Natural Treatment for Eczema

 

Table of Content

What is Eczema?

Eczema is a chronic skin condition that is commonly seen in children. It usually starts in childhood and may continue into adulthood. It can occur in adulthood for the first time, which is called adult-onset eczema. Even the elderly can suffer from eczema. During your lifetime, it can cause several flares and remissions, or it may go into total remission during the teenage years. It is a chronic long-term skin condition.

Eczema is also known as Atopic dermatitis. Atopy runs in families. Therefore, eczema can associate with Bronchial asthma, hay fever (allergic rhinitis), and allergic conjunctivitis (inflammation of the conjunctiva of the eye). Usually, you may find a close relative or a family member suffering from one or more of these conditions.

Eczema is almost always itchy. Itching can be so intense, and it may even disturb your sleep. There are 2 types of Eczemas, wet and dry. In wet-type oozing occurs from lesions followed by crusting. The risk of infection is more in the wet type. The lesions can be raw and angry looking. The dry type has red patches that are associated with dry skin. Lesions can be scaly and cracked.

Constant scratching can gradually thicken the lesions. Sometimes continuous scratching occurs as a habit. You may feel that scratching is soothing and unknowingly may continue to scratch until it bleeds. This may increase the risk of infection as various germs can enter through damaged skin. Continuous scratching in eczema lesions can make it thick, discolored, and leathery.

How can Eczema be treated?

Is there any natural treatment for Eczema? Unfortunately, there is no cure for eczema. It can only be controlled. The aim is to prevent recurrent flares and control the skin condition in remission. Most often Eczema goes into total remission by teenage years and may never reappear.

As we know there are certain trigger factors that can cause and worsen your eczema. Identify these triggers early and avoid them as much as possible. Trigger factors may differ from person to person. Some of the examples for trigger factors include pollen, dust, smoking, fabric dyes, excessive sweating, certain foods, additives and preservatives, strong soaps, and detergents. You might observe that contact with some of these triggers may have a link with your eczema. If you identify triggers the best is to avoid them.

If you are a person living with eczema, you know what it is like to find some relief for your symptoms.

What are the symptoms of Eczema?

  • Inflamed red skin
  • Dry and sensitive skin
  • Itching – which can be severe
  • Oozing and crusting in wet type eczema
  • Swelling due to inflammation
  • Leathery, scaly, and thickened areas after continuous scratching
  • Dark patches on the skin

Some of these symptoms are unbearable. Treatment should focus on reducing these symptoms and control the skin condition in remission.

What are the natural treatments for eczema?

Are there any natural treatments for Eczema? Probably you may have already tried a variety of natural products. Some may have worked. But unfortunately, some of them can leave your skin feeling more irritated and even drier.

Here are some tried and tested natural remedies for Eczema which can help to replenish moisture in your skin as well as protect the natural barrier of your skin.

Natural remedies for eczema

Colloidal Oatmeal –

Colloidal oatmeal means finely grounded oats which help to soften rough areas of skin and calm inflamed skin. This is a good natural treatment for eczema. You can buy colloidal oatmeal from a drug store or order online. If not, you can prepare your own by grinding oatmeal into a fine consistent powder.

Oatmeal bath for eczema – You may wonder whether this means bathing in a bathtub full of breakfast foods. However, this is not just oatmeal and warm water. Here, the oatmeal is ground into a fine powder which is called colloidal oatmeal. It is suspended in water.

There is a study done in 2012 which showed that colloidal oatmeal protects the skin and soothe the irritation and itching in eczema. The study also indicated that colloidal oatmeal could act as a buffer to help maintain the surface PH of your skin.

Preparation of an oatmeal bath –

  • Run lukewarm water into a clean bathtub. Make sure it is warm and not hot because hot water can worsen inflamed skin and draw out moisture from your skin making it drier.
  • Add a cup of colloidal oatmeal under the running tap. Mix well with your hand.
  • Before getting in, make sure that bathwater is milky and warm.
  • Soak for about 10 minutes in the bath. You should feel silky on your skin. This should relieve the itching of eczema too.
  • Make sure not to soak too much as it can worsen itching and your eczema.
  • Rinse off with fresh lukewarm water. Pat yourself dry with a soft towel. Do not rub yourself as it may worsen irritation and dryness.
  • You can apply an emollient afterward to moisturize your skin.

