This is the 57th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.
Dr Jennifer Shu is the co-author of the award-winning parenting books “Heading Home with Your Newborn: From Birth to Reality” and “Food Fights” as well as editor of the American Academy of Pediatrics’ book “Baby and Child Health” and the AAP’s parenting web site, HealthyChildren.org. Dr. Shu is also CNNHealth’s Living Well expert doctor and doctor on WebMD.
Parents of babies with eczema face unique challenges related to the management of eczema, very often, receiving many advice (from almost everyone!) on how to make the eczema go away. We know that eczema is a chronic condition, and while there’s no miracle cure, it’s certainly important to manage the eczema so that our babies can be well and happy. MarcieMom is privileged to have Dr Jennifer Shu, board-certified pediatrician and mom, to answer the questions unique to parents taking care of eczema infants.
Thank you Dr Shu, I’m so glad to have you answer some questions that I frequently hear parents of eczema babies ask, especially first-time parents who are often even more at a loss what to do. So let’s jump right in to having the top questions answered!
Question: I’ve written on showering my child and on bleach bath, but I know when it comes to bathing a newborn, there are many differing opinions on how often and how to bathe. Eczema can be triggered by sweat, heat and eczema skin tend to have more bacteria, e.g. Staph bacteria, thus bathing can help but moisture can also be lost in the process of bathing.
How often would you recommend an eczema newborn to bathe, and while water alone is fine for non-eczema babies, would eczema babies require a bath oil or non-soap cleanser for every bath?
Dr Jennifer Shu: You can refer to the various links below –
1. HealthyChildren.org, relevant extract:
“Warm (never hot) showers may be preferable to baths. In addition, moisturizing baths in lukewarm water for 20 minutes add moisture to the epithelial layer and cleanse the skin by lowering the number of bacteria. Gently pat your child dry after the shower or bath to allow some water to remain on the skin. Apply a moisturizer or lubricating cream to the whole body within 3 minutes, while the skin is still moist. This helps to keep the skin from drying out. Your child may also benefit from wet wraps, particularly if your child is an infant or a toddler.”
2. Post from my colleague, Dr Jeffrey Benabio at:
http://www.quora.com/Is-showering-good-for-eczema, extracted
Yes. Showering less frequently is often good for eczema.
Although showering moisturizes the skin, it also strips the oils off your skin. When the moisture evaporates, your skin is left dryer than it was before. Showering too much or using harsh soaps makes eczema worse and worse over time.
The best thing to do is to take a lukewarm bath or shower (hot water removes more needed oils), use only non-soap cleansers, then apply a moisturizer immediately after, while your skin is still damp. This locks the moisture in your skin, preventing evaporation and helps heal dry, eczema skin.
Last updated on 22 November, 2024 9:48 pm
Julie Daniluk RHN, nutritionist, hosted Healthy Gourmet on the Oprah Winfrey Network and had also appeared on numerous TV and radio shows including The Dr Oz Show, CTV’s Breakfast TV and Wylde on Health (CP24). She has 3 award-winning best sellers, including Meals that Heal Inflammation that features a practical nutrition guide, menu plan and 130 easy and delicious recipes.
Children with eczema, like all other children, need healthy food to grow. Lack of sleep and the constant struggle with eczema may have affected your child’s growth and thus, it’s even more important to ensure a healthy diet. MarcieMom is privileged to be given permission to feature recipes of Julie Daniluk, and have selected nutritious recipes whose ingredients are anti-inflammatory and available in Singapore. This was originally posted as a 5-week series and consolidated into a single post featuring all 5 recipes.
Broccoli Seaweed Salad
Ingredients
- 1 cup hijiki or thinly cut wakame seaweed
- 1 cup large onion, chopped
- 1 Tbsp extra virgin olive oil
- 1/2 cup filtered water
- 1 bunch broccoli
- 1/2 cup almonds, chopped
- 2 Tbsp hemp or flax oil
- 2 Tbsp lemon juice
- 1 Tbsp toasted sesame oil
- ½ tsp umeboshi plum paste or ¼ tsp sea salt
- 2 Tbsp freshly grated ginger
1) Place seaweed in a bowl and cover with water; let stand.
2) Sauté onions in olive oil, in a covered saucepan over low-medium heat, until they are translucent. Combine water with the onions and cook for 5 minutes.
3) Add broccoli, stir, and cook covered on low heat for approximately 10 minutes, until the broccoli is heated through, but still a vibrant green colour.
4) Remove the pot from the heat. Drain the soaking water from the seaweed (you can save it for a soup stock).
5) Transfer the veggies and softened seaweed to a large bowl.
6) In a mason jar mix the flax or hemp oil, lemon juice, toasted sesame oil, umeboshi plum paste, ginger. Shake well until blended and pour over veggies.
Makes 4 servings
MarcieMom: Broccoli’s Benefits include reducing inflammation and allergic reactions!
I looked up broccoli and here are some fast facts & benefits of eating broccoli!
- Source of vitamin C (aids iron absorption), vitamin A/ beta-carotene (anti-inflammatory), folic acid, calcium (for bone), protein, Omega-3 and fibre
- Contains sulforaphene, a type of isothiocyanates/phytochemical, that reduces cancer/ tumours and helps repair skin from damage
- Best consumed as whole foods versus supplements (study showed supplements lacking in an enzyme that is required for better absorption by body)
- Best lightly cooked as cooking till soft would have destroyed most of the enzymes
- Contains soluble fibre that is able to reduce blood cholesterol
- Source of kaempferol, a phytonutrient that can reduce allergic reactions
Healthy Vanilla Sesame Milk
Ingredients
- 3/4 cup (185 mL) sesame seeds, soaked
- 4 cups (750 mL) filtered water
- 1 tbsp (15 mL) pure vanilla extract
- 2 tbsp (30 mL raw honey)
- pinch of sea salt (optional)
1. Soak the sesame seeds in a bowl for 4 hours or overnight in the refrigerator.
2. Blend the soaked sesame seeds with the water until smooth (approximately 2 minutes).
3.Pour the mixture through a strainer into a large bowl, pressing with the back of a spoon to extract as much liquid as possible. (Save the sesame pulp in the refrigerator or freezer for later use—it can be added to porridge or soups to increase the nutty flavor of any recipe.)
4.Pour the sesame milk back in the blender, add the vanilla, pinch of sea salt and raw honey, and blend until smooth.
This milk will last in the refrigerator for about 3 to 5 days. Shake well before using.
Makes 3 cups of Milk and 1 cup of Sesame paste
Marcie Mom: I’m excited about this recipe because a local nutritionist has also just recommended me to give my toddler (Marcie) sesame paste, particularly after she heard that Marcie doesn’t drink milk formula. So, I’m excited to read up on the benefits of sesame and beware, I’ve vested interest because I’ve already been giving Marcie sesame paste for a month!
Sesame – Benefits include anti-inflammation + rich source of calcium!
