underlying disease. Meals for atopic dermatitis include a high content of protein and plant fiber, while limiting portions of fats, carbohydrates, sodium salts and spices. The range of recipes makes the diet menu complete and varied.

Porridge for atopic dermatitis

Most often these are buckwheat and wheat groats, which are recommended to be cooked in water. You can use dairy products on your diet, but only at a reduced fat content. Since semolina and oatmeal contain a lot of gluten, such dishes for atopic dermatitis should be introduced gradually, during the remission stage. So, first rinse the buckwheat and add water in a ratio of 2:1. Do not add salt and spices, cook until boiling and another 5-7 minutes, then leave under a tightly covered lid.

Soup for atopic dermatitis

According to the first recipe for vegetable soup for dermatitis, add chopped onions, carrots, potatoes, a little white cabbage in the specified sequence, each time making sure that the ingredient is ready. You can add greens.
Add finely chopped potatoes to 2 liters of beef broth, chop carrots and onions. As a cereal, it is better to use 1-2 tbsp. l. pre-steamed buckwheat, you can add chopped herbs. This is a tasty, healthy dish for atopic dermatitis.

Meat for atopic dermatitis

It is desirable that it be lean beef, which is tasty and healthy to bake in the sleeve for this disease. For atopic dermatitis, rinse a fresh piece of meat, cut into portion strips, mix with pre-prepared sour cream. Add some spices for taste, wrap in a sleeve along with the liquid, bake at 180 degrees for up to 1 hour.
For atopic dermatitis, meat can be cooked in a double boiler, but it is advisable to choose young beef tenderloin to prepare a tasty dish (the chicken becomes dry). Treat the piece with dry mustard; you can use herbs or coriander for sprinkling. Cook the dish for 40 minutes, the taste does not harm the diet.

Video: How to eat with atopic dermatitis

Attention! The information presented in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only a qualified doctor can make a diagnosis and give treatment recommendations based on the individual characteristics of a particular patient.

Found an error in the text? Select it, press Ctrl + Enter and we will fix everything!

Atopic dermatitis is a chronic inflammatory disease of the skin, accompanied by the appearance of red itchy spots on the skin. Pathology most often occurs in infants and preschool children, less often in older age groups. The disease is characterized by a long and persistent course and is quite difficult to treat. For a complete recovery, competent comprehensive treatment is required, including, along with the use of medications, nutritional correction. Diet for atopic dermatitis in children is a necessary element of complex therapy, regardless of age and the causes of inflammation.

The causes and mechanisms of development of pathology have not yet been fully studied. But it is reliably known that the likelihood of developing inflammatory processes is much higher in children with a genetic predisposition (if a close relative suffers from the pathology) or any disease of an allergic nature. In this case, exacerbation of inflammatory processes in the skin can be caused by certain allergens or substances of a non-allergenic nature. But most often, food allergens are the trigger.

Therefore, everyone who suffers from atopic dermatitis is recommended to have therapeutic nutrition, which is based on a complete refusal to consume the following foods:

allergens (if it is known what causes sensitization reactions);
having high allergological activity;
activating the production of histamine (bran, chocolate, milk, coffee, orange juice);
containing substances from which histamine is synthesized in the body (tomatoes, legumes, cheeses, nuts, smoked meats).

What a child with atopic dermatitis can eat in each situation should be decided by the doctor, taking into account the causes of the pathology and the age of the little patient.

The selection of the optimal dietary diet is carried out in several stages. First, products that provoke exacerbation of inflammatory processes are identified. They are removed from the menu for the entire duration of therapy. After the onset of remission, the diet is expanded.

While on a diet, you must keep a special notebook, listing the drinks and drinks you consume. products, the method of their preparation, portion sizes, the body’s reaction to each introduced ingredient.

Allergenicity of products

Based on various Scientific research, experts divided products into 3 groups based on their ability to provoke allergies:

highly allergenic;
moderate degree of allergenicity;
unable to cause sensitization reactions (hypoallergenic).

Safe products

Hypoallergenic products can be safely introduced into the daily children's diet, since they are not capable of exacerbating pathological processes. Do not provoke allergies:

fresh and dried plums, green apples;
gooseberries, white currants;
various varieties of cabbage (cauliflower, white cabbage, broccoli), squash, zucchini, zucchini;
greens (parsley, dill, lettuce, spinach);
olive and corn oils;
bread with bran, cookies without filling, dry bread, crackers, marshmallows;
rabbit, beef and lamb, lean pork;
rice, rolled oats, buckwheat, corn grits;
butter, hard cheese (mild), fermented milk products;
weak tea.

It's possible, but be careful

Products of moderate allergenicity rarely cause sensitization reactions. But this possibility cannot be completely ruled out. Children should be given with extreme caution:

currants (black, red), berries of the heather family (lingonberries, blueberries, cranberries, blueberries), watermelon, bananas;
turnips, eggplants, legumes;
marmalade;
turkey;
river fish;
offal (kidneys, liver);
oatmeal.

Products to avoid

Highly allergenic foods often provoke diathesis and other allergic skin reactions, especially in young children. If your baby suffers from atopic inflammation of the skin, you should not add the following to your baby’s diet:

cherries, grapes, raspberries, sea buckthorn, strawberries and wild strawberries;
peaches, red apples, melons, persimmons, tropical fruits (kiwi, citrus fruits, pineapples, pomegranates);
dried fruits (except for dried apples, pears, prunes);
pumpkin, tomatoes, radishes, beets and carrots, sweet peppers (including green), sorrel, garlic;
sunflower seeds;
chocolate, baked goods, cakes, gingerbreads, ice cream, nuts, halva and honey;
eggs;
poultry meat, excluding turkey;
veal, fatty pork;
sea fish, caviar, seafood;
mushrooms;
wheat and semolina porridge;
milk, cream, children's cream cheese, processed and hard cheese with spices;
smoked meats, canned products;
sausages;
fatty and hot sauces, marinades, mustard, mayonnaise;
spices, herbs;
canned juices, kvass, cocoa, coffee.

Types of diet

In therapeutic practice, they resort to one of 2 types of diets:

elimination;
rotational.

Elimination

The elimination type of diet involves very strict dietary restrictions, so it is rarely prescribed to children, only in cases of extremely severe, acute inflammation. Its essence lies in complete cleansing, the so-called “zeroing” of the diet, and further sequential introduction of products to identify the irritant.

If an elimination diet is prescribed, an approximate menu for atopic dermatitis in children will look like this:

purified water, unsalted and unsweetened crackers, without flavoring additives;
introduction of boiled beef (can be replaced with lean pork);
adding one fermented milk product to the diet (any one, except milk);
adding boiled vegetables (from the list of allowed);
introduction of cereals

Each new ingredient is included in the menu once every two days (that is, 2 days - crackers and water, the next 2 days - crackers with water and meat, and so on). If the disease has not worsened in the first 10 days, try introducing lean poultry (preferably turkey) and hypoallergenic fruits.

The best results of an elimination diet are observed when the main cause of atopic inflammation is food allergy.

Rotary

A rotational type of dietary nutrition is recommended for children more often, since it has fewer restrictions and the child tolerates it more calmly. On initial stage The menu includes one type of 4 types of products. For example, from porridges - only buckwheat, from meat - beef, from dairy - kefir, from vegetables - zucchini. Then every 4 days another type of product is added to the menu. This method allows you to normalize digestion and the functions of the immune system, and prevent possible sensitization reactions.

Approximate menu for the week:

Day	Breakfast	Dinner	Dinner
1	Rice on water	Rice, boiled beef	Rice, beef
2	Hercules	Hercules, lean pork	Lean pork dish, rolled oats, kefir
3	Buckwheat	Buckwheat, boiled tongue	Boiled tongue
4	Cottage cheese	Vegetable puree (preferably zucchini), boiled lamb	Vegetable puree, lamb
5	Rice on water	Water rice, beef	Rice, beef
6	Millet porridge	Vegetable puree, pork	Vegetable puree, kefir
7	Hercules	Buckwheat, zucchini puree	Boiled tongue, vegetable puree

You can drink purified water, tea, rosehip infusion.

If an allergy to certain foods is established, specific restrictions are added to the basic diet. For example, milk intolerance requires a ban on all dairy products.

Diet for different ages

Exist general principles therapeutic nutrition, however, for each small patient, the diet and regimen are developed taking into account age.

For baby

With atopic dermatitis in a breastfed baby, correction of the mother's diet is required. The optimal diet should be selected by a nutritionist and an allergist. Typically, women's menu includes:

oatmeal;
fruits that are unable to cause sensitization reactions;
bananas (with caution);
vegetables (fresh, stewed), vegetable soups;
fermented milk products (preferably kefir);
beef.

Highly allergenic products should be completely avoided, and the amount of ingredients with a moderate degree of allergenicity should be minimized. The diet is further adjusted if the baby is allergic to a specific product.

If adherence to a therapeutic diet turns out to be ineffective and the signs of inflammation in the baby do not subside, it is recommended to switch it to artificial or mixed nutrition. At the same time, it is very important to prevent the intensification of inflammatory processes. To do this, you need to choose the right baby formula and introduce complementary foods correctly.

When inflammation worsens, specialized infant formulas with highly hydrolyzed or soy protein are used (Nutrilon Soya, Alfare, Nutrilon Pepti TSC and others).

After relief of acute inflammation, mixtures with partially hydrolyzed protein (NAS GA1, Nutrilon GA1), pro- and prebiotics (Nutrilon Comfort, NAS GA2) are administered.

Introduction of complementary foods

In addition to following a diet by a nursing mother and choosing the right infant formula for feeding, it is important to properly introduce complementary foods to the baby. Need to:

introduce complementary foods only at the stage of remission of the disease;
give the first foods from 5-6 months (with later introduction of complementary foods, the risk of developing allergies does not decrease);
introduce only single-component products;
if the baby has diarrhea, introduce porridge first; if there is constipation, use puree from permitted vegetables;
after vegetables and cereals, expand the menu with turkey, lamb, lean pork, and if the baby tolerates milk normally, also with beef or veal (the meat is pureed using a blender);
fruits should be given only in heat-treated form, no earlier than 11-12 months;
ensure that food does not contain harmful substances (preservatives, flavorings, dyes, gluten, sugar and others);
Even select safe ingredients together with an allergist, do not engage in amateur activities.

For infants suffering from atopic inflammation, any fish or chicken eggs are prohibited.

For children from 2 years old

During this period, it is necessary to expand the nutritional diet as much as possible, while minimizing the influence of food irritants. The diet for children after 1-2 years is developed on the basis of treatment table No. 5, which is usually prescribed to patients with pathologies of the liver and biliary system.

All dishes are steamed, stewed or boiled. Seasonings (except for small amounts of salt) are prohibited, and the amount of oil for seasoning dishes is minimal.

For teenagers

Atopic inflammation, as a rule, develops in those adolescents who suffered from pathology in childhood. That is, inflammation does not occur for the first time, but worsens under the influence of one or another provoking factor after a long remission.

If it is known for sure that there is no food allergy, a nonspecific diet (usually a rotational diet) is developed. Nutrition for atopic dermatitis in adolescents is adjusted by the doctor, taking into account the patient’s age, gender, and weight. Completely prohibited:

fatty, fried, spicy, salty, canned foods and products, smoked meats, marinades;
fast food;
tonics, energy drinks, sweet soda.

During the period of treatment, the teenager needs to avoid increased physical and mental stress, stress, ensure proper sleep, follow all medical recommendations for caring for inflamed skin, and monitor hygiene.

Cooking rules

To minimize the possible negative impact of food on the body, it is important to follow the general cooking rules:

boil, stew or bake all dishes, but do not fry;
Peel vegetables and fruits;
soak potatoes in cold water before cooking (preferably several hours);
soak the cereals, rinse thoroughly several times;
cook porridge in water, add a little salt, add a little butter (if the child tolerates milk normally);
replace pasta with rice noodles;
for the first courses, prepare a secondary broth (soak the meat in cold water, boil, drain the resulting broth, then pour the meat with water and boil again, then prepare the soup);
Give the child only fresh food (cook in small portions before each meal).

Recipes

At first glance, it is quite difficult to find recipes for dishes for atopic dermatitis that would be completely free of irritants and retain high taste qualities. But it's not that scary. Of course, products with a high sensitizing ability should not be the basis of the dish, but adding them in minimal quantities is allowed. The main thing is that these products undergo heat treatment, since many of them lose their allergenicity when exposed to high temperatures.

The following recipes for atopic dermatitis in children will help diversify the menu without causing exacerbation:

Turkey cutlets. Mix turkey meat and zucchini minced with a meat grinder with a few tablespoons of rice flour. Salt the minced meat. Stew the formed cutlets or use a double boiler for cooking.
Turkey with cauliflower. Place the chopped turkey breast and cauliflower, disassembled into florets, into a double boiler, add salt, and add vegetable (preferably corn or olive) oil. Serve the dish with sour cream.
Corn porridge. Pour water over the cereal (for 1 cup of cereal, 1 liter of water), cook in a double boiler for half an hour. Add some salt, add a little butter, and leave to cook for another 5-7 minutes.
Soup with rabbit and vegetables. Prepare secondary broth using rabbit meat. Add broccoli and squash (or zucchini) and cook for another quarter of an hour. Grind the meat and vegetables into a puree, and dilute baby rice porridge in the resulting broth (according to the proportion specified by the manufacturer). Mix everything, add salt, and boil for another minute.
Soup for little ones based on baby milk formula. Boil potatoes, cauliflower, squash or zucchini, pumpkin (take about 50 g of vegetables per serving). Grind the prepared vegetables into puree. Mix separately prepared hypoallergenic baby formula with the broth remaining after cooking the vegetables. Combine the liquid with the puree, add a little salt, bring to a boil, and immediately remove from the stove.