Coconut Oil –

Coconut oil is extracted from harvested mature coconuts. It acts as a natural moisturizer and is a safe and effective natural treatment for eczema. About 50% of the fat content in coconut oil comes from Lauric acid. It is a healthy form of saturated fat, which is also found in breast milk. It has a myriad of health benefits when used topically on your skin or when taken orally.

National Eczema Association claims that coconut oil has antibacterial properties that prevent infection. It reduces staphylococcal bacteria in your skin. Eczematous skin, especially the wet type tends to get infected more, coconut oil can protect it. If you are suffering from eczema, you may notice that patches of inflamed skin can crack and ooze. This is ideal for bacteria to enter and cause infection.

You can apply coconut oil on your skin to obtain benefits such as.

  • It is a natural moisturizer which is highly absorbable
  • For its antimicrobial properties to protect your skin from infection – it is effective in reducing not only bacteria but also viruses and fungi.
  • It hydrates your skin
  • Reduces inflammation and pain because it has anti-inflammatory properties. Therefore, coconut oil reduces itching and discomfort associated with your eczema.
  • Reduces oxidative stress – A study that is reported in the Journal of Clinical and Diagnostic Research revealed that antioxidants can be beneficial in the treatment of atopic dermatitis/eczema. Virgin coconut oil is rich in antioxidants.

Make sure you choose virgin coconut oil or cold-pressed coconut oil which is processed without chemicals. Coconut oil may not cure your eczema, but it is effective to reduce eczema symptoms by soothing your skin and easing the irritation and itching.

However, here are some cautions.

  • If you are allergic to coconuts, do not use its oil on your skin.
  • If you are already on prescription medicines for your eczema, check with your doctor regarding using coconut oil as an adjunct to your treatment.

How do you use coconut oil?

Put a little bit of virgin coconut oil on your hands and rub them together. Apply liberally on your skin when it is slightly damp. You can use it twice a day. Having coconut oil on your skin overnight helps maximum absorption.

Evening Primrose Oil (EPO) –

Evening Primrose Oil is extracted from the seeds of the flower of the evening primrose plant. It can be used topically as well as orally for its healing benefits. When used topically, it can soothe your irritated skin. When taken orally, it can treat systemic inflammatory conditions like eczema.

Evening Primrose Oil contains Omega 6 fatty acids and gamma Linolenic acid which prevent inflammation in your body. It helps to reduce eczema symptoms without negative side effects. Some countries have approved Evening Primrose Oil as a treatment for eczema and other inflammatory skin conditions.

How to use it?

  • 1 to 4 capsules can be taken by mouth twice a day for 3 months.
  • Topically apply 20% Evening Primrose oil on affected areas of skin twice a day

However, research is not adequate, and many of these studies show mixed results. Evening Primrose Oil may work in some of you with eczema. Since side effects are rare, there is no harm in trying it as a natural remedy. But check with your doctor first before you start using it.

Witch Hazel –

Witch Hazel is an astringent or toner made from the leaves and bark of the Witch-hazel shrub. It is indigenous to the United States and it is used for centuries by Native Americans for many skin ailments. It has been used for many years as a topical treatment for eczema and other types of skin inflammation. It is known to soothe inflamed skin, relieve itching, and even dry up oozing lesions.

However, research on the effects of Witch hazel on eczema is rare.

How do you use it?

Witch Hazel can be bought in its pure form at local drug stores. You can apply it topically over the affected skin. Since the safety of this ingredient is not studied widely, it is always better to discuss with your dermatologist first.

Aloe vera gel –

It is derived from the leaves of the aloe vera plant. Aloe vera gel has antimicrobial, wound healing, and immune system boosting properties. It can be used to soothe eczematous skin.

Aloe vera gel can be bought in drug stores and online. You can even extract the gel yourself from the leaves of the plant. Applying aloe vera gel on your skin is found to be safe and effective in both children and adults.

Sunflower oil –

Sunflower oil is extracted from the sunflower seeds. Studies have shown that sunflower oil protects your skin’s outer layer (epidermis) which is the natural barrier.

It helps to keep the moisture in and prevents bacteria from entering. Sunflower oil is known to hydrate your skin. It can relieve itching and inflammation in eczematous skin.

How to use it?

You can apply undiluted sunflower oil directly on your skin, especially in affected areas. It absorbs well when your skin is still damp after a bath.

Calendula Oil and cream –

Calendula oil is a natural oil extracted from marigold flowers. It has anti-inflammatory, antibacterial, and anti-fungal effects. It is a natural herbal remedy. Calendula has been used for centuries to heal skin inflammations as well as cuts and burns.