- Source of manganese, copper, calcium, magnesium, iron, phosphorous, vitamin B1, selenium, zinc, protein, folic acid and fiber
- Contains sesamin and sesamolin associated with lowering cholesterol, liver damage prevention and anti-inflammation
- Contains magnesium associated with reduction of airway spasm in asthma patients
- Rich source of phytosterols, i.e. plant compounds that lowers cholesterol and regulates immune responses
- Source of copper which is anti-inflammatory and able to activate enzyme that builds collagen and elastin
- Some may be allergic to it, check for cross-reactivity and buy from trusted source that takes care not to mix with nuts during production
Holiday Pumpkin Rice Pudding
Ingredients
- 3 cups (750 mL) water
- 1/4 cup (75mL) coconut milk (“light” if you want to reduce calories)
- 1 cup (250 mL) short-grain brown rice
- Pinch of grey sea salt or pink rock salt
- 1/3 cup (85 mL) currants or cranberries
- 1 tsp (5 mL) cinnamon (or to taste)
- 1 tsp (5 mL) vanilla extract
- 1/2 cup (125 mL) hemp seeds
- 1 cup (250 mL) pumpkin puree
- 1/4 cup (63 mL) honey
- 1 tsp maca powder
- Bring water, rice and salt to a boil in an uncovered pot over high heat. Reduce heat to low and simmer, stirring occasionally for 45 minutes.
- Add currants and cinnamon. Cook on low for another 15 minutes or until rice is tender and liquid is absorbed.
- The rice should be very creamy.
- Remove from heat. Fold coconut milk, vanilla, hemp seeds, pumpkin puree and honey into pudding.
- Sprinkle with cinnamon. If desired, sweeten more with a drizzle of honey and add crunch with nuts or seeds.
Makes 8 servings
MarcieMom: Pumpkin’s Benefits include Anti-Inflammation & Low Calorie-d!
Pumpkin is one of the first solid foods that I gave my baby and I’m excited to know it can be incorporated into a rice pudding for the entire family! Some quick facts and benefits of pumpkin:
- Source of Vitamin A, B-complex, C, K and E, antioxidant carotenoids (alpha and beta-carotenes), protein, essential fatty acids, minerals including magnesium, potassium, iron, zinc and fibre
- Source of carotenoids which help to reduce free radicals, prevent pre-mature aging and protect the eyes
- Good source of phytosterols that can help reduce blood cholesterol
- Due to low calories per weight, recommended for weight reduction
- The pumpkin seeds can be roasted and is a rich source of vitamins and minerals, and anti-inflammatory too! (studied in reducing arthritis)
Krispy Kale
Ingredients
- 2 heads (10 cups/2.5 L) green curly kale, washed, large stems removed, torn into bite size pieces
- ‘Cheese’ Coating:
- 1 cup (250 mL) cashews, (soaked 2 hours)
- 1 cup (250 mL) sweet potato, grated
- 1 medium lemon, juiced (about 4 tbsp/60 mL)
- 2 tbsp (30 mL) nutritional yeast
- 1 tbsp (15 mL) honey
- 1/2 tsp (2.5 mL) grey sea salt or pink rock salt
- 2 tbsp (30 mL) filtered water
1. Place kale in a large mixing bowl.
2. Blend the rest of the ingredients in a blender or food processor until smooth and thick. You may have to open the lid and scrape down the sides to ensure proper mixing.
3. Pour over kale and mix thoroughly with your hands to coat the kale. You want this mixture to be really glued on to the kale.
4. Place kale onto parchment paper and dehydrate for 6 hours at 115 degrees F. You’ll need to use two trays. If you don’t own a dehydrator, set your oven to 150 °F (65 °C) and dehydrate for 2.5 to 3 hours.
5. Remove and store in a dry airtight container.
Makes about 6 cups (1.5 L)
Marcie Mom: I‘m amazed that kale can be made to chips! Kale seems to be one of those foods that I keep coming across in magazines, especially, when it’s talking about healthy foods or food that is good for the heart. So once again, I did a little ‘digging’ on its benefits!
Kale – Benefits include anti-inflammation + rich source of vitamins!
- Source of Vitamins A, B6, C, K, manganese, copper, calcium, magnesium, iron, potassium, phosphorous, folic acid and fiber (best part – no fats!)
- Source of antioxidants (carotenoids, flavonoids) that is associated with protection against cancer, including kaempferol and quercetin that helps reduce oxidation and chronic inflammation
- Anti-inflammatory food that contains omega-3, see this post to learn more on inflammation
- Contains fibre that binds bile acids and helps lower blood cholesterol levels, particularly when kale is steamed
- Buy organic – it’s assessed by Environmental Working Group to be part of Dirty Dozen Plus, due to its insecticide content
- Best to be eaten at separate times from consuming calcium, as Kale contains oxalates that can impede calcium absorption
Warming Quinoa Muesli
Ingredients
- 2 cups boiling water
- 3/4 cup rolled quinoa
- Sprinkle with your choice of:
- 1 tsp cinnamon
- 1-2 tsp honey
- Pinch of sea salt
- 1/4-cup raisins
- 10 chopped almonds
1) Boil water in a medium sauce pan. Add rolled quinoa and stir for 90 seconds. Distribute the hot cereal evenly between 2 bowls (or put one cooled portion in an airtight container for the next day).
2) Mix in the spices, nuts, honey and salt until evenly distributed.
3) Tip for on the run: This cereal is perfect for a portable meal at work or school. Simply add all the ingredients to a wide mouth thermos and enjoy when you get to your destination. Note: For extra creaminess, serve with almond milk.
Makes about 2 servings
Marcie Mom: I’ve heard so much about quinoa and really interested to find out more ways to cook it for my girl!
Quinoa – Benefits include anti-inflammation + rich calcium content!
- Source of Vitamin B and E, manganese, copper, calcium, magnesium, iron, potassium, phosphorous, protein (containing 9 essential amino acids), folic acid, zinc and fibre
- Source of antioxidants, including kaempferol and quercetin, that help reduce oxidation and chronic inflammation
- Anti-inflammatory food – Contains anti-inflammatory phyto-nutrients, manganese, copper, omega-3 and alpha-linolenic acid (ALA)
- Good source of calcium – for healthy bones, teeth and skin!
- Source of riboflavin, magnesium that helps reduce migraine by improving oxygen supply to brain
- Reduces cholesterol and reverses effect of high fructose diet, see study here
- High insoluble dietary fibre content can help prevent formation of gallstones
- Contains lysine that aids tissue repair
- Rinse before cooking quinoa and best part – cooking doesn’t significantly reduce its nutrients
- Gluten-free!
Last updated on 22 November, 2024 3:02 am
This is the 56th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.
Julie Daniluk RHN, nutritionist, hosted Healthy Gourmet on the Oprah Winfrey Network and had also appeared on numerous TV and radio shows including The Dr Oz Show, CTV’s Breakfast TV and Wylde on Health (CP24). She has 3 award-winning best sellers, including Meals that Heal Inflammation that features a practical nutrition guide, menu plan and 130 easy and delicious recipes.
After reading Julie’s recipes, Marcie Mom discovered that some readily available foods in Singapore are of high nutritional value but we may not have thought of giving them to our kids! Thus, I caught up with Julie to find out the nutritional benefits of these foods and knowing how nutritious they are will certainly motivate us to cook for our kids! This was originally posted on 4 Fridays, but had since been combined into one more info-packed post.