Diet is the most important component of complex therapy for atopic dermatitis in children. The advice of a doctor and nutritionist on nutrition should be followed strictly, even if the child does not suffer from food allergies. Otherwise, the inflammation will be severe, and periods of exacerbation will occur much more often.

– a disease of the epidermis, which is chronic, accompanied by inflammation. The disease usually occurs in newborns.

With proper and timely treatment and a balanced nutrition system, the disease does not make itself felt for a long period.

At the same time, a diet for atopic dermatitis is recommended for all people suffering from the pathology, regardless of gender and number of years.

One of the nutritional systems is an elimination diet for atopic dermatitis. This is the strictest nutritional option, which is recommended to be followed during an exacerbation of pathology.

The essence of this diet:

fasting for a certain period to exclude the influence of any allergens on the body;
gradual introduction of foods to the menu - this helps determine what the body will react to and what will be easily and quickly absorbed without causing harm;
refusal to eat foods that provoked an atypical reaction of the body.

The principles of this diet:

Days 1-3: still water and lean crackers, which do not contain various additives to enhance taste;
Day 2-3: any lean meat product - doctors recommend choosing veal or beef tongue;
6-7 days: milk or products made from it with a low mass fraction of fat content;
Day 8-9: diversify the diet with vegetables;
10-11 days: eat porridge.

It is recommended to monitor the body’s reaction throughout the diet. If there are no rashes on the epidermis and no discomfort, then the diet can be made more saturated. Bananas and other fruits are added to the menu, as well as poultry, but only white meat without skin.

Pathology does not always appear due to the consumption of certain products. For this reason, an elimination diet may not give the desired effect in the form of a transition to remission of the pathology.

Rotation diet for atopic dermatitis

A rotational diet for atopic dermatitis is usually prescribed in childhood. This is a gentle diet that even a small child can tolerate.

The essence of this system is:

the introduction of one product is provided once every 4 days;
They eat not one, but at least 3 types of food per day.

Here's a menu you can stick to.

1 day

Breakfast: rice porridge with butter, green tea or plain water;
Lunch: rice with steamed veal, tea;
Dinner: lunch menu;

Day 2

Breakfast: millet porridge, drink without sweets;
Lunch: millet with steamed lean pork, tea without sweets;
Dinner: millet and steamed lean pork, drinks - kefir with a minimum mass fraction of fat content.

Day 3

Breakfast: buckwheat, unsweetened rose hip decoction;
Lunch: buckwheat and steamed beef tongue, rosehip decoction;
Dinner: boiled or steamed beef tongue, tea.

4 day

Breakfast: oatmeal with unsweetened green tea or plain water;
Lunch: squash puree with boiled lamb, unsweetened tea;
Dinner: squash caviar, boiled lamb, tea.

5 day

Breakfast: cottage cheese with sour cream with a minimum mass fraction of fat content with unsweetened green tea or plain water;
Lunch: boiled rice with steamed or boiled veal, tea;
Dinner: lunch menu.

Day 6

Breakfast: millet with tea or plain water;
Lunch: zucchini puree with steamed or boiled lean pork, unsweetened tea;
Dinner: zucchini caviar, unsweetened low-fat kefir.

Day 7

Breakfast: oatmeal, rosehip decoction;
Lunch: squash caviar, buckwheat with steamed beef, tea;
Dinner: buckwheat with steamed beef, rosehip decoction.

If the body reacts atypically to the use of a product, then its use is abandoned. For example, if an individual intolerance to cow protein or an allergy to this component is diagnosed, then any milk and products made from it, as well as beef, are eliminated from the diet.

While following a rotation diet, it is important to make notes in a special diary. Here it is recommended to record all the foods consumed, as well as what the body’s reaction was. This will help identify allergens. It is especially important to make such notes in the first year of a baby’s life, when complementary foods are introduced. This allows you to accurately determine which product provoked an exacerbation of the disease. It is recommended to avoid its use.

Table of allergenicity of products from the Union of Pediatricians

Doctors have long established what you can eat with atopic dermatitis. Based on observations and research, the Union of Pediatricians developed a table in which all products prohibited and permitted for consumption, as well as products for consumption with caution, were included.

List of products for the diet. Table 1

	Allowed products	Use carefully	Prohibited products
Berries	Gooseberries of any kind; White cherries; White currant.	Blueberry; Cowberry; Red and black currants.	Raspberries; Strawberry; Strawberries; Grape; Sea buckthorn.
Fruits	Plums and prunes; Green apples; Dried apples; Green pears.	Bananas.	Melons; Apricots and peaches; Red apples; Citrus and all exotic fruits; Raisins, figs and dried apricots.
Vegetables	Cabbage of different varieties; Potato; Green salad; Fresh cucumbers; Zucchini and squash.	Eggplant; Legumes.	Tomatoes and any product made from them; Red and green peppers;
Fish		River fish.	Seafood; Fatty fish varieties; Any canned fish.
Meat	Horsemeat; Mutton; Beef; Lean pork.	Liver and kidneys.	Other types of meat and liver.
Cereals	Corn grits;	Oatmeal.	Millet;
Carbohydrates	Crackers; Bran bread; Pastila and marshmallows; Pasta.	Apple marmalade, but in strictly limited quantities.	Baking; Ice cream; Bread, except bran.
Dairy	Sour cream; Mild cheese; Butter; dairy products.		Milk and cream; Glazed and processed cheeses; Spicy cheese.
Other	Weakly brewed tea; Corn or olive oil.		Coffee; Sauces and mayonnaise; Sweet carbonated drinks;

Cross-reactivity of some products

To understand what you can eat if you have atopic dermatitis, it is also important to consider the cross-reaction that certain foods can cause. It is recommended to exclude from the diet anything that leads to an atypical reaction of the body.

Allergy and cross-reaction. table 2

Type of reaction	Food allergens that cause cross-reaction
Allergy to pollen	Carrot; Fruits growing on bushes and trees; Parsley; Celery.
Atypical reaction to grass pollen	Bread, flour products and bread kvass; Smoked sausage; Coffee and cocoa;
Atypical reaction to weed pollen	Melon plants; Halva and seeds; Eggplants and zucchini; Mayonnaise and mustard; Sunflower seed oil.
Atypical reaction to mold and yeast	Beer, kvass and yeast dough; Sauerkraut; Liqueurs and wines; Sugar and analogues; Fermented foods.
Cow's milk	Veal and beef; Fermented medications from cattle pancreas; Goat milk.
Chicken eggs	Chicken, broths and soups made from it; Duck and quail meat; Quail eggs.

For children with atopic dermatitis, it is especially important to draw up proper diet. The course and nature of the pathology depends on this.

If you select the menu correctly and include in it only those foods to which there is no reaction, then the disease will not make itself felt for a long period.

Dietary food by age

Pathology is classified by age:

infants from birth to 2 years;
children from 2 to 12 years old;
teenagers over 12 years of age – this category also includes adults.

Diet for adults and teenagers

Typically, the pathology occurs in childhood, and at 12 years of age and older, an exacerbation of the disease is observed. Rarely, atopic dermatitis appears in adolescents and adults.

However, such cases have also been recorded. Diet for atopic dermatitis in adolescents and adults is a mandatory measure to prevent relapse of the pathology.

The main thing is to exclude from the diet the product to which an atypical reaction of the body occurs, as well as the so-called junk food and drinks, which include:

alcohol;
salted, pickled, fatty and smoked foods;
fast food;
fried food;
energy drinks and soda water

Diet for pregnant and lactating women

Exacerbation of atopic dermatitis can occur during pregnancy or breastfeeding.

The danger of this situation is that during this period many medications are prohibited.

For this reason, during pregnancy and lactation it is especially important to adhere to the principles of proper nutrition.

A hypoallergenic diet for atopic dermatitis for a pregnant woman should be drawn up by a doctor. The specialist knows exactly what you can and cannot eat during this period.

Typically, bans are imposed on red and orange fruits and vegetables, as well as all so-called junk food.

Diet does not affect the possible occurrence of pathology in a child

Diet for babies

If atopic dermatitis is diagnosed in a newborn child, then the nursing mother should follow the diet. Her diet should not contain foods that can cause a reaction in the baby.

Children who are bottle-fed must be given special hypoallergenic formulas.

If the pathology has entered a period of exacerbation, then in this case it is recommended to switch to medicinal mixtures that will help stop the inflammatory process.

The introduction of complementary foods is of great importance. To avoid exacerbation, it is recommended to follow the following rules:

give the child new foods during remission of the pathology;
start introducing complementary foods when the baby is six months old;
do not give your child single-ingredient products;
Products must be free of sugar, milk and various additives, enhancing taste and aroma;
if a child suffers from loose stools, give the baby porridge; for constipation, light soups;
from 6 months you can start giving your baby pureed meat, with the exception of beef if the baby has hypersensitivity to milk protein;
chicken eggs and fish should not be given to a child;
By 12 months you can introduce fruit puree into the menu, but only after heat treatment.

Diet for children from 1 year to 3 years

The diet for children from one to three years of age should be varied so that the baby receives all the necessary nutrients for normal growth and development. It is recommended to adhere to following principles dietary table:

food should not be coarse, it is best to make purees;
food should be warm, not too hot or cold;
Do not use seasonings other than salt, or add large amounts of oil to food.

At this age, children begin to actively eat sweets - chocolate, candies and other goodies. For babies suffering from atopic dermatitis, these products are contraindicated.

However, children cannot do without sweets completely. For this reason, a diet for atopic dermatitis in children should be developed in which the menu will be varied.

You can include jam, natural yoghurts, savory cookies and fruits in your diet. This will give the child the opportunity to eat without harm to the body.

Recipes for atopic dermatitis

The menu for atopic dermatitis can be varied. The main thing is to choose recipes that do not contain products that cause an atypical reaction in the body.

It is especially difficult to create a menu for atopic dermatitis in children. In this case, recipes should not contain not only allergenic products, but also products that are allowed in limited quantities, so as not to provoke an exacerbation of the pathology.

If atopic dermatitis is diagnosed, it is recommended to familiarize yourself with the peculiarities of preparing main dishes.

Features of cooking porridge

Rules for preparing porridge:

you cannot cook dishes with milk;
It is not recommended to add large amounts of sugar and salt;
you can season the dish with butter in the absence of an inadequate reaction of the body to milk protein;
You can add permitted dried fruits, honey or fresh permitted fruits to the porridge, but you cannot put nuts in the porridge.

Soups

Rules for preparing soups:

for meat soup, place the meat in cold water for 60 minutes;
Only the second meat broth is used.

Meat dishes

The rules for preparing meat dishes also require pre-soaking the product. It is not recommended to fry meat. Preference should be given to such cooking methods as boiling, stewing, baking and steaming.

Share your experience

Atopic dermatitis is a serious pathology that can cause complications. For this reason, it is important to adhere to a special diet and lead a healthy lifestyle.

Atopic dermatitis manifests itself as a skin rash of a recurrent, chronic nature in people with a hereditary tendency to allergies. For this reason, patients with this diagnosis need to adhere to a diet that excludes allergenic foods throughout their lives, and during periods of exacerbation, adjust their diet so that the diet contains not only neutral, but also healthy foods that help improve metabolic processes and regeneration skin.

General information

Atopic dermatitis refers to non-contagious skin diseases of allergic origin. Despite the prevalence of the disease, the causes of its occurrence are not fully understood, however, according to statistical data, the disease manifests itself only in people with a hereditary predisposition to various allergies. Synonyms for the disease that can be found in medical reference books of the early 19th century are exudative-catarrhal diathesis, constitutional eczema, neurodermatitis.

Most often, the disease manifests itself already in infancy in the form of red, inflamed spots with a scaly surface (erythema) or rash on various areas of the skin. If the disease does not go away on its own during puberty, it becomes a chronic, adult form, which is characterized by seasonal stages of exacerbation in the spring-autumn period.

During the period between exacerbations, the disease may manifest itself only as small flaky pink spots and barely noticeable cracks in the area of the earlobes

Features of the diet for atopic dermatitis

An integral part of complex therapy for the disease is a diet aimed at eliminating foods with a high degree of allergenic activity. At the same time, we should not forget that for treatment to be effective, the patient’s body must receive all the vitamins and microelements necessary for life, so the diet must be balanced.