It is known to improve your blood circulation to areas of inflammation and injury. Calendula helps to hydrate skin and fights off skin infections.

It is available in local drug stores and online. It may work in some of you with eczema, although research is lacking in its effectiveness. It is generally safe to use. Avoid it, if you are allergic to Marigold plants and if you are pregnant or breastfeeding.

There are some other natural remedies for eczema that you can try such as Acupuncture and Acupressure.

How are Acupuncture and Acupressure effective for treating eczema?

Acupuncture is an ancient Chinese medicine used to treat a variety of disease conditions. It has been studied and practiced for more than 2500 years. The acupuncture practice is done using fine needles which are inserted into specific points in your body. This triggering of certain points is known to alter the flow of energy. For some of you, the thought of getting needles inserted into your body may be terrifying, but some claim that it is effective in relieving their symptoms and it is not that painful. Research is not adequate for its effectiveness in treating eczema, however, some believe that it can relieve the itch.

Natural therapy for eczema

Acupressure uses the hands and fingers of the therapist to apply pressure instead of using needles. This may also have relief against irritation and itching in eczema.

Bath therapy

Having a long bath twice a day helps to keep your skin hydrated. Make sure you apply an emollient soon after your bath to lock in moisture.

Practicing relaxation techniques to fight stress

Stress is a well-known trigger for eczema. Stress plays a role in developing inflammation not only on the skin but also in other parts of your body. So, if you learn to manage stress and cope with stressful situations in life, you can reduce eczema flare-ups.

Relaxation Techniques for Eczema

Here are some relaxation techniques you can practice to reduce stress.

  • Yoga – It is a way of life that can develop discipline, self- inquiry, and non- attachment in you. Yoga improves your health, flexibility, and empower you with conscious choices while fulfilling you with peace, clarity, and happiness.
  • Meditation – Meditation is learning how to pay attention to mindfulness. It can give you a sense of calm, peace, and balance while improving your emotional health as well as your overall well- being.
  • Cognitive-behavioral therapy – This is a therapy that identifies and changes potentially self- destructive and unhealthy behaviors.
  • Deep breathing – Being mindful about your breathing pattern helps to relax your mind.
  • Music therapy – Use of music to address physical, emotional, cognitive, and social needs. You can listen to melodies, play an instrument, write a song, or guided imagery as music therapy.
  • Hypnosis – Hypnosis creates a state of focused attention during which positive suggestions and guided imagery are used to help the individual.
  • Tai chi – It is a Chinese tradition with martial arts that involve slow movements and deep breaths.
  • Visualization – Using art therapy and visual imagery as a way of positive communication.
  • Biofeedback – Biofeedback is a type of therapy that uses sensors that are attached to your body to measure the key body functions. It helps to learn how your body works.
  • Massage – it improves the blood flow to your skin. Massages are known to reduce stress and anxiety.

If you practice relaxation techniques regularly, your stress levels will fall. With time you will notice that there is an improvement in your skin too.

As you can see, there are many tried and tested natural remedies to treat eczema. They may not be effective for all especially if your eczema is widespread and severe. But for some of you, these natural treatments will work wonders in soothing your skin and reducing the symptoms of your eczema.

However, if you are on prescription medications for your eczema, it is better to check with your dermatologist or your doctor, before you try natural home remedies.

There are certain home remedies we can try to treat and to prevent eczema.

  • Avoid strong soaps and detergents as they worsen eczema. Use mild soap when bathing. Pat dry your skin with a soft towel and never rub or wipe hard as it strips away the moisture of your skin.
  • Moisturizing your skin well with a good emollient is a must. This must be done several times a day. You should choose an emollient which is paraben and alcohol-free with minimal fragrance. A few examples of ingredients in a good moisturizer are aqueous cream, cocoa butter, Shea butter, Argon oil, glycerol, Dimethicone, and Lanolin Oil. When you select a moisturizer always read the label and check for the ingredients. Avoid creams with ingredients that you are allergic to. Choose the best emollient which is suitable for your skin.
  • Apply moisturizer after a bath when your skin is still damp. It helps to absorb and lock in the moisture.
  • Scratching worsens your eczema. Eczema is known as “The itch that rashes”, that means the rash appears following itching and worsen once the person scratches. Therefore, you should avoid scratching by all means.