Shiitake Mushroom
What are the nutritional benefits of Shiitake Mushroom?
Julie: Shiitake mushroom is a tasty and nutritious fungi, that has been studied and also associated with protecting our body against toxins, in particular our liver. Other benefits include:
- Protecting against flu – This is due to the compound known as Active Hexose Correlated Compound (AHCC) which can improve our immune response after exposure to flu virus.
- Protecting against adverse effects of cancer treatments – This is credited to polysaccharides which can reduce the immune-compromising effects associated with chemotherapy and radiation. Also helps improve liver function and recovery from treatment.
- Protecting against hypertension – The rich source of potassium in shiitake mushroom helps to regulate fluid and blood in our system.
- Protecting against high blood cholesterol – A compound eritadenine helps to lower blood cholesterol.
- Protecting against bacteria in contaminated food – This is credited to an active compound, lentinan, that has anti-bacterial properties against food-borne pathogens.
- Protecting against osteoporosis – This is due to its vitamin D, that reduces likelihood of osteoporosis and improves calcium absorption.
- Shiitake mushroom also has Vitamin B, iron, manganese, phosphorus, selenium, copper, zinc, protein and magnesium.
How Much Shiitake Mushroom can a Child take?
Julie: A child dosage of remedies is based on weight. If they weigh 40 pounds it would be a 1/3rd to what an adult would have.
Is there significant loss in nutrients if cooked?
Julie: In general, water soluble vitamins are lost in cooking but some fat soluble nutrients like pro-vitmain A is increased by cooking! Shiitake mushrooms should be cooked as they are easier to digest.
Is Shiitake Mushrooms Anti-Inflammatory Food?
Julie: Shiitake mushrooms are certainly an anti-inflammatory food!
Marcie Mom: Thanks Julie, I have been cooking shiitake mushroom in chicken broth with celery for my toddler to scoop the chewy mushroom onto her wrap. She’s been having fun eating mushroom and kept thanking me for it! I’ve also found other mushroom recipes online:
Nori Seaweed
What are the nutritional benefits of Nori Seaweed?
Julie: Sushi is a popular food and while there’re many nutritional benefits of the nori seaweed, do note not to over-consume the white rice as it is high in sugar content. Brown rice, or non-rice options, wrapped with nori seaweed will be a healthier option! Nori Seaweed contains about one-third protein and 1/3 dietary fibre, with a good content of Vitamins A, Bs, C, E, K, calcium, iodine, iron, magnesium, phosphorous, potassium and zinc. Benefits of these nutrients include:
- Reducing risk of Type 2 Diabetes – Nori contains iodine that can reduce insulin resistance and allow glucose into cells to be used for energy. This manages the blood sugar level and reduces the work load for our pancreas.
- Reduces risk of tissue degeneration – Nori contains Vitamin A, that has been associated with the prevention of tissue degeneration, in particular in our eyes and our lungs.
- Reduces time for skin healing – Nori contains Vitamin C that is an antioxidant with anti-inflammatory properties, able to improve wound healing and reduce inflammation in our body and on our skin.
- Reduces blood cholesterol – Nori is high in niacin, which can reduce LDL cholesterol, particularly in Type 2 Diabetes sufferers. Through its increased metabolism of triglycerides (fats), fats can be reduced on the arterial walls and blood stream.
- Relieves headaches and muscle cramps – Nori is high in magnesium, which can reduce muscle cramping and relaxes small arterial and skeletal muscles in the head and neck.
Nori Seaweed Reduces Time for Skin Healing
(ii) A study published in the 2009 issue of the “Journal of Toxicology and Environmental Health” indicates that seaweed presented a relatively low quantity of mercury in the Korean diet, where seaweed is eaten frequently — 0.02 mg per person per day compared with the 1.8 mg per person per day from seafood, considered to be the greatest mercury risk. The small risk might be mitigated by the health benefits of seaweed, however. Evidence available in the February 2004 “Veterinary and Human Toxicology” journal correlates the consumption of seaweed with antioxidant protections that can ward off neurological damage caused by mercury.
Read more: Livestrong.com
How much Nori Seaweed can a Child Eat?
Julie: I think ½ sheet of nori per day would be healthy for school age children as long as it is from a clean source. Eden foods tests their seaweed for contaminants.
Here is an excellent study on Thyroid Research Journal
MarcieMom: Thanks Julie, I’ve started giving my toddler Nori seaweed, within her shiitake mushroom wrap but sometimes, she stuff the seaweed strips in her mouth and laughs about it! (and half of it fell off!). Will continue looking into ways to incorporate Nori in her diet! Some recipes I’ve found –
Homemade Seaweed Snacks – by Whole Life Nutrition Kitchen
Bok Choy
What are the nutritional benefits of Bok Choy?
Julie: Brassica chinensis, better known as Bok Choy, is a member of the Chinese cabbage and its chinese name ‘白菜’ meant ‘white vegetables’. Bok Choy is a good source of sulforaphane, calcium, beta-carotene, iron, magnesium, manganese, phosphorous, potassium, Vitamins A, B-complex, C, K and fibre. Benefits of some of these nutrients are:
- Prevents cancer – due to a compound, sulforaphane, that can prevent cancer cells from multiplying
- Reduces risk of osteoprorosis and hypertension – credited to its high calcium content, sufficiently high to be an alternative to diary and it’s more easily absorbed into the body
- Aids eyesight development – pregnant women and infants especially, can benefit from its high Vitamin A content
- Reduces blood cholesterol – through its soluble and insoluble fibre that can bind bile to fats, thus preventing fats from entering into our blood stream
- Protects against hypertension – its high potassium content can help to reduce blood pressure level
- Protects against & reduces inflammation – through its rich source of anti-oxidants content, namely of Vitamin C and manganese
How much Bok Choy can a child take?
Julie: Bokchoy is self-limiting, which means a child will not eat more then they need. Have you ever met a kid say- I want another head of cabbage please!
2 TB is the standard serving a child will eat. The only contra-indication for Bok Choy is if someone has thyroid issues, they should not eat it raw!
MarcieMom: Thanks Julie, I’ll be sure to ask my parents to cook for themselves too! As obviously, they can benefit from Bok Choy as aged parents are at risk of osteoprorosis and high blood pressure. Will also be cooking for my toddler, just wondering how to make it cute! Some recipes that I’ve found online, mostly a quick stir fry will do!
Baby Bok Choy with Cashews – by Simply Recipes
Green Beans
What are the nutritional benefits of Green Beans?
Julie: Green beans are also known as french beans, string beans, snap beans and squeaky beans. It is a rich source of Vitamins A, B complex, C, K, protein, iron, magnesium, manganese, potassium and fibre. Green bean can also benefit us in the following ways:
- Reduces inflammation on the skin due to sun burn – Green beans have high carotenoids; in particular, beta-carotene and lutein can stop erythema, which is skin redness and inflammation after a sunburn.
- Reduces benzopyrene toxicity due to charred food – Green beans have high chlorphyll, which can stop the multiplicaiton of tumor cells due to benzopyrene.