Basic principles of nutrition for adults:

Dishes should be prepared in such a way that they do not cause negative effects on the digestive organs. So, you should eat steamed, boiled or baked food, while avoiding smoked, pickled, fried foods that contribute to irritation and inflammation of the gastric mucosa.
The bright taste of food is also prohibited; it is necessary to limit salt intake, avoid too sweet, sour, spicy dishes, exclude herbs and spices from the menu.
You should eat in small portions so as not to overload the gastrointestinal tract. In order to provide the body with the necessary amount of calories and nutrients, 4-5 meals a day are recommended, preferably in compliance with the regime.
During an exacerbation period, not only products that have high level allergenicity, but also with an average degree of impact.
It is better to select vegetables and fruits according to the season, giving preference to those grown in a summer cottage without the use of synthetic fertilizers and insecticides against pests. Before consumption, vegetables are soaked in water, and it is advisable to cut off the peel from fruits. Before cooking, potatoes are soaked in water for several hours to reduce the level of starch.
Soups are cooked in the second or third broth, skimming off the foam and draining the liquid after the first boil. Thus, it is possible to reduce fat content and the content of purines and proteins in first courses. When preparing vegetable soups, vegetables should also be soaked or the first broth should be drained after boiling.
In order to prevent exposure of the skin to toxic substances formed during cellular metabolism, you should avoid foods that are too fatty, foods containing fast carbohydrates, purines, dyes and preservatives.
To restore the skin, it is necessary to establish the intake of fatty acids contained in fats of plant origin into the body. Particularly useful will be olive, corn, sunflower oil, which should be consumed in unrefined, raw form, as dressings for salads and cereals made from gluten-free cereals.
To improve metabolism and normalize water-salt balance, it is recommended to drink at least 1.5 liters per day clean water.

While on a diet, you should avoid eating fried foods, giving preference to steamed and boiled dishes

List of prohibited and permitted products - table

Useful products - photo gallery

Sample menu

Sample menu - table

When following a therapeutic diet, foods with a high degree of allergenicity should be excluded from the menu.

Recipes

Cheesecakes with peach mousse without eggs and gluten

Ingredients:

cottage cheese 5% fat - 400 g;
low-fat sour cream - 4 tbsp. l;
rice flour - 6 tbsp. l;
stevia or fructose - 5 g;
kefir - 6 tbsp. l;
peach nectar - 4 tbsp. l.

Preparation:

Grind the cottage cheese with a fork until smooth.
Add sweetener and sour cream and mix well again.
While kneading, gradually add 4 tbsp. l rice flour.
Spread the remaining flour over cutting board and roll the curd mass on it in the shape of a sausage.
Using a sharp knife, cut the sausage into circles 2-3 cm thick and roll them on all sides in flour to form cheesecakes.
Line the pan with a parchment sheet and grease with vegetable oil.
Transfer the cheesecakes to the prepared pan and place in the oven preheated to 180 degrees for 25 minutes to bake.
5 minutes before readiness, grease the surface of the cheesecakes with sauce made from kefir and peach nectar, and put them back in the oven. This sauce will eliminate the crispy crust formed during baking and the cheesecakes will become tender and fragrant.

The diet for atopic dermatitis excludes the consumption of flour and sweet foods that contain eggs. Therefore, the recipe for such cheesecakes is simply a godsend for those who are forced to limit their diet, but at the same time cannot imagine their life without homemade baking

Corn porridge with banana and yogurt

Ingredients:

finely ground corn grits - 1/2 tbsp;
water - 1 tbsp;
lactose-free milk - 1 tbsp;
homemade yogurt - 4 tbsp. l;
banana - 1 pc.

Preparation:

Rinse the cereal in plenty of water and then drain the liquid.
Boil milk in a saucepan and set it aside.
Pour water into an enamel saucepan with a thick bottom and bring to a boil.
Pour the cereal into boiling water in small portions, stirring constantly to prevent lumps from forming.
Stirring, cook the porridge over low heat for 5-6 minutes.
When the water has almost evaporated, pour hot lactose-free milk into the porridge and continue cooking for 15 minutes.
Place the hot porridge on plates and top with yogurt and banana slices.

Corn grits are gluten-free and have a much lower carbohydrate content than oats or rice. At the same time, such porridge is rich in vegetable protein, as well as vitamins B1 and B5, which normalize the functioning of the nervous system and vitamin E, which improves the condition of the skin.

Features of other diets

In addition to a gentle, hypoallergenic diet, other diets are also prescribed.

Rotation diet

Patients have a hereditary tendency to allergies, including food allergies. By eating a varied diet, the chances of developing a hypersensitivity to a particular food (or family of foods) are significantly reduced, while eating a monotonous diet significantly increases the risk of developing an allergic reaction. In this case, allergists recommend adhering to a rotational (circular) diet. The basic principles of such nutrition are as follows:

A set of products for one day should consist of 1 protein, 1 grain, 1 vegetable, 1 fruit;
These products should not be repeated within 4 days.
It is necessary to keep a food diary, noting not only the foods and their sequence, but also the body’s reaction to such nutrition.
If you have a negative reaction to any product, you can try it in another set. If the allergic reaction reoccurs, you should completely eliminate this product from your diet.

Thus, antibodies to this group of products do not have time to accumulate in the body, and in the future the occurrence of sensitivity can be prevented. Gradually, you can expand your diet, enriching it with substances beneficial to the body, and also identify allergens that should be completely excluded from the diet.

Elimination diet

A type of hypoallergenic diet, elimination, is based on the principle of completely excluding from the menu those foods that could trigger the development of allergies. The patient is recommended to keep a food diary, which includes all the foods consumed during the day. After the allotted period, reactive products are gradually introduced into the menu, while observing the body’s reaction. This diet helps improve your performance digestive system, as well as identify allergenic substances.

Raw food diet

Eating only raw, not thermally processed foods is a technique that has many contraindications. Traditional medicine does not recommend this method of reducing the reactivity of the immune system for people with atopic dermatitis for several reasons:

Only fruits and some vegetables can be consumed raw. Such foods are rich in fiber, which creates additional stress on the digestive organs, which can lead to intestinal irritation.
Allergens and substances that promote the release of histamine are partially neutralized during heat treatment; in their raw form, products can cause sensitization of the immune system and aggravate the course of the disease.
A complete diet must contain proteins; when eating a raw food diet, their source is legumes, which, in the absence of heat treatment, contribute to the formation of toxic substances, which can increase skin reactions in the form of rashes or eczema.

Starvation

The method of cleansing the body of toxins and immune complexes through therapeutic fasting is indicated for overweight patients, as well as for those who do not have systemic diseases of the digestive organs. Fasting periods are carried out in courses of 3 days, during which you can only drink water. Walking for walks has a positive effect on the condition of the skin. fresh air, mineral-alkaline baths that promote rapid removal of toxins from the body. After a short abstinence from food, you should follow a gentle diet, after which the course of fasting can be repeated, increasing the duration to 5–6 days.

Diet results

Compliance with a therapeutic diet helps to increase the duration of the remission stage, reduce the reactivity of the immune system to food and external allergens, and improve the condition of the skin.

Since pathology is a chronic disease, the proposed nutritional principle should be followed throughout life. However, to desensitize the body in the absence of obvious food allergies, doctors recommend using a rotational diet, which accustoms the immune system to certain foods (potential allergens). This way, you can expand your diet and get nutritious nutrition.

My name is Elena. Medicine is my calling, but it so happened that I was unable to realize my desire to help people. But, I am the mother of three beautiful children, and writing articles on medical topics has become my hobby. I want to believe that my texts are understandable and useful to the reader. Rate this article:

	Highly allergenic foods	Use with caution
products	Bran bread		Marmalade

	Cracker	Ice cream
		Butter bread
	Pasta	Cakes with cream
	Simple dryers
	Lenten crackers
Meat and meat products	Beef	Chicken
	Mutton	Goose

	Rabbit meat	Fatty pork
	Goat meat	Veal
		Smoked meats
		Boiled sausage
		Turkey meat
		Sausages, sausages
		Delicacies
		Animal fats
Dairy	Mild cheese varieties
	Fermented milk products	Fresh milk
	Homemade yogurt
	Low-fat sour cream	Yoghurts with fruit additives
	Processed cheese	Spiced cheese
	Butter	Spiced cheese

	Potato




	Parsley


		Eggplant
Berries and fruits	White cherry	Grape
	Gooseberry
	White currant	Strawberry	Black and red currants
			Blueberry
		Strawberries
	Dried fruits	Sea buckthorn
	Green apple varieties
	Prunes





	Barley drink
		Egg yolk



		Margarine

		Red pepper


		Soda



		Chewing gum

Elimination diet

Anti-allergenic diet

Rotation diet

Diet for infants

juices and fruit purees;
kefir, low-fat cottage cheese;

Option #1:

Option #2:

Option #3:

Dinner. Cottage cheese pudding, tea.

Option #4:

Conclusion

Atopic dermatitis is a fairly common skin disease of an allergic nature. Most often diagnosed in patients who have a genetic predisposition to atopic diseases (allergic rhinitis, bronchial asthma, hay fever). Unbearable itching, hyperemia and dry skin are the main signs of the disease. What should be the diet for atopic dermatitis?

Atopic dermatitis (eczematoid, constitutional eczema, Besnier's pruritus, diffuse Broca's neurodermatitis) is a chronic genetically determined skin pathology, which is accompanied by severe itching, rashes, as well as increased IgE levels and hypersensitivity to allergenic and non-allergenic irritants. The disease is diagnosed in patients of different age categories. Most often, symptoms appear in the autumn-winter period. In the summer, all patients experience a stable remission, allowing patients to lead a full life.

The main signs of diffuse neurodermatitis are dry and itchy skin

Diet for atopic dermatitis plays a key role in the therapeutic and health practice of this pathology. The main goals of diet therapy:

Prevent the effects of food allergens on the body.
Ensure the supply of biocompounds that activate the processes of epithelization and restoration of the skin.

Most often, the disease is diagnosed in infants when the immune and nervous system still poorly formed

To achieve maximum therapeutic results, patients diagnosed with atopic dermatitis should adhere to the following recommendations:

reduce salt and sugar intake;
exclude alcoholic beverages and food allergens from the diet;
consume sufficient amounts of vitamins, micro- and macroelements;
do not overeat, stick to fractional meals (eat five to six times a day, but little by little);
strictly follow the recommendations of a specialist;
drink at least 2-3 liters of liquid per day.

Advice! If dietary nutrition for atopic dermatitis is ineffective, then it is better to seek qualified help in a hospital from experienced specialists.

Prohibited foods for atopic dermatitis

What can you eat if you have atopic dermatitis? Is it possible to eat sour cream if you have atopic dermatitis? These and other questions interest many people. Below is a table of prohibited and permitted foods for atopic dermatitis.

	Highly allergenic foods	Use with caution
products	Bran bread		Marmalade

	Cracker	Ice cream
		Butter bread
	Pasta	Cakes with cream
	Simple dryers
	Lenten crackers
Meat and meat products	Beef	Chicken	Offal (brains, liver, lungs, kidneys, tongue, udder, etc.)
	Mutton	Goose

	Rabbit meat	Fatty pork
	Goat meat	Veal
	Lean pork, boiled and stewed	Smoked meats
		Boiled sausage
		Turkey meat
		Sausages, sausages
		Delicacies
		Animal fats
Dairy	Mild cheese varieties
	Fermented milk products	Fresh milk
	Homemade yogurt
	Low-fat sour cream	Yoghurts with fruit additives
	Processed cheese	Spiced cheese
	Butter	Spiced cheese

	Potato
		Bell pepper (red, green)



	Parsley


		Eggplant
Berries and fruits	White cherry	Grape
	Gooseberry
	White currant	Strawberry	Black and red currants
			Blueberry
		Strawberries
	Dried fruits	Sea buckthorn
	Green apple varieties	Citrus and tropical fruits
	Prunes
		Dried fruits (figs, dates, dried apricots)




	Barley drink
		Egg yolk
	Olive, sunflower or corn oil


		Margarine

		Red pepper


		Soda



		Chewing gum

The first place among allergens that provoke the development of eczematoid occupies food.

Note! Hypoallergenic products and a balanced diet will improve the condition of the skin, making it softer and more elastic.

Elimination diet

This is a very strict diet that limits the intake of your favorite foods. The presented diet for atopic dermatitis is aimed at identifying allergens. It is worth noting that such nutrition can provoke the development of microelementosis, hypo- and avitaminosis.

During the first three days, the patient drinks only mineral still water with fresh crackers. Then, every subsequent day, the diet is introduced New Product. First, add one dairy product and monitor the body’s reaction throughout the day. Further, according to a similar scheme, other elements of animal and plant origin are gradually introduced. If allergic rashes appear on the skin, the product is excluded from the diet.

Anti-allergenic diet

Experts recommend using a hypoallergenic diet for atopic dermatitis only with a clearly established diagnosis. The etiology of constitutional eczema in children is most often associated with food irritants. Legumes and egg yolk are the most allergenic foods for babies.

On a note. In adult patients, pathology most often develops against the background of complex exposure to nutritional and inhalation allergens. The main triggers for the development of allergies are nuts and carotene-containing foods.

Nuts are considered strong allergens

The menu is selected individually. None of the nutritionists will be able to provide a complete list of foods allowed or prohibited for consumption. In the process of forming the basic nutrition menu for atopic dermatitis in adults, it is necessary to take into account the specifics of “cross food allergies”.

