Strava

Pomoc dietou

• no universally recommended diet for patients with AD [4]
• Restrictions only in cases of an established diagnosis of food hypersensitivity [4]
• International guidelines for the diagnosis of food hypersensitivity have been published [4]
• Predictive value of a positive case history is lower than that for food-induced immediate reactions [4]

Snížení střevní propustnosti

Zlepšeno - vhodné

Zhoršeno - nevhodné

Potraviny s lepkem

Potraviny obsahující lektiny

• Rajče
• Tomatin
• Brambory
• Solanin
• Černý bez

Některé saponiny

Kontaminanty životního prostředí / potravin

Přídatné látky - E-čka v potravinách

Jiné látky v potravinách se schopností narušit střevní bariéru

• Rucolla ve vyšším množství

Probiotika

Inulin

Laktobacily

• 3x v kapslích [9]
• Bacterial products may induce an immune response of the Th 1 series instead of Th 2
• Therefore inhibit the development of allergic IgE antibody production [9]
• Limited benefit in preventive and therapeutic roles [9]
• Prenatal and postnatal administration of probiotics
• Reduced IgE levels in infants
• May protect against sensitization to hereditary allergies [9]
• But may not protect against asthma or wheezing [9]
• January 2015, the World Allergy Organization
• Recommend the use of probiotics by pregnant and lactating women and their breastfed infants to prevent the development of AD [9]
• Based on a meta-analysis of 29 studies [9]
• Probiotic use by pregnant women reduced the incidence of eczema by 9% during a 1- to 5-year follow-up [9]
• Use by lactating women was associated with a 16% reduction in eczema during a 6-month follow-up period [9]
• Probiotic consumption by breastfeeding infants was associated with a 5% reduction in eczema during the 6-month to 6-year follow-up period [9]
• Administration of heat-killed L-92
• Effective for AD symptoms in japanese adults
• May contribute to the suppression of Th2-dominant inflammation [14]

Protizánětlivě ev. "antimikrobně" působící potraviny

Kurkuma

Nibma

Vyšší poměr omega-3 MK

• Konopná semínka [9]
• Lněná semínka
• Fish oil [10]
• Evening primrose oil [10]
• Ryby high in EPA and DHA and lower in mercury
• Salmon
• Anchovies [11]
• Herring [11]
• Sardines [11]
• Pacific oysters [11]
• Trout [11]
• Atlantic mackerel [11]
• Pacific mackerel [11]

Rutin

• Pohanka aj. mnohé rostliny, byliny a ovoce

Antihistaminová dieta

Eliminace alergenu

Assess for sensitization to a food

SPTs

Measurement of specific IgE

• Diagnostic sensitivity and specificity varies considerably
• Among different foods
• Reading systems
• Age groups
• Discriminating between clinical relevance of sensitization

Lymphocyte cytotoxicity tests

• Nepouziva se [4]

Basophil degranulation test

• Nepouziva se [4]

Measurement of serum IgG (or subclasses)

• Nepouziva se [4]

APT

• An elimination diet should not be recommended solely on the basis of a positive APT response to a food [4]

Physician-supervised food challenges

• Most accurate diagnostic tool
• Patients can present with reactions at least 24 hours after a food challenge
• In case of a negative challenge response
• The skin of the patient should be examined the following day [4]
• After a diagnosis has been established, a tailor-made education program for the patient should be initiated [4]

Mezi časté alergeny a dráždivé potraviny patří

• Vaječný bílek [6]
• Kravské mléko [6]
• lepek [6]
• Ořechy [6]
• Soja [6]
• Ryby [6]
• Sýry [6]
• Jahody [6]
• Mák [6]
• Citrusy [6]
• čokoláda [6]