Natural treatment for eczema may not work for all. Usually, it is effective in mild forms of eczema. You may even combine natural treatments with other known treatment options. There is no harm in using an over the counter cream like hydrocortisone which is a mild steroid over the lesions. Using an over the counter antihistamine like Fexofenadine, Cetirizine, Loratadine or chlorpheniramine will reduce itching and your urge to scratch. Make sure that the dose of the medicine and frequency of administration is right.

If you live with eczema, avoid anything which can irritate or dry up your skin which can lead to a flare-up. Perfumes, wool clothing, tight-fitting clothes may be such irritants.

It is also known that food allergies are a common cause of eczema, especially in children. Common foods that are linked to eczema are eggs, soy, wheat, milk, seafood, and peanuts. Try to eliminate some of these and see whether there is an improvement in your eczema.

Why do people seek alternative treatments for eczema?

People tend to seek alternative treatment for eczema such as natural remedies because there is simply no cure for this disease, and no one knows the exact cause of eczema. The outcome of conventional eczema treatments may not be always consistent and not always perceived as safe. There are many side effects of long-term application of topical corticosteroids as well as oral medications used in eczema.

So, many of you with eczema may wonder what natural remedies have to offer when it comes to eczema management. Alternative medicines are natural remedies that people talk about and use, even though many of them are found not to work in research studies. In fact, some people claim that natural treatments have an impact on controlling their eczema. Therefore, one should carefully weigh the pros and cons before starting any natural treatment. The best is to discuss it with your doctor.

You can use natural products, creams, dietary, and lifestyle changes to control and prevent eczema flares, especially in the winter season when symptoms are at their worst. What you should remember is just like conventional treatments, natural remedies cannot cure eczema, but they can help to manage your symptoms to a certain extent and even prevent flares if you believe in them.

When should you seek help?

If your eczema doesn’t answer the home remedies and these natural treatments, you use or if it worsens with time and it worries you it is time to seek help. Your doctor will prescribe topical steroids as well as oral treatments to control the lesions. Always ask whether it is alright to continue the natural treatment methods along with the prescribed medicine.

References:

  • https://www.healthline.com/health/natural-remedies-to-reduce-eczema-symptoms
  • https://www.healthline.com/health/oatmeal-bath-for-eczema
  • https://www.healthline.com/health/calendula-oil
  • https://www.healthline.com/health/acupuncture-how-does-it-work-scientifically
  • https://nationaleczema.org/alternative-treatments/

 

 

 

 

 

How probiotics play a role in treating Eczema?

Table of Content

Eczema is a chronic skin condition characterized by thick scaly, red inflamed skin with an itchy rash. Affecting more than 31 million Americans alone and overall, up to 3% of the world population, the condition still doesn’t have an exact known cause. However, researchers have come to a close conclusion that it results due to the combination of genetic and environmental factors. Moreover, it is also found that the microbes that dwell on our skin commonly known as skin microbiome also play a vital role in developing this eczema condition also known as Atopic Dermatitis. Scientists in studies also targeted a particular gene called Filaggrin that is indirectly responsible for the onset of Eczema condition. This confirms that Eczema is related to the genes and though necessary, can be passed on to the next generation Basically, eczema has no completely known cure. But it can be managed by following a strict care routine and keeping a record of things and activities that one does in order to avoid the eczema flares. one needs to manage their eczema actively by following a strict care routine plan.

Do you have a care routine plan in place? Let us help you to manage your care plan in a way that’s effective for your eczema treatment 

Affecting the quality of life of a person, a common eczema sufferer may require to spend an average of 30 min to a couple of hours in a day to take care of their moderate to severe eczema. This may include moisturizing, applying ointments/steroids, wet wraps, bleach bath controlling the room humidity, etc.

When there is a link between microbiome and eczema then definitely there should be a link between eczema and probiotics right…???

Let us understand if, what and how probiotics may play role in treating eczema…

Role of Microbes in Eczema

Despite their microscopic size, bacteria play a vital role in eczema and in the overall health of the skin. To understand probiotics, one should 1st know that our body possesses trillions of good and bad bacteria. The major chunk of them is present in our gut and the one which colonizes our skin is collectively known as the skin microbiome Skin microbiomes influence the skin barrier by controlling ecological factors, such as humidity, temperature, pH, and lipid content. These changes can exacerbate skin barrier dysfunction. They are associated with abnormalities in the functions of skin barrier-associated genes which produce a structural protein required to form an outermost protective layer of the skin. Earlier studies have found that the Microbe Staphylococcus aureus creates susceptibility to develop Atopic Dermatitis and is directly linked to Eczema Flares.

