Eczema: a mast cell/histamine related condition

eczema

It’s official: though we’ve long suspected it, we can now add eczema/atopic dermatitis to the list of histamine/mast cell related conditions.

A new study [1] recently proved, for the first time in humans, that mast cells (the pesky little buggers that house histamine in the body) are a key culprit in causing eczema (also known as atopic dermatitis). The researchers also revealed that a protein known as STAT5, plays an important role in the equation by triggering major mast cell increases in some.

They now think the key to prevent or better treat eczema lies in blocking STAT5, which along with histamine, lives in our mast cells.

Lost?

Ok, so, mast cells are kind of the army barracks where histamine and others live. When our body’s in trouble, mast cells open their doors, allowing histamine and other inflammatory elements to be released in order to get to the site of an injury or infection, to get the healing process started. In addition to histamine, a number of other inflammatory molecules are synthesised, among them are interleukin and prostaglandins. These are all great things to have at our disposal, when they’re released, as needed, in order to help us heal.

CLICK HERE TO LEARN HOW TO CREATE YOUR OWN HISTAMINE BALANCED DIET AND HEALING PLAN. 

The problem arises when some of us (hands up if you’re a mast cell mamma!), have too many of these mast cells, or unstable ones (you mean working in war zones affected my mast cells? Who knew?!), or just have too much histamine in the body because of a lack of histamine-lowering enzymes like DAO and HNMT. This leads to massive inflammation throughout the body, pain and misery, and undoubtedly years of misdiagnosis as doctors scramble to keep up with a never ending list of complaints.

Why are mast cell disorders so hard to diagnose? Mast cells are found in every organ system in the body – so yeah, we get a helluva lotta symptoms, usually rotating every couple of months (just to throw a monkey wrench in the works ya know?), and most docs have no clue what it’s all about.

It’s ok, give them a break. They try real hard, they’re not god, and HMO’s give them what, like 15 minutes per patient?

I had to be my own doctor in the end. Good thing too because I learnt how to heal myself without mast cell meds (of which there are quite a few); sadly only after being mis-prescribed almost every med on the planet (that’s what it felt like anyway).

Lucky for me, I was able to throw in the towel on my day job, thanks to all of you lovely people who support my work by ordering one of my books that share how I recovered from mast cell activation/histamine intolerance, and spend time researching food instead!

While it seems like there’s not much research out there on the effects of various foods on suppressing STAT5 yet, I did find that cucumber inhibits STAT3 [2], as does mangosteen skin extract [3] which is definitely a promising start. Given these two also inhibit prostaglandin d2 synthesis (research babble – means that it’s anti-inflammatory!), I’d hazard a guess that many of the generally anti-inflammatory foods will also exert some action against the STATS.

You’ll find a great six page list of prostaglandin, histamine and mast cell degranulation inhibiting foods in the Anti-Cookbook. Don’t miss it! 

A question that often comes up is whether they should use a steroid cream prescribed by their doctors. I am not a doctor and cannot answer this question. What I do tell people is that there’s a study, published in the Journal of the European Academy of Dermatology and Venereology, showing that nigella sativa ointment (might) be as effective as one of the most commonly prescribed corticosteroid topical creams (Betamethasone) [4]. The study found it was over time, not sure why. Given the side effect profile of Betamethasone [5], it might be worthwhile asking your doctor about it. Also, I’d love to see a study where the nigella is also ingested, either in whole form or as the oil, because I obviously believe that we should begin treating from the inside.

The other good news is that according to mast cell researcher Dr. Theoharides, the mast cell stabilising bioflavonoid quercetin, which prevents histamine release and is beneficial in the treatment of skin conditions, may also work for atopic dermatitis/eczema [6].

Doctors were so clueless as to what was going on with me that they misdiagnosed a lipstick induced rash/dermatitis as herpes. I was only 18 and thought my life was over. Simply changing lipstick shades totally cleared it up just a few weeks later! Never to come back…more on that in the low histamine beauty survival guide, as well as a list of high histamine, antihistamine and anti-inflammatory beauty products and clean make-up brands. 

I’m so glad to finally have an answer for all the people who email me asking whether a low histamine diet can help their eczema: this study highlights the importance of lowering inflammation in the body, so a high nutrient anti-inflammatory diet, rich in antihistamine foods, would likely help. I know that Dr Fuhrman, who I study nutrition under, has had tons of success treating psoriasis and eczema through a high nutrient anti-inflammatory diet. My approach goes just one step further. But please, always remember to check with your doctor first and remember, my cookbooks are not a treatment, but rather inspiration for those wanting to transition to a high nutrient antihistamine and anti-inflammatory diet.