- Reduces inflammation – Having the highest antioxidant in the bean family, Green beans contain quercetin and kaemferol that have been researched to stop death of dopamine-creating cells, thus aiding the treatment of Parkinsons disease.
- Improves connective tissue – Through the mineral silicon, Green beans can improve the health of our connective tissue, including cartilage, bones, ligaments and skin.
- Reduces likelihood of bone fractures – Being high in Vitamin K, Green beans strengthen our bone matrix, preventing bone fractures and osteopenia. Vitamin K also moderates blood clotting.
How much Green Beans can a Child take?
Julie: A child serving would be 2 tbsp.
Will Nutrients be lost when Cooked?
Julie: Vitamin B and C is lost in boiling so steaming green beans is a perferred cooking method.
MarcieMom: Wow, I’ve to bear in mind the ‘power’ of green beans, in particular, to encourage my mom to take more of it. It’s strange though, at one time Marcie loves green beans (when we eat out) but once I got my mom to cook for her, she hates it! Time for me to look into recipes to entice her back to Green beans!
Fresh Green Beans, One Way – by The Pioneer Woman
Green Beans with Almonds and Thyme – by Simply Recipes
Last updated on 18 November, 2024 5:20 am
Sadly, it’s mostly spent (productively or not!) on the skin.
This is the 55th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.
This is the 54th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.
Dr Benabio (DermDoc) is board certified in dermatology and is a fellow of the American Academy of Dermatology. He is also the author of numerous scientific articles, a book and quoted in notable publications such as O, The Oprah Magazine, Dermatology News, Dermatology World, CNN and WebMD. He is the chief of dermatology at Kaiser Permanente, San Diego.
This is a combination of two previous posts – the first one was an explanation of Dr Benabio’s ‘Great hack to help your kid with eczema’ video that he tweeted me and the second a short Q&A with him. The videos are no longer available which is why I’ve combined the two posts into one to be more informative.
The simple message is to moisturize your child enough.
How much is enough? It’s about half ounce a day, equivalent to about 12 pumps. Dr Jeff Benabio has an insanely simple way to hold your kid responsible for moisturizing enough, i.e. by marking the bottle. Also, parents tend to underestimate the amount of moisturizer to put on our child.
I’ve blogged about this before, as I also have wondered how much is enough. Here’s the link to my post How Much Moisturizing is Enough? I mentioned 400-500ml/week!
Causes of Childhood Eczema
Marcie Mom: In the video, Dr Jeff explained that eczema is mainly due to an overactive immune system and damaged skin, where the damaged skin allows bacteria to penetrate, resulting in a vicious cycle of inflammation, itching, scratching and more damage to skin (more on causes of eczema here).
Here’s a question – For parents whose children are more likely to have eczema due to family history of eczema in parents or siblings, what would you recommend the parents to do before pregnancy, during pregnancy, after birth to reduce the likelihood of eczemaand/or the severity of eczema in the child?
Dr Jeff: Great questions here. Unfortunately, there’s little that parents can do to prevent it. There is some evidence that taking probiotics during pregnancy and up to 6 months post pregnancy if breast-feeding can reduce the risk of eczema in the child. There is some evidence that some foods can make atopic dermatitis more severe if the child is allergic to that food. Common suspects include: cow’s milk, soy, nuts, eggs, and wheat. There’s some evidence that living on a farm can help — I’m not kidding. Here are a couple of links to studies:
http://www.ncbi.nlm.nih.gov/pubmed/12463312
http://www.ncbi.nlm.nih.gov/pubmed/15125698
Last updated on 20 November, 2024 5:43 am
Explore with celebrity hairstylist Kristan Serafino on hair solutions that are appropriate and attractive for those suffering from scalp eczema. Kristan received formal training at Toni & Guy and has styled many Hollywood A-List male celebrities.
This was originally a 3-week series, combined into one post. The information written by Marcie Mom on scalp eczema has been vetted by Dr Vermén Verallo-Rowell, the founder of VMV Hypoallergenics.
What is Scalp Eczema?
Eczema is a term for any skin change characterized by edema: at the dermis, then upwards to the epidermis, forming vesicles, and bullae, becoming thus at the clinical – a wet oozing and then crusting mess. Seborrheic dermatitis is one of the causes of eczema on the scalp (others are allergic or irritant contact or photocontact dermatitis, or secondary to trauma or presence of lice).
Dandruff, Symptoms and Yeast
In its mild form, scalp eczema may result in dandruff which is loose skin flakes; in more serious cases, scalp eczema may lead to red, inflamed, itchy, scaly or weepy scalp with yellowish greasy flakes. Scalp eczema is often associated with allergic reaction to malassezia furfur, a form of yeast that is commonly found on areas with more sebaceous glands as it requires fats to grow. It is estimated that about 1 in 4 adults carry the yeast on their skin or hair, mostly without a problem. However, individuals with seborrhoeic dermatitis have somehow become ‘sensitive’ to this yeast.
In seborrheic dermatitis, the yeast proliferate more from many reasons – decreased immunity, presence of too much sweat.
Seborrhoeic dermatitis can also extend to other areas with more sebaceous glands such as the face, ear canal, armpits and flexural areas.
What Triggers Scalp Eczema
Like eczema, scalp dermatitis can be triggered by sweat, weather, stress or irritants found in shampoo, hair dyes and other hair products. A common substance in hair dyes, namely paraphenylenediamine (PPD) used for permanent coloring, can cause severe allergic reactions for those who are hypersensitive to it. A patch test (in small amount) ought to be performed before using the hair dye. PPD used in black henna tattoo has also been cited to cause allergic reaction and has been banned in some countries for direct skin application. For someone with sensitive skin/scalp, it is prudent to also avoid the top allergens such as fragrance, preservatives, parabens, propylene glycol, lanolin and colorant (ranked by Dr Vermén Verallo-Rowell in this post).
Paraphenylenediamine (PPD) used for permanent coloring, can cause severe allergic reactions for those who are hypersensitive to it
Hairstylist Challenge – For people with eczema or moms with eczema child (like me!) who can’t or choose not to color our hair, what can be done to our hair so that it won’t look too one (color) – dimensional?
Serafino Says
A conversation on how to achieve dimension in your hair does not always begin and end with hair color or dyes. This should be welcome news to women predisposed to certain scalp disorders, therefore unable to use hair dyes. A common substance in most permanent dyes is para-phenylenediamine (PPD), which is known to trigger eczema outbreaks. It can take only small traces of PPD absorbed through your scalp to cause inflammation. Therefore, women who have sensitive skin or eczema should refrain from using hair dyes or coloring.
So how do you achieve dimension when using dye is not an option?
Let’s start by examining how hair color achieves dimension. A head of hair with a single color is considered flat or lacking dimension. Dimension is a function of the range of tones in the hair commonly referred to as highlights and lowlights. This range of tones creates the appearance of movement throughout the hair.
So what is the substitute for color tones?