Important! To adjust the diet, the patient needs to undergo regular examinations of the functioning of the digestive system, since most products are pseudo-allergens that manifest their effect against the background of disruption of the intestinal mucosa.

Rotation diet

It will help detect allergies to certain foods. The rotation diet for atopic dermatitis is especially popular in pediatrics. It involves consuming a variety of foods at the same time. Some scientists claim that a monotypic diet increases the risk of allergies several times. That is, the longer a patient consumes the same products, the greater the likelihood of developing a reaction to these components.

Features of nutrition during pregnancy and lactation

If the expectant mother has a genetic predisposition to allergic diseases, then she should take care to follow a special diet. Her diet should include fermented milk products. They normalize metabolic processes in the intestines, strengthen the immune system, and improve digestion. Patients often ask whether it is possible to eat sour cream if they have atopic dermatitis. In this case, nutritionists even recommend eating this product, but in limited quantities. Everywhere you need to know a sense of proportion.

For meat, preference is given to beef or rabbit. From vegetable oils it is better to use corn, olive or rapeseed. Porridges are prepared with vegetable broth, water or skim milk.

Sufficient amounts of clean water reduce the symptoms of atopic dermatitis

Nutritionists recommend that expectant mothers consume boiled or steamed foods. This improves the process of hydrolysis and absorption of food in the intestines. Pregnant women should also avoid contact with household chemicals.

To prevent the development of atopic dermatitis, plant foods that contain a lot of carotene (tomatoes, pumpkin, carrots, beets, peppers, etc.) are excluded from the diet.

Remember. If a breastfed baby has loose stool, then vegetables and fruits are subjected to heat treatment. During lactation, it is best for mothers to forget about using antiperspirants and perfumes.

Diet for infants

Recently, doctors have increasingly had to deal with constitutional eczema in infants. Therefore, the question of what you can eat with atopic dermatitis is especially relevant.

In infants, foci of allergic dermatitis are most often localized on the bends of the limbs and on the face

Dermatitis in one-year-old children manifests itself in the form of diathesis. New foods should be introduced into the diet of such a child with extreme caution, as there is a high probability of allergies. Doctors recommend adding no more than one new product per week to your baby’s diet. Complementary foods should be given in the middle or at the end of the main feeding. If rashes or any other manifestations are detected, the newly introduced element is excluded from the diet.

Sometimes an exacerbation of the disease is observed when cow's milk proteins enter the child's body, and then it is replaced with soybean analogues

As complementary foods, a one-year-old baby is offered:

vegetable puree from cabbage, soaked potatoes;
juices and fruit purees;
kefir, low-fat cottage cheese;
oatmeal and buckwheat porridge with fruit or vegetable broth;
twice-cooked rabbit or beef.

Advice! When diagnosing atopic dermatitis in children, it is best to replace standard food products with specialized baby food, which is designed for a certain age.

For a patient with a genetic predisposition to atopic diseases, drug treatment is prescribed only for clear, justified indications

Diet menu options for adults with atopic dermatitis

Option #1:

Breakfast. Lean oatmeal, cooked in water, green tea.
Dinner. Vegetable soup, rice porridge with steamed cutlets, weak tea.
Dinner. Vegetable stew, linden or mint tea.

Option #2:

Breakfast. A piece of black dried bread, greens with cottage cheese, tea.
Dinner. Vegetable soup, buckwheat porridge with liver, carrot and cabbage salad, jelly.
Dinner. Fish cutlets, boiled vegetables, herbal tea.

Option #3:

Breakfast. Rice porrige. Compote.
Dinner. Barley soup, mashed potatoes, steamed meatballs, tea.
Dinner. Cottage cheese pudding, tea.

Option #4:

Breakfast. Vermicelli cooked with milk, tea.
Dinner. Diet borscht, vinaigrette, meatballs, compote.
Dinner. Boiled potatoes, jelly.

Pre-rinsing removes excess starch from potatoes

The diet menu for atopic dermatitis in adults can be quite versatile and useful. In the process of compiling it, you should consult with an allergist.

Note. Sometimes there is a reaction to products that, in principle, are not allergens. In this case, it is necessary to exclude cross-allergy. For example, if a patient has hypersensitivity to antibacterial agents, a negative reaction may occur due to consumption of meat or other products to which similar drugs have been added to increase shelf life.

Compliance with a clearly established diet will help in the treatment of diffuse Broca's neurodermatitis

Recommendation! When choosing a particular diet for atopic dermatitis in adults Special attention attention should be paid to water quality. It is known that tap water contains a lot of chlorine and other cleaning additives that can cause allergies. Therefore, for diffuse neurodermatitis, it is best to drink bottled water.

Conclusion

Before using any diet, you should consult with an experienced nutritionist. To improve the patient’s condition, experts recommend the use of probiotics, which optimize the microbial composition of the intestine.

Atopic dermatitis is a disease that requires long-term, scrupulous treatment, the absence of which entails serious consequences. The disease has different causes, and therapy for each patient is selected individually; a diet for atopic dermatitis is indicated in all cases. This is exactly what will be discussed in this article.

Atopic dermatitis is a severe inflammatory skin disease. It has a chronic relapsing course (with periods of exacerbation and remission).

It can debut both in infancy, childhood, and in adolescence and adulthood, significantly wedging into a person’s habitual way of life and disrupting it.

The causes of the disease have not been reliably determined. It is believed that the role is played by:

hereditary factor;
genetic disorders;
the presence of other allergic diseases.

The difference between atopic dermatitis and allergic contact dermatitis is that irritants that cause exacerbation of the disease can be:

specific allergens (in this case exogenous dermatitis develops),
any other substances of a non-allergenic nature (and then the disease is considered endogenous).

A hypoallergenic diet for atopic dermatitis is indicated in every case, but in the case of food allergies it will be more specific. In addition, nutrition for atopic dermatitis in adults and children, as well as in pregnant and lactating women, will also have its own characteristics.

In practice, two main types of diets are used: elimination and rotation.

Elimination diet for atopic dermatitis

completely “clean”, “zero” the diet;
then, introducing one product every few days, identify the irritant allergen;
minimize allergenic effects on the body.

The diet consists of several stages. The menu for each day is as follows:

1-3 days: water and crackers (without salt, sugar, other additives);
4-5 days: introduction of a meat product (one type). It can be boiled beef, tongue, lean pork;
6-7 days: introduction of a dairy product (preferably fermented milk);
8-9 days: introduction of vegetables (boiled);
10-11 days: introduction of cereals.

If the body responds well to the diet, no exacerbation of the disease occurs, attempts to introduce: lean poultry (chicken, turkey), fruits (bananas, apples) are acceptable - if there is no allergy to them, hay fever with cross-reactivity, with good tolerance.

In less than 10% of children with atopic dermatitis, food allergies or intolerances are a trigger. Therefore, elimination diets have a beneficial effect on the course of the disease only in a small group of children.

Rotation diet for atopic dermatitis

Implies a slightly more complex principle of introducing new products. This is not such a strict diet, so it can be (and most often is) prescribed to a child.

With this type of dietary food, it is recommended to consume 1 product no more than once every 4 days.
In addition, it is recommended to eat only 1 type of each type of food on one day: for example, only beef, only rice and only kefir.

The optimal “start” of the diet is 4 types of products: meat, cereals, dairy products and 1 vegetable.

So an example diet looks like this:

Day of the week	Breakfast	Dinner	Dinner
Monday	Rice porridge with water, tea	Boiled beef, rice, tea	Boiled beef, rice, tea
Tuesday	Millet porridge, tea	Lean pork, millet porridge, tea	Pork meatballs, millet porridge, kefir
Wednesday	Buckwheat porridge, rosehip		Boiled tongue, tea
Thursday	Oatmeal, tea	Boiled lamb, zucchini puree, tea	Boiled lamb, zucchini puree, rose hips
Friday	Cottage cheese, tea	Beef Stroganoff, rice, rosehip	Beef Stroganoff, rice, rosehip
Saturday	Millet porridge, tea	Steamed pork, squash puree, tea	Zucchini puree, kefir
Sunday	Oatmeal, rosehip	Boiled tongue, buckwheat with zucchini, tea	Boiled tongue, buckwheat porridge, rosehip

In case of food allergies, certain restrictions are added to a nonspecific diet of any kind. Thus, in case of intolerance to cow's milk protein, a dairy-free diet is prescribed; in case of sensitization to gluten, a gluten-free diet is prescribed.

The diet is selected in three stages:

Strict elimination. Identification of causative allergens;
Eliminating all triggers from the diet;
Expanding the diet for the period of remission.

Keeping a food diary is a must!

There you should record the type of food, its volume and the body’s reaction. This is necessary to facilitate the process of identifying trigger foods. It is especially important to maintain such a notebook for children in the first year of life during the period of introducing complementary foods.

Table of allergenicity of products from the Union of Pediatricians

It is customary to conventionally distinguish products that are aggressive in terms of allergies, those that are of average allergenicity, and those that are hypoallergenic. The table of allergenicity of products may differ in different sources, but only slightly.

Table of permitted and prohibited products for allergies from the Union of Pediatricians of Russia (part 1) Table of permitted and prohibited products for allergies from the Union of Pediatricians of Russia (part 2)

Cross-reactivity of some products

It is very important to be aware of cross-reactions. This problem becomes especially relevant during the period of exacerbation of hay fever.

Table: Some Cross Food Allergens

Dietary food by age

Atopic dermatitis is classified according to age:

newborns (0-2 years);
children (2-12 years old);
adolescents and adults (>12 years).

Each of these age categories has its own hypoallergenic diet, so it makes sense to consider each one separately.

Diet for adults and teenagers

The onset of atopic dermatitis after the age of 12-15 years is not a “canonical” case. More often, there are cases when the disease manifested itself in infancy or childhood, followed by a long period of remission, and then, under the influence of certain factors, the disease became active again.

One way or another, a diet for atopic dermatitis in adults is mandatory. In the absence of hypersensitivity to a specific product or group of products, a nonspecific diet is prescribed, for example, the Ado diet, which was originally developed for children, but is also quite applicable in adults.

In the case of a mild course of the disease, good tolerance and lack of polysensitization, you can create a fairly varied menu for the week. In general, the diet looks like this:

Day of the week	Breakfast	Dinner	Dinner
Monday	Oatmeal in water with dried fruits, tea	Boiled beef, rice, rosehip	Vegetable stew, boiled beef, tea
Tuesday	Cottage cheese casserole, pear, chicory	Tongue, buckwheat, rosehip	Turkey, rice, tea
Wednesday	Toast with apple jam, tea	Vegetable puree soup, tea	Beef meatballs, cauliflower, rose hips
Thursday	Oatmeal with pumpkin, coffee	Beef meatballs, buckwheat porridge, tea	Vegetable salad, prunes, chicory
Friday	Cookies, prunes, tea	Vegetable stew, sausage, coffee	Tongue, stewed cabbage, tea
Saturday	Corn flakes with kefir, tea	Pea, lamb, rosehip	Stewed rabbit, rice, tea
Sunday	Toast with cheese, endive	Vegetable soup, pork meatballs, buckwheat porridge, tea	Beetroot soup, stewed cabbage, chicory

The diet for atopic dermatitis in adolescents is exactly the same. The diet should be regulated depending on the person’s gender, age, height and weight, level of physical and mental stress, and the presence of hypersensitivity to or intolerance to any foods.

The following must be excluded from the diet:

alcohol;
food from fast food restaurants;
smoked meats, marinades, pickles;
energy drinks, tonics, carbonated drinks;
excessively fatty, fried foods.

Diet for pregnant and lactating women

Atopic dermatitis in pregnant women is a rather serious problem. The disease brings a lot of discomfort; not all medications can be used during pregnancy; the symptoms are aggravated due to the psychological component.

The selection of a diet should be carried out by an allergist in tandem with a nutritionist and an obstetrician-gynecologist. Be sure to monitor the level of hemoglobin, protein in the urine, and blood sugar.

An approximate daily menu for a pregnant woman might look like this:

Breakfast. Oatmeal in water with fresh berries, for example, blueberries (except strawberries and wild strawberries), honey (in the absence of hay fever), tea;
Lunch. Banana, a glass of kefir;
Dinner. Fresh cabbage salad with olive oil, vegetable soup, boiled beef, rice, tea;
Afternoon snack. Apple, natural yogurt;
Dinner. Beef liver, stewed vegetables, rose hips;
Second dinner. Kefir.

Worth paying attention:

The diet of a pregnant woman does not affect the development of atopic dermatitis in the unborn child.

Not proven

That a hypoallergenic diet for a woman during lactation significantly reduces the risk of developing this disease in a child. (according to the Federal Clinical Guidelines for the diagnosis and treatment of atopic dermatitis).

During lactation

A mother’s diet for atopic dermatitis in a baby is mandatory and is approximately similar to that offered for pregnant women.

The difference is that it is necessary to take into account the presence of an allergy to a particular product in the baby and adjust the diet in this regard.

It is necessary to exclude all highly allergenic foods, regardless of how they are tolerated by the woman and child.
Minimize consumption of foods that are moderately allergenic.

A diet for atopic dermatitis for a nursing mother implies the mandatory use of vitamin-mineral complexes and products with probiotic activity (for example, Bifilife yogurt product).

