이재혁1, 홍승완1, 김성애2, 최희정3, 김미경4, 서영성1

1계명대학교 동산의료원 가정의학과, 2계명대학교 동산의료원 피부과, 3계명대학교 동산의료원 소아청소년과, 4계명대학교 동산의료원 내분비내과

Background: Atopic dermatitis (AD) is one of the most common skin disorders affecting infants and children.
Food allergy is a strong risk factor for the development of AD. This study was designed to evaluate the improvement
of symptoms among AD patients in the late childhood while they take the customized (organic, balanced,
non-allergic, diverse vegetable, little saturated fat and trans fat free) diet.
Methods: Nineteen children with AD who agreed to the written consent were enrolled in the study from October
to December, 2014. We supplied them with the customized diet for 8 weeks. Clinical evaluations, blood tests
and nutritional status were conducted at baseline, at 4th and at 8th week. Eczema area and severity index
(EASI) and Scoring atopic dermatitis (SCORAD) were used to determine the severity of AD.
Results: The mean age of 19 patients was 8.5±1.54 years. EASI and SCORD index were decreased after diet
intervention (2.6±3.06 [standard deviation] vs. 2.0±2.93 P＝0.026, 24.9±10.76 vs. 20.0±12.65 P＝0.009).
Pruritus scores using visual analogue scale, rated by patients and hemoglobin revealed statistically significant
improvement after diet intervention.
Conclusions: The customized diet helps to improve the symptoms of atopic dermatitis and the nutritional
indicators. Additional long-term and large-scale studies are required as well as the development of various
diets.
Korean J Health Promot 2016;16(1):32-36
Keywords: Dermatitis, Atopic, Eczema, Diet, Severity of illness index