My daughter Ayva was two weeks old when she developed spots on her face that resembled acne. The creases of her elbows and knees were red and weeping, and she would often scratch until her arms bled. When she was ten months old, a nurse from the local Early Childhood Centre, who had seen Ayva a few months earlier, exclaimed, ‘Has your child still got eczema?’ I thought what a rude comment, eczema is a genetic condition and what could I do about it? I was a nutritionist and I had not considered looking at treatment options for my baby beyond cortisone cream and thick ointments.
When Ayva was one she was diagnosed with dust mite allergy, which meant she could no longer sleep with, or touch, any of her soft toys. We were advised to avoid junk food, additives and salicylates. Playing on the grass, swimming in a pool and patting the family cat inflamed Ayva’s skin from head to toe so the cat was sent to grandma’s house and swimming lessons were cancelled. Then one day Ayva, who was growing resentful about being different from her friends, ate some food at a friend’s birthday party and her eczema spread further down her legs. We noticed she was becoming more sensitive to everything and it was sad to see her suffering.
I began researching eczema. By the time Ayva was two I had devised a basic diet and supplement routine for her, and two months later, to my surprise and excitement, her eczema was gone. The temporary dietary changes were strict but soon Ayva could enjoy normal activities such as playing with fluffy toys, swimming in chlorinated pools and occasionally she could eat party food without her eczema returning, and she no longer needed topical steroids. Her diet was gradually expanded and eventually she could eat all foods without her eczema returning.
Research shows that eczema sufferers spend up to $2000 on eczema treatments each year and 36 per cent of sufferers spend more than 10 minutes each day applying topical steroids and emollients. Despite this, the number of people with eczema is rising and has tripled in recent years. Now 20 per cent of people in the developed world have eczema and it’s mostly babies and children who are suffering.[1]
The eczema statistics may continue to rise if we do not address the main factor that determines our genetic health: our diets. According to Ordovas and Corella from the Nutrition and Genomics Laboratory, Jean Mayer – U.S. Department of Agriculture: ‘Food intake is the environmental factor to which we are all exposed permanently from conception to death. Therefore, dietary habits are the most important environmental factor modulating gene expression during one’s lifespan.’[2] While it is okay to use modern medicines to help you or your child gain temporary relief, a long-term solution usually involves dietary changes.
My daughter is now twelve years old and the Eczema Diet has changed a lot since I first devised this program. For the past ten years, my eczema patients have been giving feedback about the program, which enabled me to refine the Eczema Diet. One of the things I love most about my job is reading research papers on skin health. I’m often in my home office until well past midnight, reading medical documents published on eczema, even ones dating back to the 1800s (a dangerous time to have eczema as doctors often prescribed toxic heavy metals which occasionally caused fatalities!). In the late 1800s, some hospital-based doctors advocated dietary changes, which were effective at eradicating eczema. By the mid 1900s, topical steroids became popular and diet research slowed during this time. However, in the last 30 years nutrition research for eczema has increased in popularity. The Eczema Diet, particularly Chapters 2, 3 and 6, presents this research in detail.
However, if you or your child are suffering and keen to get started, it’s fine to skip the first few chapters and begin at Chapter 4 ‘The Eczema Diet: how it works’. Then as you follow the program you can read Chapters 1 to 3 and do the handy questionnaires in Chapter 2. If you have a baby with eczema, this research and the questionnaires are still relevant to you as you can use them to analyse your family diet before conception and the dietary information becomes practical once your baby starts eating solids.
At first glance the Eczema Diet may seem like a regular elimination diet but it differs in many ways. The Eczema Diet is designed specifically for eczema sufferers. While on the Eczema Diet, you temporarily take problematic foods out of the diet and you eat nutritious ‘eczema-safe’ foods that strengthen the health of your entire body. The Eczema Diet is incredibly nutritious and as your (or your child’s) eczema clears up, a wider variety of foods are reintroduced to the diet so you can enjoy most—if not all—foods and remain eczema free (if you have severe allergies continue to avoid your allergy foods until given clearance by your doctor). Once the skin barrier function is restored, dust mites are no longer a problem and you can resume normal activities such as swimming and playing with pets.
The Eczema Diet is presented in three parts. Part 1 is all about your skin and is rich with tips on how to manage and mend your eczema. Part 2 has useful non-diet information that you can refer to at any time if you need a bath recipe, moisturiser advice or a quick itch-busting treatment. And Part 3 contains the eczema-safe recipes, shopping guides, food charts and menus for each specific age group, from babies to adults, as well as a party food guide for special occasions. Please keep in mind you will need to tailor this advice to suit your individual allergies, health requirements and eczema, and there is separate advice for babies, children and adults.
I know that right now, while you have eczema, it can be painful, and incredibly itchy. And it can be heartbreaking to see your child or a close friend suffering. Sometimes your toughest challenges call you to find new and more effective solutions, and to take action and find what really works for you. I hope you enjoy the program and I wish you well in your endeavour to create beautiful, eczema-free skin.
Before beginning the Eczema Diet it is important to have your skin condition diagnosed by a GP or dermatologist. If you have any medical conditions that are being treated with diet or drugs, you should follow the Eczema Diet with the supervision of your doctor, nutritionist or dietician.
Note: When the term ‘eczema’ is used throughout this book, it also refers to dermatitis, unless otherwise stated.