In the event that the diagnosis of “atopic dermatitis” is made to the woman who is breastfeeding, and therefore cannot provide adequate nutrition to the child due to a large number of food restrictions, it is recommended to transfer the baby from breastfeeding to artificial or mixed feeding.

Diet for babies

In the case when atopic dermatitis is detected in a newborn or infant, the main method of correcting the disease is restrictions in the mother’s diet. In cases where this is impossible or ineffective, it is recommended to switch to feeding with artificial milk formulas.

A diet for atopic dermatitis in infants involves two points:

correct selection of infant formula;
correct introduction of complementary foods.

Products with highly hydrolyzed protein or food based on soy protein isolate should be used as a food mixture.

At the first stage of therapy (when a diet is selected for an exacerbation), it is necessary to use specialized medicinal mixtures:

Alfare;
Nutrilac Peptide MCT;
Nutrilona Pepti TSC;
Pregestimila;
Nutramigena;
Frisopepa;
Frisopepa AS;
Nutrilaka Soya;
Nutrilon Soy;
Frisosoi;
Humans SL;
Enfamila Soya.

At the second stage, when expanding the diet, it is permissible to use a mixture based on partially hydrolyzed protein:

Nana GA1;
Nutrilon GA1.

Recently, milk formulas with the addition of pro- and prebiotics have been actively used:

Baby GA;
Nutrilon GA 1 and 2;
Nutrilona Comfort 1 and 2;
Humans GA 2;
Nana GA 2 (enriched with bifidobacteria);
Nutramigen LGG (enriched with lactobacilli).

Useful video from the Union of Pediatricians of Russia

The rules for introducing complementary foods to children with atopic dermatitis are as follows:

administration only during remission;
start of introduction - 5-6 months (it has been proven that later introduction does not make sense, because it does not ensure the absence of food allergies);
complementary feeding products must be monocomponent;
products must not contain milk, gluten, sugar, salt, broth, preservatives, artificial colors or flavors;
in the presence of diarrhea, porridge is introduced first, and vegetable purees are used to consolidate the stool;
even hypoallergenic products should be selected based on the results of skin tests and blood tests under the supervision of an allergist;
from six months it is necessary to introduce meat purees - turkey, lamb, pork (beef and veal - only if there is no hypersensitivity to cow's milk protein);
It is recommended to introduce fruits only towards the end of the first year of life and only heat-treated ones;
It is prohibited to introduce chicken eggs and fish.

Table: Set of products included in the menu of a non-specific diet for atopic dermatitis

Sample menu for atopic dermatitis for children from 6 months to 1 year

In the table below you can see a sample menu. It can be used as a base. If there are no allergies, try adding eggs and products from the last column of the food table (see above)

Table: Nutrition options for atopic children from 6 months to 1 year

Diet for children from 1 year to 3 years

The period of expanding the diet is a very important time. It is necessary to reduce the antigenic and histamine liberatory effects on the body, stabilize the functioning of the digestive tract and achieve complete remission of the disease.

Diet for atopic dermatitis in children should be strictly controlled

It is at this time that the treats begin, the guests “feeding” the child with chocolate, candies and other sweets.

It is completely unacceptable to take a child to fast food restaurants or feed him food from an “adult” table.

The hypoallergenic diet at this age is based on dietary table No. 5 according to Pevzner, prescribed for pathology of the hepatobiliary system.

Food is offered mechanically and thermally gentle.
It is unacceptable to use seasonings (except for a small amount of salt) or a large amount of oil.

However, all dishes must have good organoleptic properties so that the child does not refuse them and does not try to look for a replacement in cookies, sweets and other similar delicacies.

In cases where polysensitization does not allow the formation of a complete diet, special therapeutic nutrition is sometimes prescribed, including the use of mixtures based on hydrolyzed proteins or amino acids in the form of cereals or in drinking form. It is acceptable to use rotational diets based on conditionally tolerated foods.

An approximate diet for a child could be:

Breakfast. Cottage cheese casserole with apple jam, tea;
Lunch. Pear, natural yogurt;
Dinner. Beetroot salad, recycled beef broth soup, stewed liver, mashed potatoes, dried fruit compote;
Afternoon snack. Kefir, savory cookies;
Dinner. Meatballs, rice, apple, tea;
Second dinner. Ryazhenka, gingerbread.

Another food option:

Table: Diet for a child with atopic dermatitis

Recipes for atopic dermatitis

It is not so easy to find a recipe that does not include allergenic products.

Recipes for people suffering from atopic dermatitis should not include highly allergenic foods as “main” foods.
It is recommended to minimize the use of foods of moderate allergenicity.
It is worth noting that many allergens are heat labile and lose their “aggressiveness” during heat treatment. This is especially true for vegetables.
Raw vegetables and fruits are peeled.
Cereals are soaked and washed several times before cooking.

What can you prepare for a person suffering from atopic dermatitis?

Features of cooking porridge

The best option for breakfast is porridge.

It must be cooked in water (or in meat broth), without using large amounts of salt and sugar.
You can add butter to porridge (if you are not allergic to milk).
You can add dried fruits or portable fresh fruits, honey (in the absence of hay fever) to the porridge.
Nuts are not suitable as an additive.

Soups

To create a complete lunch, you need to prepare soup. For allergy sufferers, vegetable soups or those with secondary broth are preferable.

Preparation of meat broth:

The meat is soaked in cold water for 1 hour.
Cook in boiling water for 30 minutes. The broth is drained 1-2 times.
Cold water is poured in, the meat and then the soup are cooked in it.

Rabbit and vegetable soup recipe

rabbit meat (80 g);
broccoli (70 g);
zucchini (60 g);
baby rice porridge.

Boil the rabbit meat in enough water until tender, add broccoli and peeled chopped zucchini, cook for another 15 minutes. Grind the resulting ingredients in a blender, dissolve the rice porridge in the remaining broth. Mix the resulting puree and add a little salt.

Soup based on milk mixture

Suitable for small children:

potatoes (40 g);
cauliflower (50 g);
pumpkin (50 g);
squash (50 g).

Boil the potatoes and cabbage, and simmer the pumpkin and squash. Using a blender, blend the vegetables until smooth. Prepare a hypoallergenic milk formula. Mix both components, add vegetable broth, add a little salt. Bring to a boil, cool.

Meat dishes

You can cook turkey for dinner. Required:

turkey meat (400 g);
zucchini (150 g);
rice flour (2 tbsp).

Grind the turkey and zucchini in a meat grinder, add flour, add a little salt, and mix. Beat the resulting minced meat and form into cutlets.

You can cook in a double boiler (about 50 minutes), or in a saucepan - grease the bottom with olive oil, pour 1 tbsp. water, simmer (about 40 minutes).

Beef cutlets

beef,
white bread (if allowed)
salt to taste.

To prepare beef cutlets, you need to wash the meat very thoroughly, clean it of fat, tendons, and cartilage. Grind in a meat grinder, add salt.

If you are not allergic to wheat or gluten, you can add white bread soaked in water and squeezed out to the minced meat (only after consulting a doctor!). Form cutlets and cook in a double boiler or oven for at least an hour.

Thus, atopic dermatitis is a serious disease that requires careful attention not only to treatment, but also to preventive measures. Diet for atopic dermatitis is the most important stage of therapy.

The prescribed restrictions must be strictly observed, since otherwise (even in the absence of food allergies) quite serious complications develop that bring significant discomfort. It is very important to supplement diet therapy with the use of vitamin-mineral complexes, pro- and prebiotics, and, if necessary, nutritional therapy.

Sources

Federal Clinical Guidelines for the diagnosis and treatment of atopic dermatitis, RAAKI. Link: nrcii.ru/docs/4.atopic_dermatitis.pdf
Atopic dermatitis. L. S. Namazova, N. I. Voznesenskaya, A. G. Surkov. Zhurnaya “Attending Physician”. Link: lvrach.ru/2006/04/4533744
Blog of a pediatrician. Link: mama-doctor.ru

Atopic dermatitis is dry skin that is very itchy, constantly peeling and inflamed red spots in the most delicate places of the body. The saddest thing is that there is no permanent cure for atopic dermatitis. But you can make it easier.

How to cure atopic dermatitis if the allergen is not identified

Atopic dermatitis is a hereditary disease. It usually begins to appear in the first year of life. If we talk about the prevalence of the disease, statistics say: every 5th patient with skin diseases is susceptible to atopic dermatitis.

If you or your child develop characteristic signs, do not neglect a visit to the doctor. A dermatologist will make an accurate diagnosis. If atopic dermatitis is confirmed, then the primary task will be to identify the allergen. In the meantime, the culprit of the discomfort is not identified, it is not clear which product causes the disease, the most dangerous components are excluded from the diet. Although it is not only food that can cause an exacerbation. Atopic dermatitis can also be triggered by:

pollen;
animal hair;
tobacco smoke;
unnatural clothing;
chemicals;
stress.

Polluted air and unfavorable climate can contribute to the occurrence of an allergic reaction.

Unfortunately, the disease, having appeared once, will not disappear. But you can avoid its acute course by following a special diet.

What you can and cannot eat

A diet for atopic dermatitis is a strict exclusion of the most dangerous foods. These include:

fried, smoked and salted foods;
fish;
eggs;
sausages;
caviar, seafood;
food additives: mayonnaise and ketchup;
processed cheese;
nuts;
radish, horseradish, radishes, sorrel, tomatoes, peppers, sauerkraut;
citrus fruits, strawberries, strawberries, raspberries, apricots, peaches, pomegranates, melon, watermelon;
margarine;
canned food;
"soda";
coffee, cocoa;
alcohol;
chocolate;
sweets with flavors;

The following products should also be treated with suspicion and limit their use:

white bread, pasta;
milk, cottage cheese;
mutton;
carrots, beets, onions;
cherry, blackberry, black currant.

If you have a risk of allergies, it is recommended to eat them in small quantities no more than 1-2 times a week.

The entire list can be summarized as follows:

products made from premium flour;
dairy products;
fat meat;
yellow and red vegetables and fruits;
products with chemical additives.

Cow's milk contains a lot of allergens - about 20. A child's small body is not yet able to process them. Therefore, when the baby is transferred to artificial feeding, he begins to become covered with such sores. The eggs are a little behind the milk. Moreover, protein causes an allergic reaction more often than yolk.

What then remains? - you ask. The hypoallergenic diet consists of the following products:

cereals: buckwheat, rolled oats and rice;
fermented milk products: kefir, yogurt without additives;
mild cheese;
non-cooked meat: boiled or steamed;
cucumbers, zucchini, squash, turnips, cabbage, greens, legumes;
green apples, pears, gooseberries, plums;
black or coarse bread.

Why you can't eat store-bought chicken on a diet

Would you be surprised that nutritionists prohibit the inclusion of chicken meat in the menu of an allergic person? But the cross is only placed on the bird that came from the store. The reason for this is the technology of cultivation at the factory: with feed and growth enhancers. Accumulating in chicken tissues, harmful substances can trigger allergies.

There is only one way out - to find a farm product. Poultry will pleasantly surprise you with its taste.

Sample menu for the week

	Breakfast	Dinner	Afternoon snack	Dinner	For the night
1st day	Oatmeal with water and butter Black tea Prunes	Vegetable soup with recycled broth made from cabbage, potatoes, carrots and onions Boiled beef Boiled rice Black bread	Baked apple	Lean meat stewed with vegetables	Oatmeal
2nd day	Grain bread Black tea Prunes	Broccoli soup Baked river trout Mashed potatoes Black bread Black tea	Pear Black tea Marmalade	Chicken stewed with zucchini	Kefir without additives
3rd day	Buckwheat porridge on water with butter Whole grain bread	Stewed vegetables with meat hedgehogs Black bread	Baked apple	Boiled river fish, cucumber salad with sour cream	Oatmeal
4th day	Hercules porridge on water with butter Grain bread Black tea Prunes	Pea soup Boiled beef Braised cabbage Black bread	Any allowed fruit	Steamed chicken cutlets Cabbage salad with vegetable oil	Natural yogurt
5th day	Barley porridge on water with butter Grain bread Black tea Prunes	Vegetable soup with zucchini puree Fish cutlets baked in foil Black bread	Green apple	Baked meat with herbs and green peas	Oatmeal
6th day	Rice porridge on water with butter Whole grain bread	Boiled potatoes with butter Cabbage and cucumber salad in vegetable oil Black bread	Rice casserole	Vegetable salad Bean Stew	Kefir
7th day	Rice porridge on water with butter Darnitsky bread	Vegetable stew Steamed meatballs Black bread	Any allowed fruit	Vegetable salad Steamed beef cutlets	Oatmeal

Diet after identifying an allergen

You were examined by various specialists, took tests, kept a diary in which you wrote down everything you ate, and monitored your body’s reaction. And here is the result - the allergen has been identified. The diet can be made less strict. The main thing is to avoid the allergen.

To treat itching, an allergist can prescribe antihistamines: Erius, Tavegil, Suprastin, etc. To cleanse the body, we take detoxifying agents. The simplest of them is activated carbon. Antiseptics may also be prescribed if pustules appear on the skin.

