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Probiotics for Baby Eczema?
Most parents don’t realize how often baby eczema is triggered by food allergies – indeed, how often it is the first sign of food allergies. In one study, about 40 percent of babies with eczema had proven food allergies1. And the more impressive the rash appears, the more likely there is a food allergy involved. For the third of babies with the worst eczema, more than 96 percent have a proven food allergy connection2. Babies with eczema often have different ratios of beneficial bacteria in their guts, compared with other healthy babies; perhaps these bacteria are part of the allergy-eczema link. In an April 2005 study, researchers investigated whether giving babies probiotics (beneficial bacteria) could improve their eczema. There were 230 babies in the study, ranging in age from 6 weeks to just under one year old. All of the babies in the study were suspected of having a cow’s milk allergy. All of the babies were switched to cow’s-milk-free diets (and their nursing moms to cow’s-milk-free diets). All of the babies were treated with topical medicines. Some of the babies also received daily supplements of probiotics; the rest received placebo capsules. The people evaluating the babies’ symptoms didn’t know which babies belonged to which group. The results of the study were published in the April 2005 Allergy3. All of the babies in the study improved, by an average of 65 percent. But those babies with either a positive skin test or blood test for food allergy enjoyed a 32 percent greater improvement if they got the probiotic Lactobacillus GG (LGG) supplement than if they got the placebo capsules. More research is needed to clarify the role of LGG, and of probiotics in general, in the treatment of eczema in babies and in older children, but this study suggests that the use of probiotics is promising. I’m especially pleased to see positive results for this gentle treatment shortly after the FDA issued its strong warning against the use of some of the harsh topical creams and ointments in children under age two.
1 J Allergy Clin Immunol 1999;104: S114-122
2 Arch Dermatol 1992;128: 187-192
3 Allergy 2005; 60:494-500 (Probiotics in the treatment of atopic eczema/dermatitis syndrome in infants: a double-blind placebo-controlled trial). Note, this study received funding from Valio, Limited, which is owned by 27 dairy cooperatives. They process over 80 percent of the milk in Finland. They also developed and patented the Lactobacillus GG probiotic.
Alan Greene MD FAAP
April 15, 2005 | Permalink
Comments
How refreshing to find a doctor that actually believes that food allergies can cause infant eczema and gives such good advice.So many doctors deny the possibility and think it odd if you suggest it.
Posted by: Sandy Halliday | Aug 17, 2007 8:20:17 AM
Thanks Dr. Greene for your informative article. I have a 3 month old who has been suffering with eczema for a the past 2 months. I recently brought him to the dermatologist and he has found relief with topical steroid. I would like to read the study you have referred to and feel there is great promise in using a probiotic. I was subjected to many doses of antibiotic while pregnant and feel this link is plausible. I will write with the progress. I am also following a dairy-free diet while nursing.
Posted by: mary | Apr 30, 2007 9:56:17 AM
My son has multiple food allergies and has benefited greatly from probiotics at a young age. To the commenters that need a dairy free (and other allergen free) probiotic, we use Kirkman Labs (google them, not sure if i can post a link). They are cultured on inulin (aka chicory) and contain none of the top 8 allergens.
In our situation, we have found other strains of probiotics to be helpful. But we also monitor our son's diet closely and carefully for allergens that trigger eczema.
Posted by: Carrie | Feb 11, 2007 5:36:10 PM
thank you so much!!! i have beeen battling my toddlers eczema and just recently talking to my aunt, i have come th the conclusion that it could be an allergy.possibly milk, because it started when i weened her at 12months and began giving her milk. it has just recently gotten worse. i think due to chocolate and halloween. it now covers 90% of her body. only her hands and feet remain clear. the stuff from the dermo. doesn't work unless i apply it constantly. i tried bag balm, aquaphor you name it i tried it and now i'll take her to an allergist to make sure, although in the meen time i have removed all dairy from her diet!
Posted by: hillarie | Nov 29, 2006 12:22:29 PM
Can I give a 18 month old the probotic that contains a trace of milk even though he tested posistive for milk- thinking that the minute amount of milk in the powdered probotic is very small---? Just a thought- I assume I cannot but before I throw it out it cost me 25 $ - Thought I'd double check-
Posted by: Liz | Nov 6, 2006 11:34:37 AM
need to know which is a good probiotic lactobacillus that does not contain milk or soya or wheat as my 2 year toddler is allergic to the same and many other foods
please help ... also is there any cure for him with respect to his milk allergy if he touches anything which came into contact with milk be it dried up milk on a table, or on slide etc etc he starts get blotchy and very itchy
please help
Posted by: charmaine | Oct 26, 2006 2:13:21 PM
I wish I had known about the link of exzema and food allergy also---maybe I could have changed my diet while breast feeding and could have prevented my son, now 15 monthes, showing up with egg and peanute allergies.
But to be proactive now, is there any follow up/update from the information from this article written a year ago? Thanks!
Posted by: M. Gee | May 28, 2006 6:54:03 PM
Oh thank you so much for writing the information on food allergies being a trigger for eczema!
My son had severe eczema from the time he was 5 weeks old. It covered his whole body, was oozing and made him so uncomfortable. After many trips to the Dr's office, I was finally given a referral to a dermatologist when he was 5 months old. However it wasn't until he had an anaphylactic reaction to cheese that we began to understand that the two were connected.
As we identified the things that he was allergic to (8 different diagnosed food allergies)and eliminated them from his diet and my diet (as I was still breastfeeding)his eczema cleared up so nicely without the use of the steroid creams and oral steroids.
In my research on eczema I did not come across anything that suggested a link between these two things or I might have explored the possibilities of FA's much earlier.
Now whenever I hear of a baby that has eczema I try to make the parents aware that food allergies could be a cause and to think about keeping a food journal to determine if it is related to any food. I just wish that I had had this same information when I was going through it. I'm sure it would have made a huge difference in his comfort and given us a chance to avoid the ambulance trips to the hospital.
Thank you again for putting this out there. I think its so important for parents to understand!
Kristen
Posted by: Kristen | May 19, 2006 12:42:48 PM
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Posted by: Andrew Spark | Mar 30, 2006 3:08:11 AM
Dr. Greene,
Are there any current recommendations for supplementing infants and toddlers <2yrs of age with L. Bacillis GG?
Thanks~
Laura
Posted by: Laura Anderson | Mar 22, 2006 12:36:43 PM
Of course it makes sense to us to minimize chemical preservatives and bleaches in what we give our children to eat and drink, and instead to give them a healthy variety of fresh whole foods.
Posted by: Andrew Spark | Feb 10, 2006 3:18:11 AM
I, too, would like to find a Lactobacillus GG that does not have cow's milk (or soy milk) for my 4 month old who has eczema. Can you make any recommendations?
Posted by: Nancy | Jul 6, 2005 6:28:06 AM
Dr. Greene,
I am so excited about the theraputic possibility of probiotics, as my 8-month-old daughter is suffering from really bad eczema.
I am considering having her on probiotics, and did some research on Lactobacillus GG. However, I found out that the only brand of Lactobacillus GG on the market, Culturelle, contains a small quantity of milk by-product, and unfortunatily my daughter is allergic to milk protein.
Do you think there are other strains of Lactobacillus that I should try that can be helpful?
Posted by: JOY TAN | Jun 16, 2005 6:43:12 AM