The answer; LAYERS! Visually, layers create movement, dimension and even volume. It also creates real texture to otherwise plain and flat style. The placement of layers should not be something entered into blindly. Don’t simply proclaim to your stylist, “I want layers!” Layers should be placed strategically to flatter and enhance you best facial features. The pre-cutting consultation with your stylist needs to include a candid discussion on your features, which will better define your options. Eyes, forehead, cheekbones, jaw line, neck are all facial aspects to consider. Of course the length of your hair is also a factor. A rule-of-thumb is the shorter the hair the less layers, and avoid too much layering in the back of longer hair or risk bringing back the mullet. Remember, a great layered haircut is almost invisible until you move… then it comes to life.
Layers should be placed strategically to flatter and enhance you best facial features.
Here is an example of the proper match between features and hair length; women with a long neck, but short thin hair look stunning with a short bob where the bottom of the hair at the back is layered to reveal an elegant neck line, and women with a full face and thick medium length hair find layers starting in the front of the head and textured to curve in toward the face flattering since it gives the illusion of a thinner face.
Most important, when trying to achieve dimension in your hair you need to avoid blunt cut styles because they leave too much weight on the hair causing it to lie flat and lifeless.
Who gets Scalp Eczema?
Scalp Eczema in Children and Men
Sebum secretion is controlled by the hormone, androgen, which can be higher in (i) infant and (ii) adult males. Androgen increases at puberty and causes sebum production to increase, peaking at about 20 year old.
For children, scalp eczema is also known as cradle cap, which is greasy, yellow and crusty. It is difficult to scrape off and emollient or coconut oil can be applied to soften the crust prior to combing it off before bath. Cradle cap can also develop above eyebrows and inside the ears, for more information read this post.
While children won’t know that they are having a bad hair day, scalp eczema can be an issue for teenagers. During the teenage years, there is higher sebum production coupled with sweating through sports, thus providing an environment for the yeast to grow. It is even trickier if sweat is also a trigger for the eczema; while the amount of sweat produced for long or short hair is the same, short hair could at least reduce the amount of sweat trapped. Heat may also be a trigger.
Hairstylist Challenge – We’ll ask Kristan for some short hair cuts and styles!
Serafino Says
I recommend any number of beautiful short hairstyles for women with scalp eczema because of the ease of maintenance, cooling effect, and reduced itching. I truly believe a short hairstyle is the most provocative style a woman can wear, but it takes a woman with confidence to rock it. But if you embrace a short hairstyle it can boost your confidence, make you look younger, and reduce the amount of time you spend on hair care.
I truly believe a short hairstyle is the most provocative style a woman can wear, but it takes a woman with confidence to rock it.
Before you rush off to the salon you may want to consider the condition of the scalp. On those days when the scalp eczema flares up resulting in weepy patches or irritated scabs, you want to be particularly cautious of infection. While beauty salons are governed by strict heath codes, you have to consider that brushes, combs and scissors may not have been thoroughly sterilized between uses. Just to be on the safe side; you do not want to expose an irritated scalp condition to a possible infectious environment.
On those days when the scalp eczema flares up resulting in weepy patches or irritated scabs, you want to be particularly cautious of infection.
If you have not tried short hairstyles in the past then I don’t want you to think for a moment that your choice is a life sentence of boredom. A good short hair cut has all the right proportions and includes all the basic elements of balance, line and movement…just like longer hairstyles. A short hair cut is manageable and the hair will look great in its natural form even before styling.
picture credit: www.hairstyleaa.com
picture credit: carouselstrands.com
I am a big proponent of change and encourage my clients to experiment and have fun as their basic cut grows out. Even if you have short hair! Twist, pull, pin, tie and add accessories to tweak your hairstyle regularly to achieve a feminine look one day, sassy the next, then sexy for those special nights. You will be surprised what a subtle difference can make in the way you look, and even your attitude.
Styling Hair
Change can include introducing styling products into your routine such as gel, spray or mousse, but always test a product on a small area of the scalp before using. The ingredients and formulization of hair care products vary and you want to be certain all products agree with your skin condition. Most hair care companies will provide free samples for testing. Just as with your shampoo and conditioner, choosing the correct styling product is a process of elimination and experimenting with different hair products.
Now go out there and make the world sit up and take notice of your new short hair cut!
Scalp Eczema Treatment
Medicated Shampoo, Topical Treatment and Antibiotics
Scalp eczema, like eczema on other parts of our skin, requires treatment. Treatment varies, depending on the severity of the seborrheic dermatitis. In mild case where there’s only dandruff, medicated anti-dandruff shampoo can be used. These shampoos typically contain one of these ingredients, such as zinc pyrithione, selenium sulfide, salicylic acid, ketoconazole or piroctone olamine.
Shampoo for Scalp Eczema
For shampoo containing coal tar, light-colored hair may be discolored and the scalp be sensitive to strong sunlight, thus more vulnerable to sunburn. These ingredients generally have anti-fungal, anti-inflammatory or sebum-suppressive properties but it’s still best to consult a doctor before using as the type and frequency of shampoo may differ for each individual. One point to note when shampooing is that the water should not be hot, as that will strip moisture from the skin. For babies, shampoo can be what is already used on the body or virgin coconut oil which has anti-viral properties.
Treatment for Scalp Eczema
For more severe cases of scalp eczema, steroid cream or ointment may need to be prescribed. For the scalp, it may be easier to have it in lotion form for ease of application and it is also common for very mild steroid lotion to be prescribed for babies. Should the scalp be weepy or oozing fluids, it would usually warrant an antibiotics to control the inflammation and prevent infection.
Hairstylist Challenge – What are the ways to blow dry hair without hot air that may strip away moisture? Or, hairstyles easy to maintain, shampoo and apply topical lotions without having to blow dry?
Serafino Says
When styling your hair it is important to avoid disturbing topical treatments such as medicated shampoos and lotions. The biggest culprits can be the excessive heat from blow dryers or styling products, which can partially or completely counteract the active ingredients in medicated topicals.
So what’s a woman to do? Simple… find a hairstyle that:
1) Does not disturb the topical during preparation and maintenance
2) Allows for easy, quick styling in the morning
3) Looks stylish and chic
I don’t mean to be flippant but I also don’t want anyone to think there is no solution. Before we discuss haircuts and hairstyles, let’s begin at the beginning. Regardless of the cut & style we need to dry the hair without disturbing the topical. Unfortunately I don’t have any special tips or tricks-of-trade for drying hair so let me describe what may be the obvious:
1) After showering blot your hair by squeezing and holding small sections into a microfiber towel
2) Comb out damp hair using a wide-tooth comb
3) Repeat step #1
4) Give the air access to more surface of your hair by flipping your head upside-down every few minutes
5) Run your fingers through your hair and shake your hair every few minutes.
Unless you are among the very, very few with unlimited time to prepare in the morning, then at this point you have damp hair. While damp hair may not be the optimum situation, you have done a good job preserving the integrity of the medicated topical on your hair and scalp. This is a good time to share a Red Carpet tip – to achieve a considerable volume boost, first make a deep side part then flip your hair to the opposite side. When the hair has air dried comb it back and voila…instant volume!
Below are a few of my favorite air-dry hairstyles that begin with damp hair:
http://www.allure.com
Sexy Waves – Achieve sexy waves by braiding sections of damp hair and allowing it to air dry completely. When you release the braids you have breezy, been-to-the-beach waves.
