Magaña GM, Reyes VH

Idioma: Español
Referencias bibliográficas: 17
Paginas: 202-205
Archivo PDF: 42.06 Kb.

RESUMEN

Se presenta el caso de dos hermanas gemelas probablemente univitelinas, alimentadas al seno materno por sólo dos meses y ablactadas al tercer mes. Una de ellas desarrolló dermatitis atópica muy grave y de difícil control. Se hace una revisión sobre el efecto protector que la lactancia materna puede tener sobre esta enfermedad, con particular énfasis en la dieta de restricción que las madres con alto riesgo deben llevar y la necesidad de enriquecer su alimentación con ácidos grasos poliinsaturados de cadena larga.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Magaña GM, Vázquez R, González-Campos N. Dermatología Pediátrica en el Hospital General. Frecuencia de las enfermedades de la piel del niño en 10,000 consultas: 1990-94. Rev Med Hosp Gral Mex 1995; 58: 124-130.

2. Magaña GM. Guía de dermatología pediátrica. México: Editorial Médica Panamericana/UAM, 1998.

3. Vandenplas Y. Pathogenesis of food allergy in infancy. Curr Opin Pediatr 1993; 5: 567-572.

4. Kay J, Gawkrodger DJ, Mortimer MJ, Jaron AG. The prevalence of childhood atopic eczema in a general population. J Am Acad Dermatol 1994; 30: 35-39.

5. Galli E, Picardo M, Chini L et al. Analysis of polyunsaturated fatty acids in newborn sera: A screening tool for atopic disease. Br J Dermatol 1994; 130: 752-756.

6. Wuthrich B. Atopic dermatitis. Ther Umsch 1994; 51: 45-54.

7. Gustafsson D, Lowhagen T, Andersson K. Risk of developing atopic disease after early feeding with cow’s milk based formula. Arch Dis Child 1992; 67: 1008-1010.

8. Aoki T, Kojima M, Adachi J, Okano M. Effect of short term egg exclusion diet on infantile atopic dermatitis and its relation to egg allergy. Acta Derm Venereol 1992; 176: 99-102.

9. Melnik BC. Advance for the prevention of atopic diseases. Monatsschr Kinderhilkd 1990; 138: 162-166.

10. Businco L, Ioppi M, Morse NL, Nisini R, Wright S. Breast milk for mothers of children with newly developed atopic eczema has low levels of long chain polyunsaturated fatty acids. J Allergy Clin Immunol 1993; 91: 1134-1139.

11. Lilja G, Dannaeus A, Fourcard T. Effects of maternal diet during late pregnancy and lactation on the development of atopic diseases in infants of to 18 months of age-in-vivo results. Clin Exp Allergy 1989; 19: 473-479.

12. Zeiger RS, Heller S, Mellon MH. Effect of combined maternal and infant food-allergen avoidance on development of atopy in early infancy: a randomized study. J Allergy Clin Immunol 1989; 84: 72-89.

13. Hide DW. The clinical expression of allergy in breast feed infants. Adv Exp Med Biol 1991; 310: 475-480.

14. Kajosaari M. Atopic prophylaxis in high risk infants. Prospective 5-year follow up study of children with six months exclusive breast feeding and solid food elimination. Adv Exp Med Biol 1991; 310: 453-458.

15. Ruiz RG, Kemeny DM, Price JF. Higher risk of infantile atopic dermatitis from maternal atopic than from paternal atopy. Clin Exp Allergy 1992; 22: 762-766.

16. Chandra RK, Shakuntla P, Hamed A. Influence of maternal diet during lactation and use of formula feeds on development of atopic eczema in high risk infants. Br Med J 1989; 299: 228-230.

17. Zeiger RS. Dietary manipulations in infants and the mothers and the natural course of atopic disease. Pediatr Allergy Immunol 1994; 5 (suppl 1): 33-43.