The necessity of diet therapy for successful interferon-gamma therapy in atopic dermatitis

The avoidance of incriminated foods is one of the principal therapies for a topic dermatitis (AD). Recently, interferon (IFN) - gamma therapy has been tried in AD with limited success. The necessity of diet therapy for the suc cess of IFN-gamma therapy in AD was evaluated. A total of 524 AD patients p articipated in this study and 316 patients among them were entered into ope n food challenge tests. As the first step, an elimination diet was administ ered to 43 AD patients and 30 AD patients were enrolled as an untreated con trol group. As the second step, 45 AD patients were treated by both IFN-gam ma therapy and elimination diet alone, 30 AD patients by elimination diet a lone, 50 AD patients by IFN-gamma therapy, and 43 AD patients as controls. Clinical severity reduced significantly by using only the elimination diet in 58.1% patients with varying degrees of AD. Elimination diet improved the clinical results of IFN-gamma therapy in AD. In regard to the food challen ge test, 77.8% of AD patients showed an adverse reaction to at least one fo od. Diet therapy itself had therapeutic effects on AD and an elimination di et might be essential for the success of IFN-gamma therapy in AD.