Often many people think of bacteria and other microorganisms as harmful “germs,” but many are actually helpful. There are certain bacteria that help in fighting this problem, in common words, they are also called as Good Bacteria which benefit humans. The treatment or management of eczema has a gamut of things involved in the care plan also gives rise to the idea of probiotics. But will it really make a significant difference in the journey to treat eczema?? Albeit of a lot of works and programs by different researchers and scientists in the field of use of probiotics to treat eczema the response or the information to support the effect of probiotics is only a little evident. What are Probiotics?

With rising eczema cases and there being a complete cure, there is always a search for alternative treatment methods. In such case use of probiotics as a treatment method for treating atopic dermatitis is rising in coming recent days. Probiotics are nothing but live microorganisms, also known as good bacteria, that are intended to have health benefits when consumed or applied to the body. Some help digest food, some destroy disease-causing cells and others produce vitamins. Many of the microorganisms in probiotic products are the same as or similar to microorganisms that naturally live in our bodies. The most common foods with probiotics include yogurt and other fermented foodstuffs.

What are prebiotics?

Prebiotics are nondigestible food components that selectively beneficial the growth or activity of beneficial microorganisms. They act as food for human microflora and are used with the intention of improving the balance of good bacteria.

What are symbiotics?

Synbiotics as the name suggest referring to food ingredients or dietary supplements combining probiotics and prebiotics in a form of synergism. The act by inhibiting the growth of pathogenic bacteria and enhancing the growth of beneficial organisms.

How do probiotics Works?

Probiotics act by maintaining a healthy balance between good bacteria in the human body. When a person falls ill or gets any infection the number of bad or harmful bacteria increases in the body disturbing. Probiotics restore the balance by fighting these harmful bacteria and supporting the immune system within the body so that it can prevent the kill and prevent the invasion of harmful bacteria’s in the body. Apart from fighting the bad bacteria’s they also aid in digestion, breakdown and absorb medications, etc create medicines and others. Probiotics also help to alleviate inflammation. When eczema is closely associated with skin inflammation. The probiotic sprays can be applied directly to areas of the affected skin. However, since chronic inflammation tends to be systemic, it is also important to target inflammation from the inside out. This means also eating probiotic foods or taking a quality supplement may help in fighting chronic inflammation.

Probiotics and Eczema

Probiotics can be an important value addition to the approach of eczema treatment. One can look at various perspectives in which this tiny organism that can’t be seen with the naked eye can be useful to curb eczema symptoms.

  1. Eczema is now for a long time suspected to be associated with the Leaky Gut Syndrome which is caused due to the increase in the gap between tight junctions. The Gut flora plays a vital role in maintaining the decorum of the tight junctions. In this case, probiotics can be a booster in improving the population of Good bacteria in maintaining the balance of Gut microbiomes improving the over-all condition making it a healthy Gut.
  2. When the eczema is severe, the individual is subjected to a good dose of anti-biotics, these antibiotics are known to damage the good bacteria too. A good supplement of Probiotics may help to regain the strength of the good microbiome which benefits our body in a various good task. This way intake of Probiotics helps to keep a balance of Microflora in our body while treating severe eczema infections with antibiotics.
  3. Numerous clinical trials have been conducted using different probiotic strains for their ability to help improve the lives of people suffering from eczema. A particular strain of probiotics has been found beneficial in subsidizing eczema symptoms in individuals. Clinical trials have been conducted using Lactobacillus rhamnosus HN001 to study its effect on eczema. In a trial of around 298 women and their infants, administration of 6 billion CFU of L. rhamnosus HN001 to infants from birth to 6 months yielded a significant improvement in their life.
  4. Lotions consisting of the specific microbiome (probiotics) are applied to the skin infected with eczema. A topical lotion with S. epidermis and S. hominis strains to test their effects on atopic dermatitis patients was created by Dr. Gallo’s and team. Application of this lotion on volunteers suffering from eczema gave results in 24 hrs vanishing S. aureus (which are responsible for destroying the outermost protective layer of the skin). The same Lotion without these microbes remained ineffective on the patients.
  5. Spraying water solution containing probiotics was proved beneficial in controlling the eczema symptoms. In a finding from a study led by Anthony S. Fauci, M.D., director NIAID suggests that R. mucosa therapy may help relieve some children of both the burden of eczema symptoms and the need for daily treatment.” For 12 weeks, twice a week a solution containing live R. Mucosa was sprayed on the affected part of the skin of children suffering from eczema. 17 of 20 children enrolled in the study experienced a greater than 50% improvement in eczema severity following treatment. Improvement occurred on all treated skin sites reducing the symptoms such as Itch and rash.
  6. Nowadays Topical preparations containing probiotics are gaining popularity for their role in skincare. These products are available over the counter (OTC) as all the probiotic products available currently are considered as cosmetics by the US FDA. Hence these products can be found at the beauty and cosmetic stores, salons, spas, etc.

