Systematic Review: Effectiveness of Probiotic Giving as Additional Therapy in Atopic Dermatitis Patient
DOI:
https://doi.org/10.71341/bmwj.v1i2.21Keywords:
probiotics, atopic dermatitis, eczema, Th2 cells, inflammationAbstract
Background: Atopic dermatitis (AD), also known as eczema, is a chronic inflammatory skin condition affecting the epidermis and dermis. It is triggered by a combination of environmental and genetic factors, leading to symptoms such as polymorphic rashes and intense itching.
Objective: This systematic review aims to evaluate the effectiveness of oral probiotic supplementation as an adjunct therapy for individuals with atopic dermatitis.
Methods: The literature was reviewed by searching two electronic databases, Google Scholar and PubMed, resulting in the inclusion of eight studies that collectively involved 347 AD patients.
Results: The findings indicate that probiotic supplementation can significantly reduce the severity and incidence of atopic dermatitis. This effect is attributed to the inhibition of Th2 cell activity and a reduction in pro-inflammatory cytokines, including TNF-α and IgE, which are known contributors to the pathophysiology of AD.
Conclusion: Probiotics present a promising alternative for the prevention and management of atopic dermatitis, potentially enhancing patient outcomes.
References
Angela M, Enza C, Ileana D, Silvana G, Marta P, Eleonora S, Franscesco T(2021). Efficacy of a probiotic supplement in patients with atopic dermatitis: a randomized, double-blind, placebo-controlled clinical trial. Eur J Dermatol 2021; 31(2): 225-32
Ardentry, Ganung H, Bambang S (2017). Pengaruh pemberian probiotik pada anak dengan dermatitis atopic terhadap kadar immunoglobulin E total. Sari Pediatri 2017 ; 19(2): 71-5
Bonita laissa, Prakoeswa CRS, Hidayati A (2019). Efektivitas Lac- tobacillus plantarum terhadap Serum Imunoglobulin E Total dan Indeks Scoring Atopic Dermatitis (SCORAD) Pasien Dermatitis Atopik Dewasa.
Bozena C, Aldona C, et al (2021). The effectiveness of probiotic Lactobacillus rhamnosus and Lactobacillus casei Strains in Children with Atopic Dermatitis and Cow’s Milk Protein Allergy: A Multicenter, Randomized, Double Blind, Placebo Controlled Study. Nutrients 2021, 13, 1169. https://doi.org/10.3390/nu13041169
Buchman AL (2020). Side Effects of Corticosteroid Therapy. 2020;33(4):289-294.doi: 10.1097/00004836-200110000-00006.
Christopher PM, Hung MS (2020). Natural History and Risk Factors of Infantile Atopic Dermatitis: A Case Report and Literature Review. Medicinus. 2020;7(7):229. doi: 10.19166/med.v7i7.2762
Dinicola C, Kekevian A, Chang C (2013). Integrative medicine as adjunct therapy in the treatment of atopic dermatitis - The role of traditional Chinese medicine, dietary supplements, and other modalities. Clin Rev Allergy Immunol. 2013;44(3):242-253. doi: 10.1007/ s12016-012-8315-1
Djuanda A. Ilmu Penyakit Kulit dan Kelamin (2016). 7th ed. Menaldi SLS, editor. Jakarta: Badan Penerbit Fakultas Kedokteran Universitas Indonesia. 167-183p.
Fishbein AB, Silverberg JI, Wilson EJ, Ong PY (2020). Update on Atopic Dermatitis : Diagnosis, Severity Assessment, and Treatment Selection. J Allergy Clin Immunol Pract. 2020;8(1):91-101. doi: 10.1016/j.jaip.2019.06.044.
Huang R, Ning H, Shen M, Li J, Zhang J, Chen X (2017). Probiotics for the treatment of atopic dermatitis in children: A systematic review and meta-analysis of randomized controlled trials. Frontiers in Cellular and Infection Microbiology;7:392. doi:10.3389/fcimb.2017.00392.
Iwasaki A, Medzhitov R (2004). Toll-like receptor control of the adaptive immune responses. Nature Immunol 2004;5:987-95.