Reviews and results

Elena, 45 years old, Saratov:

“When I gave birth to my first child, I first encountered

with this real punishment. It’s hot outside, Andryushka is sweating, and prickly heat is covered with a thick crust. Horror. How did I survive this? I don't understand. We went to the doctor. The diagnosis is “atopic dermatitis”. Medicines did not help, but a hypoallergenic diet helped. All hazardous products were excluded. I felt sorry for my son. But what to do."

Oksana, 23 years old, Moscow:

“All my life, atopic dermatitis has ruined my life.

I thought guys would never like me. Sores have always disfigured me greatly. But the hypoallergenic diet became a real salvation for me. At first it was difficult to limit. But gradually you find new recipes for delicious dishes. I want to please everyone with my result - the wedding is coming soon.”

Svetlana, 35 years old, Ryazan:

“As a child, I was very sick with dermatitis.

No matter what my parents did, no matter how they treated me. Everything was useless. But over time everything passed. I still use mine though best method- hypoallergenic diet. It helps much better than drugs. You eliminate the allergen in your diet - and that’s it. Everything else can be eaten."

Yulia, 33 years old, Novosibirsk:

“There is no limit to indignation when

I’m reading about a hypoallergenic diet. How can all this be eliminated from the diet? Poor people! I have never suffered from atopic dermatitis. I hope I won’t.”

Marina, 39 years old, Samara:

“My children got this from my husband’s relatives.

“gift” - hereditary atopic dermatitis. At first I didn’t understand why my daughter was covered in spots that were very itchy. My son actually had a severe aggravation - his arms and legs were covered in scabs. The examination showed that you should not drink milk or consume dairy products. But I didn’t have my own milk. They were fed formula. The allergy still showed up. Nothing helped. Diet is perhaps the only way out of this situation.”

Treatment of atopic dermatitis in children is a long and complex task. The disease is allergic in nature, so the basis of therapy is a therapeutic diet. If the baby is breastfed, the mother will have to observe dietary restrictions, since it is in the first 2-3 years that foods are the main allergens that provoke increased histamine production.

Diet for atopic dermatitis in children: menu

Features of the infancy period

If the mother did not follow a hypoallergenic diet during pregnancy, the risk of developing atopic dermatitis in the newborn is approximately 25-30%. The likelihood increases if any of the child's blood relatives has a predisposition to the disease. To prevent the baby from encountering manifestations of atopic dermatitis, a woman should limit the consumption of the following products as much as possible:

fruits and vegetables grown in foreign countries;
canned food and marinades with the addition of vinegar;
fatty sauces (mayonnaise, creamy, sour cream sauce);
industrial sauces;
snacks (crackers, chips);
carbonated lemonades and packaged juices.

Products that cause allergies

Chicken meat and eggs are considered products with increased allergenic properties, so it is worth limiting their consumption to 1-2 times a week. You need to be careful when introducing oranges, tangerines and other citrus fruits, as well as strawberries and chocolate into the menu. Of course, there is no need to give them up completely, but it is imperative to observe moderation in food.

If, despite all the efforts of the mother, the baby is born with this diagnosis, you should not despair. In most children, all manifestations of atopic dermatitis disappear before the age of three, subject to a hypoallergenic diet and the recommendations of the attending physician.

Major food allergens

Mother's milk or formula?

Until recently, it was believed that it was better for children with atopic dermatitis to introduce artificial milk formula into their diet, since nutrients that enter mother's milk from the foods that a woman eats can increase the symptoms of the pathology. It has now been proven that if a woman does not consume foods with increased allergenic properties, preference should be given to breastfeeding. It contains all the necessary vitamins and minerals for the full development of the baby, as well as antibodies that reduce the risk of allergic reactions.

If the child is medical indications transferred to artificial feeding, you need to select an adapted low-allergenic formula together with your pediatrician.

Breast milk contains all the necessary vitamins and minerals for the full development of the baby

Complementary feeding in children prone to atopic dermatitis should be introduced no earlier than 6 months. At this age, the baby’s digestive tract is already quite mature, digestive enzymes are produced in sufficient quantities, so the likelihood of intolerance to any foods is significantly reduced.

You need to introduce new foods into your diet gradually, starting with a small spoon. Some mothers violate this recommendation when they see that the baby is eating the offered puree or porridge with appetite, and feed half a jar or half a plate at once. Under no circumstances should this be done.

Important! After introducing any new product into the diet of an allergy-prone child, you must wait 2-3 days to monitor possible reactions, and only then can you increase the amount of the dish (this must be done gradually). The introduction of one product should take at least 7-10 days.

List of foods that are moderate allergens

You need to start introducing your baby to new tastes with hypoallergenic vegetables and fruits: zucchini, apples, pears, potatoes, cauliflower. The last to be introduced into the baby’s diet are carrots, pumpkin, prunes, bananas, as well as other vegetables and fruits that are red or yellow in color.

Nutrition for children with atopic dermatitis: 3 rules

Children who have already switched to an adult diet, as well as children over three years old, should eat taking into account the recommendations of specialists. Doctors identify three basic rules that must be followed at any age, so there are no fundamental differences in the nutrition of a one-year-old child and a teenager.

Rule 1: no sugar!

Removing all sweets from a baby’s diet is perhaps the most difficult task for a mother. Children very quickly get used to the sweet taste and prefer it, which is not at all surprising. To facilitate the process of weaning off sweets, it is better not to introduce your child to foods containing sugar at all. As a dessert, you can offer your child some dried fruits (1-2 pieces), unsweetened puddings. You should not replace sugar with honey for atopic dermatitis, since honey and bee products are one of the main food allergens. Sometimes it is allowed to include a small amount of fructose sweets in the diet, but you should not abuse them.

With atopic dermatitis, it is necessary to exclude all sweets

Rule 2: Keep a diary

Keeping a food diary will help the mother determine which product caused the allergic reaction. In a small notebook or notebook you need to write down everything that your child ate and drank during the day. After just a few days, the picture will become more obvious, and it will be much easier to detect the allergen.

Rule 3: a reasonable approach to menu planning

Very often, parents, upon hearing that their child has atopic dermatitis, go to extremes and impose strict dietary restrictions, depriving the growing body of essential nutrients and nutrients. It is necessary to follow a diet for atopic manifestations, but it must be reasonable. Limiting foods such as meat, milk and fermented milk products, fruits and vegetables in childhood is unacceptable.

Important! You need to create a menu for a child suffering from atopic dermatitis or prone to the disease together with your doctor. The specialist will study the medical history and help determine what balance of vitamins, fatty acids, minerals and other elements a particular child needs.

Products that most often cause allergies

What can you eat?

The basis of the diet of a child suffering from food allergies should be low-fat meat broths, vegetables and cereals. As for meat, preference should be given to beef - it contains less fat compared to pork. If you can get some lamb good quality, you should definitely give it to your baby, but in limited quantities. Eating pork is allowed no more than once a week, boiled or stewed.

Advice! It is better to give children with allergies meat from private farms. In large cities there are now stores with farm products where you can buy fresh beef, veal and other types of meat. Before purchasing, be sure to check all documents and certificates confirming the quality of the product.

The best vegetables to use are zucchini, cauliflower and Brussels sprouts, carrots and pumpkin. The latter, despite Orange color, belong to products with reduced allergenic properties, so they can be used for preparing medicinal and preventive dishes.

Gluten-free cereals are very useful for children with dermatitis. You can cook porridge from them or add them to meat and vegetable broths.

Gluten free products

What foods can children eat if they have atopic dermatitis?

Fruits	Baked apples and pears (mostly green varieties), prunes soaked in water, fresh plums
Dried fruits	Dried apples
Meat	Guy beef, lamb (parts without fat), rabbit, horse meat
Oils	Cold pressed olive and corn oil
Beverages	Tea (weakly brewed), rosehip decoction
Vegetables and greens	Everything except red vegetables (radish, tomatoes, red bell pepper)
Fats	Butter with a fat content of 82.5% from natural cow's milk
Cereals	Brown rice, buckwheat, corn (pre-soak everything in water)
Berries	All berries are white (white currants and cherries, gooseberries)
Dairy products	Sour cream, kefir, fermented baked milk, cheeses without adding spices and garlic

Important! All dairy products for feeding children with dermatitis should be one day old. Milk and kefir, more than 48 hours have passed since the production date, are not suitable for a therapeutic diet.

What can't you eat?

It is necessary to exclude from the child’s diet all foods that increase the likelihood of developing an allergic reaction. Chicken meat can be given to a child only if the chicken was raised on a farm without the use of antibiotics and growth hormones and was not treated with chlorine preparations or compounds. Chicken meat sold in stores should be completely removed from the menu.

Store chicken should be excluded from your diet

The same applies to eggs. Occasionally (once every 10-14 days) you can give your child quail eggs, carefully monitoring the child's reaction.

All confectionery, which are sold in stores, are also prohibited. This is mainly due to the use of cheap margarine, which is not even suitable for feeding children. If you want to pamper your child with something tasty, you can bake a homemade cake or pie using fructose and natural butter. You can use green apples as a filling. Such a treat will not cause harm to health and can diversify the diet of a sick baby.

You should not offer your child nuts, and dried fruits and honey. These products belong to the group of increased allergenicity and more often than others cause exacerbations in children with atopic dermatitis.

Nuts, dried fruits and honey belong to the group of increased allergenicity

From the child's diet it is also necessary exclude the following products:

chocolate and cocoa-based products;
caffeinated drinks;
fatty sauces (mayonnaise);
herbs and spices (cumin, cinnamon, vanillin, pepper);
cream;
all types of mushrooms;
all types of snacks;
chewing gum and soda.

Important! Any type of fish is a particularly toxic product due to the high probability of accumulation of metal salts (primarily mercury) under the gills and fins. For this reason, fish should not be given to children with food allergies. This also applies to canned fish, as well as caviar.

Video - Dermatitis in a child

Sample daily menu for a baby

If the baby is already eating complementary foods, it is important to correctly plan the menu and combine products so that they do not cause irritation and negative reactions. Below is an approximate daily diet for a child with atopic dermatitis aged six months to 12 months.

6.00		150-200 ml
10.00	Dairy-free hypoallergenic porridge, olive oil, pear puree	150 g 2.5 g 20 g
14.00	Zucchini puree with potatoes and a small amount of vegetable oil, beef puree	150 g 30 g
18.00	Vegetable puree with added cereals (cauliflower and buckwheat), horse meat puree, apple or prune puree	170 g 30 g 20-50 g
22.00	Formula or breast milk	200 ml

Video - Skin care for a child with atopic dermatitis

Sample menu for a child over 1 year old

These children's diet options are suitable for children and adolescents. They can be adjusted, but the principle should remain the same: the diet is based on only hypoallergenic dishes and products.

Breakfast	Buckwheat porridge with water, a slice of cheese (“Russian” or “Poshekhonsky”), tea, bread with a thin layer of butter	Mashed potatoes with butter, cabbage and carrot salad, slice of cheese, tea	Oatmeal porridge with water, tea, sandwich with butter and cheese	Rice pudding, cottage cheese, tea, bread and butter
Dinner	Potato puree soup with sour cream and herbs, rice with steamed beef cutlet, compote	Cabbage soup, pasta with beef meatballs with added lamb, compote	Soup with small vermicelli, stewed cabbage with meat balls, compote	Soup with vegetables and pearl barley, cabbage casserole with minced lamb, compote
Afternoon snack	Apples and kefir	Pear, fermented baked milk	Prunes, kefir	Baked apple, kefir
Dinner	Boiled potatoes with steam cutlet, a piece of black bread, tea	Stuffed cabbage rolls stuffed with meat and rice, cottage cheese, tea	Boiled potatoes with cabbage and dill, meat cutlet, tea	Pasta with meatballs and butter, tea

The number of dishes varies depending on the age of the child. For one serving you need:

from 1 to 3 years – 180-200 g of food and 180 ml of drink;
from 3 to 7 years – 200-220 g of food and 200 ml of drink;
from 7 to 15 years – 220-230 g of food and 200 ml of drink.

Diet for atopic dermatitis in children

A diet for atopic dermatitis gives a much greater effect than the use of all kinds of ointments, creams and other drugs. To ensure that the child’s body receives enough necessary substances, it is better to get recommendations from a specialist in drawing up a treatment menu. It will be great if the baby is supported by the rest of the family: this will make it easier for the child to cope with the refusal of his favorite foods and cope with the illness faster.

General rules

Among inflammatory skin diseases, dermatitis occupies a large share, the most common forms of which are atopic And seborrheic dermatitis. Despite the differences in the etiology and pathogenesis of these forms of dermatitis the most important element The treatment for these diseases is a hypoallergenic diet.

Hypoallergenic diet for atopic dermatitis

The main factor in the development of atopic dermatitis (AD) is an inherited predisposition to allergies, which is accompanied by increased production of common immunoglobulin E(IgE), generalized hypersensitivity and specific reaction of the body to allergens. Hereditary predisposition is realized through a system of various causal factors (triggers) and environmental factors. Atopic dermatitis in the vast majority of cases it is caused by food allergens. The most important causal allergens in adults are cow's milk proteins, chicken eggs, fish and seafood, cereal crops, soy proteins, red-orange vegetables and fruits, nuts. It is against the background of food allergy, which is a factor of initial sensitization, that the body’s hypersensitivity to other allergens is formed through the mechanism of cross-reactions.