Probiotic-Rich Foods to consider

When it comes to probiotics you have to consider certain things as specific strains of organisms are known for improving specific functions in the body. It is important to take advice from your physician before you go for a particular probiotic and its dose other than those are available naturally in the form of foods.

· Look for the supplement that has prebiotics also or symbiotic product

· Look for the Potency and CFU (colony-forming unit) at least 10 billion (Consult Doctor)

· Choose the one which has balanced strain and a known a brand to avoid the risk

· It is better to have more than one or multi-strain (5-6) of our tiny little friends

· Look for allergen-free probiotics which are free from the contents like GMO or other triggers which may cause flares

· Look for a better packaged probiotic which may not be vulnerable to environmental condition and is shelf-stable.

· Selecting the right probiotics may require little experimenting as different body react differently to the same probiotics

Among Probiotics strain, Lactobacillus and Bifidobacterium are the most common supplements and have their own benefits they are typically found in yogurt, fermented products, and other dairy products.

Common foods that are rich in probiotics naturally include:

  • Yogurt
  • Buttermilk
  • Kefir
  • Sauerkraut
  • Kimchi
  • Fermented Pickles
  • Dark chocolate
  • Kombucha
  • Miso Soup
  • Raw cheese
  • Apple cider vinegar
  • Tempeh
  • Cultured vegetables
  • Cottage cheeses

Prebiotics helping probiotics

Apart from probiotics as discussed it is good to consume the foods that may have content that acts as prebiotics. They promote the increase of good bacteria in the gut, help with various digestive problems, and even boost your immune system, these include:

  • Chicory root
  • Flaxseed
  • Barley
  • Oats
  • Garlic
  • Raw onion
  • Banana
  • Raw dandelion greens
  • Raw leek
  • Asparagus
  • Apples
  • Konjac roots
  • Cocoa
  • Jacon root
  • Seaweed
  • Wheat Bran

Conclusion

Eczema treatment has reached new levels with novel methods of treatment and products/medicines that are used to treat Eczema. As the quench for treating and managing eczema seems to be a very long journey. As far as Probiotics in treating eczema, there has been interesting research showing evidence of the potential of using Pro-biotics in treating Eczema.

Probiotics can be beneficial for both adults and kids. Moreover, no evidence is found suggesting probiotics supplements may worsen the eczema symptoms or the skin condition and studies have demonstrated the positive effects of probiotics on reducing the incidence of eczema considerably. While there are a number of other proven benefits to probiotic bacteria consumption, aiming for improved immune function, digestion. So even if you say that it is not benefitting eczema it is definitely beneficial for your body in other functions.

So, it is always a good habit to include probiotic food in your meals. One easy way to start can be by simply introducing probiotic-rich foods into your diet, like yogurt and Buttermilk. However, if you are considering probiotic as a supplement and want to go for certain probiotic products or particular strain it’s worth a conversation with your healthcare provider.

References

· https://www.optibacprobiotics.com/professionals/latest-research/general-health/do-probiotics-help-with-eczema

· Wickens K, Barthow C, Mitchell EA, et al. Effects of Lactobacillus rhamnosus HN001 in early life on the cumulative prevalence of allergic disease to 11 years. Pediatr Allergy Immunol. 2018;29(8):808-814. doi:10.1111/pai.12982

· https://www.nih.gov/news-events/news-releases/probiotic-skin-therapy-improves-eczema-children-nih-study-suggests

· https://www.niams.nih.gov/newsroom/spotlight-on-research/role-microbiota-eczema-findings-suggest-striking-right-balance-keeps

· https://www.contemporarypediatrics.com/pediatric-dermatology/microbiome-based-therapy-eczema-horizon