Tight Bun – While the hair is damp, gather and coil it into a bun by twisting it around itself. You can place the bun high, at the nape of the neck, or to the side for a change.
Undone Bun – This cool, windswept chignon can be worn on all occasions!
Last updated on 23 November, 2024 1:58 am
This is the 53rd of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.
This is the 52nd of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.
This is a post out of the ordinary.
It is a post that I write, after thinking for sometime… I
PAUSE – Because I started to feel I’m blogging for the sake of fulfilling my (heavy & punishing!) commitment of Monday cartoons, Tuesday guest posts, Wednesday blog series and Friday Q&A. It’s punishing because I’m very particular about what goes on my blog – I always read up all I can before I publish my blog post or guest interview.
THINK – For the past 19 months, I have devoted my time to make EczemaBlues.com the place for parents with eczema children to go to. I started this blog in Jan 2011, with a simple purpose – to provide a lighthearted yet comprehensive resource for parents.
I believe I’ve achieved that.
Starting with information posts covering topics I myself like to know more, my blog has expanded over the past year:
Aug 2011 – Started my Monday cartoons of 101 things that Moms with Eczema Child do Differently; already 51 are published.
Sep 2011 – Started my first Wednesday blog series – Causes of Eczema (based on Prof Hugo Van Bever’s review article) and has since worked with Dr Christopher Bridgett on Combined Approach series, Toby Amidor (MS, RD, CDN) on Eczema Kids’ Nutrition, Laura Verallo Rowell Bertotto and her mother, Dr. Vermén Verallo-Rowell on Sensitive Skin Product series.
Nov 2011 – Started my first Friday Doc Q&A with Dr Bridgett, and Prof Hugo Van Bever, Dr Liew Woei Kang and Sue Atkins have also helped in Doctor Q&A.
Mar 2012 – Started my first Tuesday Extra segment with Dr Sears Lean series on Raising Healthy Children.
Along the way, I’ve also started my support group and has been faithfully organizing face to face meeting bi-monthly since Aug 2011. I’ve also initiated the very first eczema fund in Singapore with my donation in Jan 2012. I’ve designed and printed my calendar and book ‘A to Z Animals are not Scratching!’, both personally illustrated for eczema kids. Just two weeks ago, the Eczema Support Group (supported by NSC Health Endowment Fund) had its inaugural event! Phew.. with so much going on…
RE-FOCUS – I feel that with all the information on my blog, it’s a comprehensive & fun resource for parents. While I’d still continue working with experts and doctors, I’m not going to hold myself to Tues, Wed and Fri posts weekly. So, don’t be alarmed if you don’t see a blog post!
Instead, I’d be focusing more time on Eczema Support Group and connecting with other parents in Singapore. Also, I’d find time for my own endeavors – I’ve books to write and to design/illustrate and many more ideas… all put on hold for the past 19 months and now, finally, I’ve decided to focus a little more on myself!
Hope everyone’s supportive!
This is the 51st of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.
This is a continuation of the interview with Mr ManHon Shiew, CEO, CreAgri International on OLIVA Forte. You can read the 1st & 2nd parts of the interview here, here and on Mr ManHon here.
MarcieMom: What are the ingredients of Oliva Forte? I’ve read that allergy to olive is uncommon but are there additives used in Oliva Forte that parents ought to be aware of?
ManHon: There are several different products under the OLIVA Forte umbrella – ESSENCE, EASEFLEX and ENCHANT. ESSENCE contains pure HIDROX®, whilst EASEFLEX is made up of HIDROX® and Glucosamine for joint health and ENCHANT is formulated with HIDROX® and Alpha Lipoic Acid for skin health and whitening effect. There are no other additives that should worry anyone. If a person is not allergic to olives, glucosamine or alpha lipoic acid, he can safely consume OLIVA forte. For parents who are thinking of giving OLIVA forte to their children, they should consider ESSENCE, since it is the purest form with no additives.
MarcieMom: Can you share with us if CreAgri controls the manufacturing process of Oliva Forte or is this part of the value chain handled by another party that purchases HIDROX® from CreAgri?
ManHon: As you know by now, CreAgri controls the manufacturing process and parameters of HIDROX®. Product formulations using HIDROX® are also developed by CreAgri. The actual production of finished products is contracted to external factories. These factories execute production based on parameters set by CreAgri.
Marcie Mom: Specifically on HIDROX®, it is made of the polyphenol known as hydroxytyrosol which has strong anti-inflammatory properties. It works by inhibiting nitric oxide and and prostaglandin which are pro-inflammatory compounds, protect against the damaging effects of free radicals and also aids reduction of ‘bad cholesterol’. Versus directly eating olives, it contains higher antioxidant effects as antioxidants are lost in the processing of olives for sale (see here for more FAQ).
I noted in your website that clinical trials for skin orders that include eczema have been conducted but the sample size is 10 patients. Are there other trials of a larger sample size?
ManHon: You must be referring to the small trial conducted by Prof Fujio Numano from the Tokyo Vascular Institute. In addition to that, I like to draw your attention to a larger trial with more than 100 patients conducted by Arizona State University. More significantly is that this larger study was a double blinded placebo control trial. The results from this study confirm the anti-inflammatory properties of HIDROX®.
Marcie Mom: There are various product ranges in Oliva Forte – which one is recommended for children with eczema? What is the dosage recommended for children? And given that it is a very potent antioxidant, is there a need to take precautions when taking Oliva Forte? Is there certain food to take with Oliva Forte to ensure it can be better absorbed into the body? What is the difference between taking Oliva Forte and taking HIDROX®? Can Oliva Forte be used as olive oil, e.g. in bath, removal of cradle cap?
ManHon: Let me first get the easy part of your question out the way. OLIVA Forte is formulated for consumption (ingestion) as capsule or in its natural liquid form. It is not suitable to be use topically as a bath additive or to remove cradle cap.
Now that we have clarified that, we recommend OLIVA Forte ESSENCE liquid for children with eczema. This allows parents to conveniently feed even young children who are not able to swallow capsules. The liquid can be dropped into their favorite juices or just plain water. The natural olive flavour will remind children of their pizza with olive toppings! The dosage for children below 6 years is 0.5mL TWICE a day whilst those above 6 (including adults) are recommended to take 1ml TWICE daily. If the child is able to swallow capsules without problem, the equivalent is for them to take OLIVA Forte ESSENCE capsules. One capsule is the bio equivalent of 1mL of liquid.
HIDROX® is an ambiphilic molecule which means it is soluble in water as well as fat. This means you can consume OLIVA Forte either with or without food. CreAgri has conducted bioavailability studies (absorption) to show that HIDROX® is absorbed within minutes into the blood stream. This makes OLIVA Forte a highly versatile product with proven efficacy for eczema and other inflammatory conditions.
You can find out more about HIDROX® and see the organic farm in California including the Integrale Process in this video on CreAgri’s YouTube channel.
Marcie Mom: Thanks ManHon for being patient with me and answering all my questions on Olive Forte, it’s always a pleasure to meet a company that is open about its products. p.s. to readers of eczemablues.com, I didn’t receive any money from Steward Cross, CreAgri or Oliva Forte for this interview.
