EAP 2019 Congress and MasterCourse

The Benefit Supplementing with Vitamin D and Omega3 in Atopic Dermatitis in Children

Alina Murgu 1 Anca Chiriac 2 Irina Criscov 1 Paula Popovici 1 Alice Azoicai 1 Alice Popescu 3
1Pediatrics, Immuno-Allergology, Children Emergency Hospital "St.Mary", Romania
2Dermatology, Recovery and Balneology Hospital, Romania
3Pediatric, Privat Pediatric Office, Romania

Atopic dermatitis through clinical expression and evolution is a chronic inflammatory allergic disabling disorder with a major impact on the quality of life of the child and its family.The nutritional assistance of these patients becomes essential to allow for normal growth and development. Supplementation with vitamin D and Omega 3 seems to be beneficial by the complex immunomodulatory and the anti-inflammatory action, by modifying the cytokine production but also by the antiinfectious role

Objective: To assess the benefit of dietary supplementation with vitamin D and Omega 3 on the evolution of atopic dermatitis in the child.

Method: 47 children (0-2 years) diagnosed with atopic dermatitis with varying severity were studied. Two groups were selected: group A -23 cases; Group B - 24 cases. Serum vitamin D levels in both groups were normal. Supplementation with vitamin D3 (1500UI / day) and Omega3 was done only in group A. Group B received the usual dose of Vitamin D3 for the rickets prophylaxis 500 IU / day. The monitoring was performed for 6 months. The treatment for atopic dermatitis during supplementation with the vitamin D and Omega 3 was only with non-cortisone cutaneous topicals and no one calcineurin inhibitors topic.

Results: Initial: group A -SCORAD≤ 15 -8/23; SCORAD: 15-40-12 / 23; SCORAD≥40 -3/23; group B -SCORAD≤ 15 -9/24; SCORAD: 15-40-13 / 24; SCORAD≥40 -2/24; incidence of skin infections: group A-37%; group B-35%; after 6 months: group A-SCORAD≤ 15 -15/23; SCORAD: 15-40-7 / 23; SCORAD≥40 -1/23; group B -SCORAD≤ 15 -10/24; SCORAD: 15-40-12 / 24; SCORAD≥40 -2/24; incidence of cutaneous infections: group A-21%; group B-36%;

Conclusions: Supplementing the diet of patients with atopic dermatitis with Vitamin D and Omega 3 improves pruritus, dryness and skin rash, while reducing the rate of cutaneous infections.









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