nutella allergy?

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julia_labutina
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Joined: Tue Feb 10, 2015 2:15 pm
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by julia_labutina on Tue Feb 10, 2015 4:15 pm

nutella allergy?

Dear Mr Alexandroff! I am afraid my daughter (10 yo) is at risk of allergy - she loves Nutella chocolate spread very much and eats it every day.. Have you ever faced this kind of allergy? what does it look like?
Thank you!

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Dr Anton Alexandroff
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Joined: Tue Sep 18, 2012 9:11 am
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by Dr Anton Alexandroff on Wed Feb 11, 2015 12:02 am

Re: nutella allergy?

Dear julia_labutina,

Thank you. Generally speaking chocolate spread rarely causes allergy. If it does it causes transient short lived (hours rather than days) urticaria (nettle like rashes). The best way to identify this type of rashes is to keep food diary. The best way of treatment is to avoid a particular food which consistently causes rashes.

In contrast, eczema (dermatitis) is very common in children and affects nowadays almost every 3rd child. Eczema usually is not triggered by foods but comes from inside (although sometimes children and adults may become allergic to external chemicals like fragrances and /or preservatives (etc) in eg household products). The mainstream treatment is lots of moisturises (emollients) which should be used frequently, liberally and consistently. Ointments are greaser than creams and lotions and therefore more effective (a very reliable ointment is a generic old fashioned emulsifying ointment available over counter, whereas aqueous cream sometimes can make eczema worse). If you use creams - use them more frequently than ointments. Don't forget to use a bath oil when you bath a child and avoid soaps, shower gels and bubble baths all together - the latter dry skin and make eczema worse! You can use emollients to wash with instead of soaps (eg emulsifying ointment (it becomes soapy if you lather it with water), cetrabene cream, diprobase cream, oilatum cream, E45 cream, dermol cream and lotion, eczmol cream (the latter is a moisturising antiseptic cream which is very kind to skin but kills microbes very effectively), aveeno and so on).

Some children may require in addition steroid creams or substitutes of steroid creams and in such case you would need to see your family doctor or a Dermatology Consultant.

Of course everything above is equally relevant to an adult with dermatitis.

I hope this is helpful.
with best wishes,

Dr Anton Alexandroff MRCP (UK), CCT (Dermat), PhD, FRSM, FAAD
Consultant Dermatologist
University, Nuffield and Spire Hospitals of Leicester
for more information on skin conditions and treatments see www.alexandroff.org.uk

twitter: @your_skin_dr

blog: http://privatehealthnews.co.uk/category ... rmatology/
Dr Anton Alexandroff
Consultant Dermatologist, Honorary Senior Lecturer & BSF spokesperson - FRCP, CCT (Derm), PhD, FRSM, FAAD

http://www.talkhealthpartnership.com/on ... ndroff.php

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