This is a continuation of the interview with Mr ManHon Shiew, CEO, CreAgri International on OLIVA Forte. You can read the first part of the interview here and on Mr ManHon here.
MarcieMom: Can you share with us what differentiates Integrale Process from other competitors that also extract polyphenol from olives (who also state the extraction process is solvent-free and chemical-free)?
ManHon: The patented Integrale Process is different from other methods in several ways. CreAgri is always interested to preserve the integrity of the environment has always made this goal paramount to the company’s philosophy. CreAgri process olives in a more eco sustainable way and successfully eliminate toxic substances from the waste stream. It starts off with organic olives that are grown without use of any chemicals and pesticides.
Integrale focuses on retaining olive polyphenols in their original matrix instead of selectively extracting hydroxytyrosol the most potent molecule of all olive polyphenols. Unlike other methods, Integrale does not actually “extract” polyphenols. Any molecular extraction is only possible with the use of solvent. Instead, Integrale relies on the natural process of hydrolysis and incubation (between 6-8 months) to produce a unique olive polyphenol blend that is rich in hydroxytyrosol along with its naturally occurring sibling molecules such as tyrosol and oleuropein. If you care to read the patents of other competitors selling hydroxytyrosol and who claim “solvent-free” extraction process, you will invariably discover that those methods DO employ the use of alcohol solvents such as ethanol and methanol. We have even seen methods that employ industrial chemicals such as sulphuric acid (H2SO4) being promoted as “chemical free”.
This explanation is not complete without also explaining the importance and significance of retaining hydroxytyrosol and other olive polyphenols together in its natural state and balance. CreAgri holds the view that the benefits of natural molecules are most optimal when consumed as close to its natural state. Several studies have been published to show that hydroxytyrosol are more easily absorbed when consumed in a form that includes other polyphenols (Gonzales-Santiago et.al. 2010) and more critically, that hydroxytyrosol if consumed as a single molecule (pure form) could in fact be harmful (Acin et.al. 2006). Both studies advocate the consumption of olive polyphenols in their natural form without extraction. The olive oil is a natural state of fatty acids recovered from the olive, whilst HIDROX® is the natural state of water fraction from the olive fruit. This is the major difference between Integrale and other methods.
Coincidentally, CreAgri’s leadership in thought and polyphenol research was recognized recently by the International Society of Antioxidants in Nutrition and Health which accorded the company with the prestigious Paris Polyphenol 2012 award.
Marcie Mom: Also, I noted that formulation of HIDROX® is done at your R&D facility in California. What is unique about HIDROX® formulation (also why is formulation required after the polyphenol is extracted)?
ManHon: Hopefully by now, my explanation about the uniqueness of HIDROX® will help shed some light to this question. Since HIDROX® is a proprietary blend of olive polyphenols and not a standardized molecule, there is a need to ensure that the product meets the specification of formulation previously tested to be clinically efficacious. HIDROX® formulation is the core intellectual property of CreAgri and is kept in house as a matter of policy. In this way, HIDROX® is always differentiated from other competing products.
MarcieMom: Thanks, it is very good to see a CEO taking the time to explain to its users on the process, instead of giving ‘marketing’ terms. The next post will talk more about the ingredients and consumption for kids.
The event was a huge success with the 150-person auditorium packed! This was despite the heavy downpour and the traffic jams along various expressways! And NSC staff were excellent – so many volunteered their Saturday, and all of them are earnest and positive! Hurray!
Some notes that I took, based on talks by doctors – Prof Giam and Dr Mark Tang.
Prof Giam’s speech – Eczema Made Simple
Shared on:
– The mind being very important to have the right attitude to managing eczema
– Genetic condition and linked to other conditions like sinus, asthma
– 2-3 times increase in eczema over last 30 years, affects 21% of Singapore school kids
– Related to filaggrin gene, read more in previous post here
– Usually starts with lower filaggrin gene, followed by exposure to environmental factors, allergen sensitization, staph bacteria colonization and sensitization to proteins.
– Also mentioned need to see doctor if infection due to herpes virus, not to self-medicate, see previous post here.
Dr Mark Tang’s Speech – What Works, What Doesn’t
What Dr Tang conveyed was the thought process and general guidelines that eczema patients can use to determine if they ought to explore another treatment.
– Chronic condition, so beware of ‘cures’ – sometimes, the pictures on the blog may not be of eczema, may be artificially altered or it could have got better cos eczema comes and goes (and the better picture is taken on a good day)
– Good thing is 70% outgrow – could improve to a localized, manageable eczema
– Assess treatment on whether it has been subject to clinical trials, or it is based on collective experience or personal experience (decreasing reliability, obviously!)
– Differentiate between safe vs no known side effects – esp. for TCM or magic pills (which may turn out to be steroid)
– Guard against severe diet restriction – foods are assumed safe, unless proven. A picture of a child in developed country having a nutrition equal to that in undeveloped country was shown, due to severe restriction to just rice milk
– Use steroid under supervision, not just buy and use at your own discretion
– Moisturizing has proven to reduce risk of eczema relapse by 1/3 – read more here on outside-in hypothesis
In Panel Q&A
– Question on differentiating heat rash from eczema – child’s sweat glands not fully developed, thus easier to have heat rash. Need to be confirmed by doctor.
– Phototherapy – for adults, cos need to stand in a box, wear goggles, thus more suitable for adults and teens; a specific spectrum of UV rays that is studied to reduce inflammation is shined onto the patient during therapy.
– Steroid cream not working sometimes could be due to not using the right strength, amount/frequency or if there’s infection. (I always clean my girl with chlorhexidine before applying steroid, particularly on bad days)
– On Protopic – Been in market for 10 years, thus far, no evidence on increasing cancer, read more here
So, above are the notes I took! And I’m so so happy (and a big phew!) my speech was delivered well (though my hubby commented it’s OK LAH cos Prof Giam and Dr Tang spoke so well!)
p.s. this blog post, as all blog posts, are written by me and not subject to vetting by any doctor. So there’s a chance I may not be 100% accurate in my note-taking, well, to be very sure you heard right, you’ve to attend the next event yourself!
MarcieMom was contacted by a pharmaceutical sales and marketing company, on their charity sales of the product Oliva Forte where 20 per cent of the proceeds would go to the Singapore eczema fund (a fund that is initiated by my donation and administered by the Asthma Association).
Oliva Forte is a health supplement containing HIDROX®, a standardised freeze dried blend of organic olive juice patented by CreAgri Inc, a US company that specializes in the development of olive and antioxidant polyphenols. As you know, MarcieMom doesn’t do product review but is open to understanding more of products that are targeted for eczema patients, so that you can have your questions answered before deciding on a purchase.
For this interview, MarcieMom asked ManHon Shiew, CEO, CreAgri International to explain more about OLIVA Forte. CreAgri International is the international arm of CreAgri’s venture responsible to advance the application of HIDROX® in the field of human dietary supplement. In his role, ManHon leads his team to launch and promote their brands OLIVA Forte, OLIVENOL and OLIVENOL Plus in different international markets. You can read more on ManHon’s background in featured guest.