For children, the high antigenic load on the fetus during pathological course is of great importance pregnancy, with improper nutrition of the mother during lactation, early introduction of complementary foods or transfer to artificial feeding with the introduction of foods into the diet that are not appropriate for the child’s age, as well as pathology of the gastrointestinal tract and intestinal dysbiosis, which causes increased absorption of various antigens.

The diet of a patient with atopic dermatitis is based on the principle of elimination - excluding foods and dishes from the diet:

containing causally significant and cross allergens;
having high sensitizing activity;
including artificial food additives ( antioxidants, dyes, preservatives, flavors);
promoting the release of histamine (chocolate, coffee, orange juice, cow's milk, wheat bran);
containing a large amount of biogenic amines (histamine carriers) - tomatoes, strawberries, cocoa, legumes, hazelnuts, tuna, cheeses, smoked meats, spinach, herring fillets.

An elimination diet is selected for each patient individually, taking into account his “personal” food allergens and the list of “potentially allergenic foods,” as well as the stage of the disease.

In the acute period, the basis of the diet consists of foods with weak allergenic activity: lean beef, boiled chicken, pumpkin (light colors), squash, zucchini, offal (liver, kidneys, tongue), turnips, garden greens, green apples, cucumber , fermented milk products, low-fat cottage cheese, oatmeal, rice and pearl barley, plums, gooseberries, white currants, watermelon, olive and sunflower oil, pears, dried fruits, butter. At the same time, individual food allergens (if known) are excluded.

When preparing dishes during this period, you must follow a number of rules:

the allergic activity of products is significantly reduced by heat treatment, so it is necessary to minimize the consumption of raw vegetables and fruits;
Before eating, potatoes should be kept in cold water for several hours to reduce the starch content;
porridge must be cooked in the third water - after boiling, the water must be drained and new water must be poured in, repeat twice;
When preparing broths, vegetable purees and soups, the first water after boiling should also be drained.

If the allergen product is not known, then to identify it it is recommended rotation diet, the essence of which is to divide dietary products into several groups (meat, vegetables, dairy, cereals, fruits). The basic principle of this diet is to include in the daily diet for four days only one product from each group (1 type of meat, 1 type of cereal, 1 type of vegetable/fruit, 1 type of lactic acid products, 1 type of cereal). Repetition of any product is allowed only from the 5th day. This way you monitor reactions to products. If any product in the food set arouses your suspicions, try introducing it into the diet again in another set. If the reaction occurs again, it must be excluded from your diet. For analysis, it is recommended to keep a food diary.

The duration of a strict diet for an adult patient is about 3 weeks and for children - 10 days. The fact of persistent disappearance of the symptoms of the disease can serve as a guide. Next, the diet is expanded to include foods with average allergenic activity.

First, white bread, boiled pork and lean white fish, fresh onions, green/yellow vegetables and fruits are introduced, and in the absence of a negative reaction, orange and red fruits/vegetables are introduced, as well as freshly squeezed juices, compotes and fruit purees. Thus, the basic diet of a patient with atopic dermatitis is formed. Products with a high allergic potential (eggs, milk, seafood, fish, citrus fruits, melon, chocolate, fish caviar, tomatoes, honey, nuts, strawberries), but important in terms of micronutrient content and energy significance, can be tried to be introduced gradually, one at a time and starting with small quantities. And, based on the body’s reaction to them, decide the possibility of including them in the basic diet. The following table gives some idea of the allergenic potential of products.

Allergenic potential of products	Products
High degree of allergenic activity	Cow's milk, chicken egg, crustaceans, chocolate, cheese, fish, coffee, nuts, mustard, wheat, strawberries, wild strawberries, raspberries, beets, grapes, persimmons, melon, cocoa, red caviar, tomatoes, pomegranates, celery, black currant, carrots, pineapples, blackberries, spices, sauces, citrus fruits, honey, mushrooms, canned and pickled foods, smoked meats, carbonated and alcohol-containing drinks.
Average degree of allergenic activity	Turkey, pork, rabbit, potatoes, rice, peas, apricots, peaches, cranberries, corn, green peppers, buckwheat, bananas.
Weak degree of allergenic activity	Beef (low-fat varieties), lamb, boiled chicken, pumpkin (light colors), turnips, zucchini, squash, fermented milk products, green and yellow apples, gooseberries, plums, white currants, garden herbs, butter, green cucumber, watermelon , offal (liver, tongue, kidneys), almonds, pearl barley, rice, oatmeal, olive pears, and sunflower oil, dried fruits.

The diet of a patient with atopic dermatitis should limit foods containing easily digestible carbohydrates: confectionery, honey, sugar, jam, sweets. It is recommended to replace sugar completely with xylitol, saccharin, aspartame. The diet should include foods rich in calcium (fermented milk products, cottage cheese), which have a pronounced antiallergic effect, and limit foods rich in oxalic acid, which interferes with the absorption of calcium. Strong broths, spicy and smoked dishes, sauces and seasonings are excluded. Salt and any salty foods are subject to restrictions.

At allergic dermatitis, the trigger for the development of which is not food factors, but direct contact with the allergen (through skin contact with it), it is extremely important to first eliminate the causative factor and the time of its exposure. Contact sensitization of the body occurs in both adults and children, even in the first months of life. The cause is most often chemical ingredients and dyes in plastic products, toys, which cause rashes and redness on the hands and face, and the composition of clothing.

The difficulty in identifying a contact allergen factor lies in the fact that it is very difficult to trace the connection with the triggering action of any chemical reagent, since the aftereffect is often delayed. That is, contact with the allergen has already been eliminated, and clinical manifestations of dermatitis develop after 24-48 hours.

In any case, for atypical allergic contact dermatitis, a general hypoallergenic diet is indicated. The same anti-allergenic nutrition is required for oral dermatitis and treatment Dühring's dermatitis. However, dietary nutrition for Dühring's dermatitis additionally provides for the complete exclusion from the diet of foods containing gluten(gluten), which is a complex protein found in cereals (wheat, rye, barley). Diet for oral dermatitis except general requirements a hypoallergenic diet includes the exclusion of hot, hot, spicy foods and products containing coarse dietary fiber to reduce irritation of the affected part of the skin around the mouth.

Seborrheic dermatitis caused by increased secretion and changes in the composition of sebum, accompanied by hyperactivation of fungal microflora of the genus Malassezia and skin inflammation. With seborrheic dermatitis, areas of shiny, greasy, thickened skin and dandruff on the head with patches appear on the face, head, and back. erythema on the skin, which are accompanied by mild itching. Nutrition for seborrhea should be physiologically complete with restrictions on the menu white bread, animal fats, refined carbohydrates, salt, hot seasonings and spices, foods containing a lot cholesterol. The basis of the diet should be dairy products, low-fat fish, boiled meat, brown bread and foods rich in fiber (porridge, vegetables/fruits).

Indications

Allergic dermatitis of various etiologies.

Authorized Products

The first courses are prepared in a weak vegetable broth without frying with the addition of garden herbs. The diet includes lean boiled (without skin) or stewed dietary meat of turkey, chicken or rabbit. As a side dish, it is allowed to use potatoes pre-soaked in water, boiled in water in the form of mashed potatoes or in separate pieces.

Among the cereals in the diet, buckwheat, wheat and oatmeal. From the group and dairy products - low-fat fermented milk products, yogurt without additives, fresh low-fat cottage cheese. It is allowed to include bran/whole grain bread, dry biscuits, and durum wheat pasta in the diet.

Fats must be present vegetable oils(sunflower or olive). Vegetables: cucumber, onion, leaf salads, stewed/boiled zucchini, boiled or stewed cabbage.

Table of permitted products

	Proteins, g	Fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
eggplant	1,2	0,1	4,5	24
zucchini	0,6	0,3	4,6	24
cabbage	1,8	0,1	4,7	27
broccoli	3,0	0,4	5,2	28
Brussels sprouts	4,8	0,0	8,0	43
cauliflower	2,5	0,3	5,4	30
green onion	1,3	0,0	4,6	19
bulb onions	1,4	0,0	10,4	41
cucumbers	0,8	0,1	2,8	15
squash	0,6	0,1	4,3	19
parsley	3,7	0,4	7,6	47
salad	1,2	0,3	1,3	12
celery	0,9	0,1	2,1	12
soybeans	34,9	17,3	17,3	381
asparagus	1,9	0,1	3,1	20
Jerusalem artichoke	2,1	0,1	12,8	61
dill	2,5	0,5	6,3	38
beans	7,8	0,5	21,5	123
garlic	6,5	0,5	29,9	143
lentils	24,0	1,5	42,7	284
Fruits
pears	0,4	0,3	10,9	42
nectarine	0,9	0,2	11,8	48
peaches	0,9	0,1	11,3	46
apples	0,4	0,4	9,8	47
Berries
gooseberry	0,7	0,2	12,0	43
black currant	1,0	0,4	7,3	44
Nuts and dried fruits
flax seeds	18,3	42,2	28,9	534
sunflower seeds	20,7	52,9	3,4	578
Cereals and porridges
buckwheat (kernel)	12,6	3,3	62,1	313
semolina	10,3	1,0	73,3	328
oat groats	12,3	6,1	59,5	342
cereals	11,9	7,2	69,3	366
wheat bran	15,1	3,8	53,6	296
Raw materials and seasonings
basil	2,5	0,6	4,3	27
Dairy
dairy products	3,2	6,5	4,1	117
kefir 0%	3,0	0,1	3,8	30
kefir 1%	2,8	1,0	4,0	40
Cheeses and cottage cheese
cottage cheese 0.6% (low fat)	18,0	0,6	1,8	88
curd tofu	8,1	4,2	0,6	73
Meat products
boiled beef	25,8	16,8	0,0	254
beef stew	16,8	18,3	0,0	232
Bird
boiled chicken	25,2	7,4	0,0	170
steamed chicken breast	23,6	1,9	0,0	113
boiled turkey fillet	25,0	1,0	-	130
Fish and seafood
seaweed	0,8	5,1	0,0	49
Oils and fats
butter	0,5	82,5	0,8	748
linseed oil	0,0	99,8	0,0	898
olive oil	0,0	99,8	0,0	898
sunflower oil	0,0	99,9	0,0	899
Non-alcoholic drinks
mineral water	0,0	0,0	0,0	-
instant chicory	0,1	0,0	2,8	11
green tea	0,0	0,0	0,0	-
Juices and compotes
rose hip juice	0,1	0,0	17,6	70

Fully or partially limited products

A hypoallergenic diet involves the exclusion of meat and fish broths and dishes prepared using them. It is prohibited to consume any fatty varieties of red meat, chicken eggs, smoked meats, most sausages, duck, seafood (mussels, shrimp, squid), honey and honey products, all salty foods, canned food, pickled vegetables, cream, cooking and animal fats, sour cream , sweet curds, salty and fatty cheeses.

Excluded: sugar, ice cream, confectionery, jam, honey, sweets, jams. Semolina, white rice, pasta, and soy are also subject to restrictions. The menu of a hypoallergenic diet should not include products containing any food additives, fruit tea, fruit/vegetable juices from prohibited berries, sweet carbonated drinks and all drinks containing carbon dioxide and alcohol.

All seasonings (mayonnaise, ketchup, mustard, horseradish), vinegar, eggplant, mushrooms, pineapple, melon, butter dough, as well as all fruits/vegetables of red and orange color (carrots, tangerines, beets, tomatoes, red apples) are also excluded from the diet , strawberries, oranges, radishes, radishes, strawberries), nuts, coffee.