Jeong K, Kim M, Jeon SA, Kim Y-H, Lee S (2020). A randomized trial of Lactobacillus rhamnosus IDCC 3201 tyndallizate (RHT3201) for treating atopic dermatitis. Pediatr allergy Immunol Off Publ Eur Soc Pediatr Allergy Immunol. 2020;31(7):783-792. doi: 10.1111/ pai.13269.
Kim J, Kim K, Kim W (2021). Gut microbiota restoration through fecal microbiota transplantation : a new atopic dermatitis therapy. Exp Mol Med. Published online 2021:907-916. doi: 10.1038/s12276-021- 00627-6
Koszorú K, Borza J, Gulácsi L, Sárdy M (2019). Quality of life in patients with atopic dermatitis. Cutis. 2019;104(3): 174-177.
Laura C, Rita C, Lorella P, et al (2022). Therapeutic effects elicited by the probiotic Lacticaseibacillus rhamnosus GG in children with atopic dermatitis. The results of the ProPAD trial. Pediatr Allergy Immunol. 2022;33:e13836. https://doi.org/10.1111/pai.13836
Mayba JN, Gooderham MJ. Review of atopic dermatitis and topical therapies (2017). J Cutan Med Surg. 2017;21(3): 227-236. doi: 10.1177/1203475416685077.
Rather IA, Bajpai VK, Kumar S, Lim J, Paek WK, Park Y-H (2016). Probiotics and atopic dermatitis: An overview. Frontiers in Microbiology 2016;7:507. doi:10.3389/ fmicb.2016.00507.
Rusu E, Enache G, Cursaru R, Alexescu A, Radu R, Onila O, et al. Prebiotics and probiotics in atopic dermatitis (Review) (2019). Experimental and Therapeutic Medicine [Internet]. Available from: https://www.spandidos-publications.com/10.3892/etm.2019.7678
Saini S. New Insights and Treatments in Atopic Dermatitis (2019). Pediatr Clin N Am. 2019;66:1021-1033. doi: 10.1016/j.pcl.2019.06.008.
So Hyung A, Wonsuck Y, So Young, et al (2020). Effects of Lactobacillus pentosus in Children with Allergen-Sensitized Atopic Dermatitis. J Korean Med Sci. 2020 May 11;35(18):e128 https://doi.org/10.3346/jkms.2020.35.e128 eISSN 1598-6357·pISSN 1011-8934
Torres T, Ferreira EO, Gonçalo M, Mendes-bastos P (2019). Update on Atopic Dermatitis. Acta Med Port. 2019;32(9):606-613. doi: 10.20344/amp.11963.
Tsai TF, Rajagopalan M, Chu CY, Encarnacion L, Gerber RA, Santos-Estrella P, et al (2019). Burden of atopic dermatitis in Asia. J Dermatol. 2019;46(10):825-834. doi: 10.1111/1346-8138.15048.
Van der Aa L, Heymans H, van Aalderen W, Sprikkelman A (2010). Probiotics and prebiotics in atopic dermatitis: Review of the theoretical background and clinical evidence. Pediatry Allergy Immunol. 2010;21(2p2):355-67.
Wu Y-J, Wu W-F, Hung C-W, Ku M-S, Liao P-F, Sun H-L, et al (2017). Evaluation of efficacy and safety of Lactobacillus rhamnosus in children aged 4-48 months with atopic dermatitis: An 8-week, double-blind, randomized, placebo-controlled study. J Microbiol Immunol Infect. 2017;50(5):684-692. doi: 10.1016/j.jmii.2015.10.003.
Yan D-C, Hung C-H, Sy LB, Lue K-H, Shih I-H, Yang C-Y, et al (2019). A Randomized, Double-Blind, Placebo-Controlled Trial Assessing the Oral Administration of a Heat- Treated Lactobacillus paracasei Supplement in Infants with Atopic Dermatitis Receiving Topical Corticosteroid Therapy. Skin Pharmacol Physiol. 2019;32(4):201-211. doi: 10.1159/000499436.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Evangelista Maria Pangkahila, Made Yudha Asrithari Dewi, Agustinus I Wayan Harimawan

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
License
This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercial purposes.
- Adaptation — mixing, changing, and developing materials for any purpose, even commercial ones.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.