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Writer's pictureAlaina Vargas, CNP

Understanding the Atopic March: How Early Eczema Treatment Can Prevent Future Allergies

Updated: Aug 16


Girl sneezing next to dog on couch

When it comes to our children's health, nothing is more important than early intervention and prevention. If your child is struggling with eczema, understanding the concept of the "Atopic March" could be key to protecting them from a lifetime of allergic diseases, including asthma, food allergies and seasonal allergies.


The Atopic March refers to the progression of allergic diseases that typically begins in childhood. It starts with eczema (atopic dermatitis), followed by food allergies, allergic rhinitis, and asthma. This progression is not just a random occurrence—research has shown that there is a distinct pattern connecting these conditions.


Children with eczema are often more vulnerable to developing other atopic conditions. According to a study published in The Journal of Allergy and Clinical Immunology, researchers found that effective treatment of eczema in infancy significantly reduces the likelihood of children progressing to asthma and allergic rhinitis (Paller et al., 2019). This highlights the importance of addressing the root cause of eczema early on.


Early Treatment and Management Strategies:


Treating the root cause of eczema involves a multifaceted approach:

  1. Skin Care: Regular moisturizing and using natural, fragrance-free products can help maintain the skin barrier.

  2. Gut Health and Nutrition: Emerging research indicates that gut health plays a crucial role in managing eczema. Probiotics, prebiotics, and foods rich in omega-3 fatty acids may help strengthen the immune system and reduce inflammation. Testing for gut dysbiosis and treating pathogens to help heal the gut is crucial. Focusing on a healthy diet helps the good gut bacteria to survive and thrive!

  3. Environmental Control: Reducing exposure to toxins as well as potential allergens and irritants can also be beneficial.


Reducing Progression by Reducing Severity

Minimizing the severity of eczema has a direct impact on the likelihood of developing other atopic conditions. By reducing inflammation and healing leaky gut, the immune system is less likely to become hypersensitive to allergens. This preventative approach can change the trajectory of the Atopic March, offering children a healthier future with fewer allergic diseases.


By actively managing eczema and seeking appropriate treatment, we take a significant step in protecting our children from progressing down the Atopic March. The journey of a thousand miles begins with a single step, and in this case, that first step is early and effective eczema treatment.


Want to learn more about how to treat your child's skin condition naturally? Schedule a free 15-minute consultation today! Telehealth services are available in CO, AZ, and NM.



Citation: Paller, A. S., Spergel, J. M., Mina-Osorio, P., & Irvine, A. D. (2019). The Atopic March and Its Implications for Prevention of Allergic Disease. The Journal of Allergy and Clinical Immunology, 143(1), 46-53. doi:10.1016/j.jaci.2018.08.003

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