Table of prohibited products

	Proteins, g	Fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
carrot	1,3	0,1	6,9	32
salad pepper	1,3	0,0	5,3	27
tomatoes	0,6	0,2	4,2	20
Fruits
oranges	0,9	0,2	8,1	36
bananas	1,5	0,2	21,8	95
pomegranate	0,9	0,0	13,9	52
grapefruit	0,7	0,2	6,5	29
lemons	0,9	0,1	3,0	16
mango	0,5	0,3	11,5	67
tangerines	0,8	0,2	7,5	33
Berries
grape	0,6	0,2	16,8	65
Red currants	0,6	0,2	7,7	43
Nuts and dried fruits
nuts	15,0	40,0	20,0	500
raisin	2,9	0,6	66,0	264
Cereals and porridges
white rice	6,7	0,7	78,9	344
Confectionery
jam	0,3	0,2	63,0	263
jam	0,3	0,1	56,0	238
candies	4,3	19,8	67,5	453
pastry cream	0,2	26,0	16,5	300
Ice cream
ice cream	3,7	6,9	22,1	189
Cakes
cake	4,4	23,4	45,2	407
Chocolate
chocolate	5,4	35,3	56,5	544
Raw materials and seasonings
mustard	5,7	6,4	22,0	162
ketchup	1,8	1,0	22,2	93
mayonnaise	2,4	67,0	3,9	627
honey	0,8	0,0	81,5	329
vinegar	0,0	0,0	5,0	20
Dairy
condensed milk	7,2	8,5	56,0	320
cream	2,8	20,0	3,7	205
sour cream 30%	2,4	30,0	3,1	294
sour cream 40% (fat)	2,4	40,0	2,6	381
Cheeses and cottage cheese
cheese	24,1	29,5	0,3	363
dor blue cheese	21,0	30,0	0,0	354
blue cheese	17,6	31,0	1,8	363
amber processed cheese	7,0	27,3	4,0	289
cottage cheese 18% (fat)	14,0	18,0	2,8	232
Meat products
fatty pork	11,4	49,3	0,0	489
pork fat	1,4	92,8	0,0	841
salo	2,4	89,0	0,0	797
mutton	15,6	16,3	0,0	209
Sausages
smoked sausage	16,2	44,6	0,0	466
smoked sausage	9,9	63,2	0,3	608
sausages	10,1	31,6	1,9	332
sausages	12,3	25,3	0,0	277
Bird
smoked chicken	27,5	8,2	0,0	184
duck	16,5	61,2	0,0	346
smoked duck	19,0	28,4	0,0	337
goose	16,1	33,3	0,0	364
Eggs
chicken eggs	12,7	10,9	0,7	157
Fish and seafood
smoked fish	26,8	9,9	0,0	196
salted fish	19,2	2,0	0,0	190
Red caviar	32,0	15,0	0,0	263
black caviar	28,0	9,7	0,0	203
canned fish	17,5	2,0	0,0	88
semi-finished fish products	12,5	6,7	14,7	209
sardine	20,6	9,6	-	169
mackerel	18,0	13,2	0,0	191
Oils and fats
creamy margarine	0,5	82,0	0,0	745
coconut oil	0,0	99,9	0,0	899
palm oil	0,0	99,9	0,0	899
rendered beef fat	0,0	99,7	0,0	897
cooking fat	0,0	99,7	0,0	897
rendered pork fat	0,0	99,6	0,0	896
Alcoholic drinks
white dessert wine 16%	0,5	0,0	16,0	153
dry white wine	0,1	0,0	0,6	66
vodka	0,0	0,0	0,1	235
cognac	0,0	0,0	0,1	239
liquor	0,3	1,1	17,2	242
beer	0,3	0,0	4,6	42
Non-alcoholic drinks
cola	0,0	0,0	10,4	42
black coffee	0,2	0,0	0,3	2
Pepsi	0,0	0,0	8,7	38
sprite	0,1	0,0	7,0	29
tonic	0,0	0,0	8,3	34
energy drink	0,0	0,0	11,3	45
Juices and compotes
cranberry jelly	0,0	0,0	13,0	53

* data is per 100 g of product

Menu (Power Mode)

The nutritional menu for patients on a hypoallergenic diet during an exacerbation includes a small amount of permitted mildly allergenic foods. When clinical symptoms subside, the diet is expanded taking into account its sensitivity to the newly introduced product.

For children

Treatment of children with atopic dermatitis provides for the elimination of causally significant food/non-food allergens, the role of which in exacerbating the disease has already been proven. The basis for excluding a child from a child’s diet is the establishment of a connection between the disease and exposure to a causally significant allergen and sensitization to it identified according to the results of an allergological examination (positive result of skin testing or identification of specific allergens in the blood). immunoglobulin E).

If in doubt, as well as in the presence of multiple food sensitization, provocative tests with food products - suspected allergens - are performed to confirm hypersensitivity. It is important to achieve complete exclusion of the allergen from the diet, taking into account its possible hidden presence in other foods and taking into account potential cross-reactivity.

The duration of the elimination diet should be 6–12 months and is determined individually. After this period, a repeat allergological examination is carried out, which determines the possibility of using an allergen product in the child’s diet. However, at the same time, the diet must correspond to the age-related needs of children in nutrients and be balanced in proteins, fats and carbohydrates.

When transferring a child under one year of age to artificial/mixed feeding, one should not include in the diet mixtures based on whole cow's milk, as well as milk from other animals (goat, sheep) and mixtures based on partial hydrolysis of cow's milk protein and soy protein. It is better to use mixtures based on a high degree of whey protein hydrolysis: Frisopep, Alfare, Nutrilon Pepti TSC, or casein hydrolysis: Frisopen AS, Pregestimil, Nutramigen.

If the effectiveness of diet therapy based on mixtures of highly hydrolyzed protein (after 2-4 weeks of use) is low, and in severe forms of the disease, it is recommended to use mixtures based on amino acids ( Neokay). A hypoallergenic diet for older children is based on similar principles, but you should not overuse the child on it for a long time, as this can cause a disruption in his physical development. A strictly restrictive diet is recommended to be used only during the period of exacerbation of atopic dermatitis, no more than 7-10 days, and after identifying and eliminating causative allergenic foods from the diet, it is necessary to transfer the child to an individual hypoallergenic diet.

Atopic dermatitis is a disease that occurs quite often in children. One of the most typical symptoms is the appearance of red, itchy spots on the skin. By scratching them, the baby can cause infection and increase inflammation. Treatment of atopic dermatitis is always complex. An important component is a specially developed hypoallergenic diet.

How does the disease progress?

Atopic dermatitis - quite severe chronic illness skin. It occurs with periods of exacerbations and remission (periods of well-being).

Often the onset of the disease occurs in infancy, childhood and preschool age. Scientists have never found the exact reason why atopic dermatitis occurs. There are assumptions that genetic hereditary factors and consequences after suffering may lead to the development of the disease. infectious diseases or the presence of allergic manifestations.

Exacerbation of atopic dermatitis can also be triggered by any other irritants. This may be contact with a specific allergen. The cause is also substances that enter the body with food.

During the disease process, after encountering an allergen, the body produces a huge amount of a specific substance - immunoglobulin E. This reaction is protective and is designed to eliminate the foreign substance that has entered the body. However, this reaction releases many other biologically active substances. They cause symptoms characteristic of atopic dermatitis:

Appearance of red itchy spots. Most often they occur on the dorsum of the hands, on the face or on the extensor surface of the forearm.
There is severe swelling and swelling. The characteristic pattern of the skin intensifies, bubbles with liquid contents appear. When localized on the hands and feet, they can cause severe pain when moving.
In severe cases, health deteriorates greatly. The baby becomes capricious and refuses to eat. When the itching is severe, he constantly fidgets in his crib. If the pain syndrome is severe enough, the child may cry or even scream.
If the allergy has become systemic. Then, nasal discharge, dry cough, fever and loss of appetite are also added to the skin manifestations. In such cases, the child should see an immunologist-allergist for consultation and drawing up a treatment plan.

The most important principle of any diet for atopic dermatitis is the exclusion of allergenic foods from the menu. No medicine will help cope with the symptoms of the disease if allergens regularly enter the body.

Diet. It should be frequent, not in very large portions. It is better to feed the baby every 2.5-3 hours. Such short intervals will allow all organs to function well. gastrointestinal tract and reduce the burden on digestion. It is better to take your last meal an hour before bedtime. The ideal choice is a glass of low-fat kefir or yogurt.
You should avoid all foods that put a lot of stress on the immune system. These include bee honey, seafood, citrus fruits, bright fruit candies with numerous chemical additives, bananas and any other tropical fruits, chips and other snacks with imitation flavors (crab, sour cream and onions, bacon and many others).
Offer your child to drink plain purified boiled water. Sweet carbonated drinks are strictly prohibited! They add many different dyes, which provoke the appearance of new rashes and increase itching.
All prepared food must be fresh. During an exacerbation, it is better to prepare food before each meal. Repeated heating destroys vitamins and does not benefit the child’s body.
It is better to boil, stew or bake all food in the oven. It is recommended to avoid grilling and frying. “Light” food is absorbed faster by the body, without causing a feeling of heaviness in the stomach.
Eat at home more often. When cooking at home, you know what foods you put on the table. In canteens or cafes, children's food is often prepared in adult professional ovens. Soups or cutlets may contain spices or foods that are undesirable if you are prone to atopy.
The child's diet should also be balanced. Active growth requires a large amount of protein (at least a quarter of the total daily diet). Opt for lean turkey or chicken. Introduce foods gradually, observing the body's reactions.

Creating a rotation diet for children

The rotation diet is noticeably inferior in its severity, for example, to the elimination diet. For this reason, it is often prescribed to children with manifestations of atopic dermatitis.

The diet starts from the start. Usually these are four groups of products: fermented milk, meat, various cereals and vegetables of the same type.

Then every four days one new product is added to the diet. This diet helps set up the immune system to work properly, eliminating possible violent reactions to food allergens entering the body.

The most allergenic and safest products for children with atopic dermatitis

Focusing on scientific research into the effect of products on the possibility of developing allergic reactions and atopic dermatitis, the Union of Pediatricians has compiled tables of products where they are divided into categories: the most dangerous (highly allergenic), hypoallergenic and neutral.

Highly allergenic foods should be completely excluded from the children's menu. They are most likely to cause manifestations of atopic dermatitis. Hypoallergenic foods can be introduced into a child’s diet, but with mandatory monitoring of the reaction to them. Neutral foods can be consumed calmly, without fear that they may provoke a new exacerbation.

Highly allergenic products include:

Berries: Victoria and wild strawberries, red grapes, cherries and sweet cherries.
Fruits: oranges, lemons, tangerines, grapefruits, apricots, melons, red and yellow apples, fruits from the tropics (except banana), fruit drinks from these fruits, dates, dried apricots and raisins.
Yellow vegetables: mainly pumpkin. Tomatoes and sauces made from them, ketchup. Radish. Root vegetables: beets and carrots. Red and yellow paprika.
Medium risk products:
Berries: blackberries, lingonberries, cranberries, various types of currants. Watermelon.
Bananas.
Legumes. Eggplant.
Neutral products:
White berries. Gooseberry.
Green apples and pears. Plums. Sun-dried apples or prunes.
Vegetables: potatoes and cabbage. Leafy greens and green salad. Zucchini, zucchini and squash. Fresh cucumbers and young spinach.

Often, children with allergies to one food may have allergic reactions to other foods. This is called cross allergy. If a child has an allergy to tree pollen, he also does not tolerate nuts, all bush fruits, carrots and parsley. It is not recommended for such children to introduce any types of apples, pears, cherries, and many other fruits and berries that grow on trees into their diet.

Children with an allergy to chicken eggs practically do not digest chicken broth, quail eggs, duck and mayonnaise with any inclusion of melange or yolks.

Diet for allergic diathesis in children from 6 months to 1 year

The appearance of symptoms in infants is often associated with a violation of the mother’s diet. Very often, the allergen enters the child’s body along with mother’s milk, causing manifestations of diathesis.

At this time, a nursing mother should include more fermented milk products, lean meat and fish in her menu, and temporarily exclude the consumption of seafood and seaweed. In your diet, preference should be given to various types of gluten-free cereals and gently cooked meat products. These can be steamed meatballs or meatballs.

all types of smoked sausages and sausages;
chocolates and bars;
citrus;
spicy foods and canned food.

When introducing complementary foods to babies from 6 months, introduce foods gradually. If, when introducing a new type of product, red spots appear on the child’s body, you should immediately discontinue this product and seek advice from a pediatrician. Additional testing may be required. The baby's blood will be taken for a test, which will show whether the child has an individual intolerance to a particular product.

When introducing vegetable complementary foods, give preference to cauliflower and broccoli. Danish researchers have found that such products are the safest for first feeding. It is better to introduce fruit purees from those fruits that grow in your region. For residents of Russia, green apples and pears are considered hypoallergenic. Plums are well tolerated.

All porridges should be boiled in water. At first you can breed them breast milk. Mixing with cow's milk is not recommended. If a child has lactase deficiency or milk intolerance, after porridge on such a product he may experience diarrhea and vomiting.

Be careful and monitor any reaction from your child to a new product. After each introduction of a new food to the menu, be sure to check your child’s skin for rashes.

Elimination diet for children

The elimination diet is a kind of experiment, and its goal is not so much to cure, but to help identify the food allergen to which the child develops symptoms of atopic dermatitis.

The essence of the technique is to gradually remove foods that could potentially be allergenic from the diet, and then gradually introduce them into the diet. This is a provocation of the body, which will certainly let you know about it upon new contact with the allergen.

The duration of such an “experiment” should be from 2 to 5 weeks, no more.

At the first stage, glucose and fructose are excluded from the child’s diet.(sugar, honey, fruits, various sauces). This makes it possible to understand if the child has a fungal infection that has given rise to a tendency to atopy. Without glucose, the fungi feel bad, and the child’s condition begins to improve noticeably

The second stage involves eliminating 1 allergen every two days. Eliminate nuts, wheat, milk, vegetables. The exact list of products for a particular child is given by the doctor. The child's condition usually improves noticeably after the product that is dangerous to him is eliminated.

They begin to return foods to the diet, introducing one every two to three days. Each new one is eaten in sufficient quantity, several times a day. A true allergen causes a skin reaction on the same day. Meat products are returned first, followed by cereals and fruits,

After identifying 1-2 allergens, the elimination diet should be stopped. If necessary, the “food challenge” can be repeated later with the permission of the doctor.

Important! The child should not go hungry. Do not keep it on water and bread. Nutrition should be complete. Prepare soups, porridges, and purees for him from foods approved by your doctor. Do not create an elimination diet menu with a challenge test yourself. This should be done by a doctor.

Watch the following video, where an experienced dermatologist talks about the nuances of diet for atopic dermatitis.