Atopic Dermatitis, Atopic Eczema, Infantile Eczema
Conditions
Keywords
Atopic Dermatitis, SCORAD, probiotics, cytokines, Infant
Brief summary
To study the effect of supplementation of a hydrolyzed formula with probiotic bacteria on clinical and immunological parameters in infants with AD with and without CMA and to compare effectiveness of different strains of probiotics.
Detailed description
* To determine the effect of supplementation of a hydrolyzed formula with probiotic bacteria on clinical and immunological parameters in infants with AD with and without CMA * To determine the effect of supplementation of a hydrolyzed formula with probiotic bacteria on clinical and immunological reactivity to cow' milk challenge in infants with AD with CMA * To compare the effectiveness of different strains of probiotic bacteria in improving clinical and immunological outcome in these infants
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Term infants fulfilling the Hanifin (1989) criteria for atopic dermatitis * Suggestive of CMA (one additional symptom) * Scorad index (total) \>20 at study entry * Below 5 months of age * Formula, not breast fed * Written informed consent from the parents
Exclusion criteria
* • Previous or current use of anti-histamines, oral corticosteroids, probiotics * Use of systemic antibiotic or anti-mycotic drugs in the previous 4 weeks * Congenital intestinal abnormality (eg. Hirschsprung's disease, intestinal atresia) * Other GI disease with intestinal inflammation and/or increased intestinal permeability * Skin disorder, not atopic dermatitis * Participation in another clinical study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Significant decrease of SCORAD score in treated infants compared to placebo | — |
Secondary
| Measure | Time frame |
|---|---|
| IL-4, IL-5 and IFN-gamma production of stimulated peripheral blood mononuclear cells | — |
| change in fecal TNF-α and α-1-antitrypsin, urinary EDN | — |
| effect on faecal bacteria after probiotics | — |
Countries
Netherlands