Marcie Mom: Thank you ManHon for taking time for this interview. Before we go into the product, let’s first understand the company behind it, CreAgri Inc. CreAgri is a California company founded by Dr Roberto Crea who has been granted over 25 patents in his career, and is one of the scientific co-founders of Genentech, Inc. Could you let us know more about CreAgri, specifically when CreAgri is started, the number of employees and scientists it employs and its research facility?
ManHon: CreAgri was founded following a serendipitous sequence of events triggered by the curiosity of a scientist. Back in the late 90s, fresh off a successful disposal of one of his US biotech company to a major pharma, Dr Crea was holidaying in Italy, his home country. It was then that he was introduced to a new method of producing olive oil developed by scientists in the University of Rome. There was a lot of interest in the scientific and medical community at that time in the health benefits of olive oils and olive derivatives. The olive oil industry was focusing on improving the quality olive oil. The method developed by the University of Rome produced very high quality oil. It was Dr Crea’s curiosity that led him to question if it was possible to recover equally beneficial molecules from the discarded portions of the olive oil industry. This led him to look into wastewater that was disposed after oil is separated. In summary, it was through this early endeavour that Dr Crea discovered that olive polyphenols responsible for health benefit from olive oil are available in abundance in the wastewater. CreAgri was founded to develop and exploit the discovery made by Dr Crea.
From its inception in 2001, CreAgri’s R&D team of 5 research scientists was kept in house in California where Dr Crea resides. Clinical studies on products and formulation produced by CreAgri were conducted in collaboration with external institutions such Tokyo Vascular Institute and Arizona State University. A total of 20 other staff makes up the rest of CreAgri Inc.
MarcieMom: On the product, Oliva Forte – It contains HIDROX® and CreAgri HIDROX® has been awarded the Outstanding Application in Health Management in the Nutraceutical Business Technology Award ceremony in May 2011, Geneva. Olive Forte is an improved formulation of Olivenol TM and is derived from the juice of organic olives. Olive is a rich source of polyphenols, a family of natural compounds found in plant foods, which have been associated with anti-inflammatory, anti-oxidant, anti-microbial and anti-tumour properties. However, in the production of olive oil, active polyphenols in the form of olive juice is disposed as wastewater. What CreAgri does is grow its own certified organic olive farm in California, harvest the olives early (for higher level of polyphenol) and then use a proprietary process (“Integrale Process”) to extract the polyphenol. HIDROX® is certified GRAS, Generally Regarded as Safe, meaning it has passed safety tests recognized by FDA.
In the next post, ManHon answers MarcieMom’s questions on the Integrale Process.
Oliva Forte is running a charity sales drive for Singapore Eczema Fund where 20% of the total sales proceeds of their exclusive pack size of OLIVA forte Essence (30 capsules) will be donated to the eczema fund!
The charity drive is through their facebook page, from 16 July to 16 Sep 2012 at a price of $25 per pack of 30 capsules. 20% of $25 will be donated to the eczema fund.
Coinciding with the charity drive, there will be an interview with CEO of CreAgri International, Mr ManHon Shiew, where you can learn more about Oliva forte. As ManHon has shared in-depth about the product, its process and company, the interview will be posted over 3 posts from today to Wednesday.
So, do read, understand and you can head out to www.facebook.com/sg.OLIVAfort
note: MarcieMom did not receive any money for this post or for Olivaforte’s charity sales drive. Also, Oliva Forte or any other company running a charity sales drive for eczema fund does not mean it has been endorsed by me or Allergy Association.
This is the 50th of my “101 Things that Moms with Eczema Child Do Differently“, a tongue-in-cheek look at the many unique situations that we face. For more cartoons, click here to view.
This is a post that I wanted to write for some time because I’ve been reading parents’ differing views on whether Protopic has worked for their child. I did a quick internet search on forums, and 10 out of 14 parents said it worked, 3 mentioned it gave a stinging sensation and 1 believed it led to herpes virus. Of course, my limited browsing of forum posts is not a scientific study but it certainly has piqued my interest to find out more about Protopic (something I didn’t research earlier because a mom with eczema child is busy! and also Marcie doesn’t use nor has been prescribed Protopic).
So What’s Protopic and what does it do?
According to its website, Protopic is a topical calcineurin inhibitor (TCI) that is available upon prescription. Calcineurin activates the T-cells of the immune system, which when over-produced attacks the skin leading to inflammation (read more in this post). Protopic, whose drug name is tacrolimus, belongs to a class of drugs known as calcineurin inhibitors and works to decrease the effects of, or suppresses, the immune system. Tacrolimus is also known as FK-506 or fujimycin and typically prescribed to reduce the likelihood of new organs being rejected in a transplant operation. Tacrolimus was discovered in 1984 from the fermentation broth of a Japanese soil sample that contained the bacteria Streptomyces tsukubaensis. Protopic is a product of Japanese pharmaceutical company, Astellas Pharma, and its ingredients are tacrolimus, mineral oil, paraffin, propylene carbonate, white petrolatum and white wax.
Who can and How to use Protopic?
It is recommended for moderate to severe eczema and to be prescribed by doctors, who are to prescribe it only when topical corticosteroids are not effective. It is only to be used for short periods, generally not more than 6 weeks. It comes in two strengths, 0.1% and 0.03% but for children (at least 2 years of age), only the 0.03% is recommended. The application of Protopic ought to be thin and improvement (if any) is usually seen in two weeks.
Protopic is not to be used with wet wraps, lest there’s over-absorption into the body. Protopic should also not be used on eczema that is infected as there’s no study relating to its safety in infected eczema. Going outdoors in the sun and tanning beds are also to be avoided because of shorter time to tumor formation when applying Protopic, as disclosed on their website. Hands ought to be washed after applying Protopic. The long-term use of Protopic has not been studied and thus, its application as a maintenance topical treatment to prevent flare-ups need to be advised by doctors. It is also not recommended for nursing moms or moms who are trying to be pregnant.
Pros and Cons of Protopic
Various studies have been conducted on Protopic, and it appears to be more effective than low-potency steroid creams. The other advantages over steroid creams is that it doesn’t cause skin thinning and therefore can be used on parts of other where skin is generally thinner, such as the face, eyelids and neck. However, as it suppresses the immune system, there’s increased risk of viral infection, in particular from herpes/ eczema herpeticum/ chickenpox/ shingles virus. Skin burning and itching sensations are the most common side effects (usually in its initial use) of using Protopic. It is also possible to be allergic to tacrolimus or other ingredients in Protopic, such as mineral oil and paraffin. Furthermore, a number of cases of cancer of skin or of lymphocytes cells have been reported, resulting in FDA issuing a black box cancer warning (read more on webmd post). Protopic may also interact with certain medications, including some antibiotics such as azithromycin which is commonly prescribed to children. You can read the product leaflet here.
Update in Feb 2015 – 10 year follow-up study on children who use pimecrolimus showed no significant cancer risk.
MarcieMom’s Take?
Marcie hasn’t been prescribed Protopic but from various talks that I’ve attended, it appears that though calcineurin inhibitors are mentioned, it’s always fairly down in the list of treatment options. One thing I feel is clear is that I wouldn’t opt to use Protopic just because I’m worried about the side effects of steroids as a drug that works on the immune system would surely has its own sets of side effects.