title: Dietary modifications in atopic dermatitis: patient-reported outcomes.
abstract: BACKGROUND
  Patients with atopic dermatitis (AD) commonly turn to dietary modifications to manage their skin condition.
  
  
  OBJECTIVE
  To investigate patient-reported outcomes and perceptions regarding the role of diet in AD.
  
  
  METHODS
  One hundred and sixty nine AD patients were surveyed in this cross-sectional study. The 61-question survey asked about dietary modifications, perceptions and outcomes.
  
  
  RESULTS
  Eighty seven percent of participants reported a trial of dietary exclusion. The most common were junk foods (68%), dairy (49.7%) and gluten (49%). The best improvement in skin was reported when removing white flour products (37 of 69, 53.6%), gluten (37 of 72, 51.4%) and nightshades (18 of 35, 51.4%). 79.9% of participants reported adding items to their diet. The most common were vegetables (62.2%), fish oil (59.3%) and fruits (57.8%). The best improvement in skin was noted when adding vegetables (40 of 84, 47.6%), organic foods (17 of 43, 39.5%) and fish oil (28 of 80, 35%). Although 93.5% of patients believed it was important that physicians discuss with them the role of diet in managing skin disease, only 32.5% had consulted their dermatologist.
  
  
  CONCLUSIONS
  Since dietary modifications are extremely common, the role of diet in AD and potential nutritional benefits and risks need to be properly discussed with patients.
authors.affiliation: a Department of Dermatology , University of California San Francisco , San Francisco , CA , USA.
authors.forename: Adi
authors.initials: A
authors.lastname: Nosrati
authors.affiliation: a Department of Dermatology , University of California San Francisco , San Francisco , CA , USA.
authors.forename: Ladan
authors.initials: L
authors.lastname: Afifi
authors.affiliation: a Department of Dermatology , University of California San Francisco , San Francisco , CA , USA.
authors.forename: Melissa J
authors.initials: MJ
authors.lastname: Danesh
authors.affiliation: a Department of Dermatology , University of California San Francisco , San Francisco , CA , USA.
authors.forename: Kristina
authors.initials: K
authors.lastname: Lee
authors.affiliation: a Department of Dermatology , University of California San Francisco , San Francisco , CA , USA.
authors.forename: Di
authors.initials: D
authors.lastname: Yan
authors.affiliation: a Department of Dermatology , University of California San Francisco , San Francisco , CA , USA.
authors.forename: Kourosh
authors.initials: K
authors.lastname: Beroukhim
authors.affiliation: a Department of Dermatology , University of California San Francisco , San Francisco , CA , USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Ahn
authors.affiliation: a Department of Dermatology , University of California San Francisco , San Francisco , CA , USA.
authors.forename: Wilson
authors.initials: W
authors.lastname: Liao
mesh_terms: D000328:Adult; D001290:Attitude; D003430:Cross-Sectional Studies; D003876:Dermatitis, Atopic / Q000178:diet therapy / Q000473:pathology / Q000523:psychology; D004032:Diet; D019587:Dietary Supplements; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D000071066:Patient Reported Outcome Measures; D012867:Skin / Q000473:pathology; D011795:Surveys and Questionnaires
keywords: Atopic dermatitis; diet; patient-reported outcomes