Join my mailing list for more recipes and to be the first to know when registration for my low histamine webinar opens!

Take a peek at my low histamine and antihistamine cookbooks for more high nutrient recipes.

If you’ve found this information useful I’d appreciate your support (at no extra cost to you!) – please check out my online store for your health foods, supplements, kitchen items and beauty product purchases. Affiliate sales through my online store go towards maintaining the website, funding travel to interviews and purchasing all the lovely foods for my free online recipes. You’ll find these items in the “Shop with us” drop down menu on my homepage.

 Please don’t forget antihistamine, pain killing foods can still hurt us, so please always check with your doctor before adding new foods to your diet. 

——–REFERENCES——–

[1] http://www.sciencedaily.com/releases/2014/01/140109132140.htm

[2] http://www.merckmillipore.co.uk/life-science-research/signal-transducers-and-activators-of-transcription/c_6eib.s1OjbEAAAEiHqBNlRjr?PortalCatalogID=merck4biosciences&CountryName=United+Kingdom

[3] http://www.ncbi.nlm.nih.gov/pubmed/24295217

[4] http://www.ncbi.nlm.nih.gov/pubmed/23198836

[5] https://en.wikipedia.org/wiki/Betamethasone

[6] http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3314669/

37 responses to “Eczema: a mast cell/histamine related condition”

  1. anonymous Avatar
    anonymous

    This makes so much sense. My son’s eczema seems better controlled by Claritin than by topical steroids.

  2. Rebecca Avatar

    As a baby, the first word out of my mouth was not “mama”, but rather “why?” I like to understand the why to everything. So a question that keeps nagging me is “why does or did the histamine tolerance change?”

    In my research, the body is amazing, and is so capable of healing itself. I have come to believe that it is more uncommon for the body to just get all messed up one day, out of the blue and start causing us problems. There is something that leads up to the moment we develop autoimmune diseases, the psoriasis, the eczema, the heart problems, the digestive issues and even the cancer. There is always a “cause and effect”. We learn that in our school days science classes.

    We have learned from you that becoming our own doctor seems to be the key. I like to talk to doctors in order to pick their brains, learn mechanics, then I go home, put on my sleuthing hat and start work on my “why puzzle”. Over and over as our family figures out the why, we are able to target that, then so many of the health issues begin to abate across the board.

    My husband started the low histamine diet and was helped so much. The horrible rash diminished and the intolerable itching although still ever present became something he could bare. We were happy, he seemed to be going in the right direction. Once he got to this point howeveer he just kind of stayed there, not getting much better, just hovering on the edge of the rash and itch zone.

    I had an opportunity to take some classes with a Dr. Susan Lawton, who has over 50 years of essential oils experience. Our family had been using essential oils for about 18 months prior and were loving them, when my husband got sick due to a medication reaction. He was really sick, face swelling, looking like he had 3rd degree burns all over his body. It was very odd though, because now it seemed that the oils that had always been so amazing in our healthcare now made his rash worse. I was stumped, it was going against everything we had previously experienced with oils.

    I asked Dr. Lawton about it, and the first thing she said was Candida. She said Candida is almost always the reason for any skin rash issues, like eczema or psoriasis. She said when we put the oils on the rash or even took them internally (doTERRA only) it caused a die off of the Candida, increasing the symptoms which were more rash. Candida often resides just below the surface of the skin. Bingo! That made sense in what in what I was seeing, but had not put my finger on what was happening before.

    Dr. Lawton said to cut out all sugar and white flour and treat the Candida first. We went home and took it all a step further. We started the full blown Candida diet which excludes all sugars, including fruits, all carbs which many low histamine foods are still very high in carbs. Carbs convert to sugars, and Candida lives off of sugar. That meant no beans either. It’s tough and then we continued with the Low Histamine Diet as well. This diet is NOT for the weary, but just for those who are willing to bite the bullet and get past this fast if at all possible. The goal is to starve the Candida to death! No sugar, it dies.

    We have been doing it for 2.5 weeks. First the detox and then we started a blend called GX Assist to kill the weakened Candida about 4 days ago. Once getting past the initial feeling crummy from the dieoff, my husband’s itching started completely disappearing. In just the short period he has started venturing out, trying some higher histamine foods in tiny amounts and so far has had no negative results. He is also feeling better all the way around.

    So maybe Candida is your why too. It is extremely common, but if not, find out “the why” you are no longer able able to tolerate histamines. Eating the Low Histamine diet is just all around healthier however putting us where we need to avoid so many delicious and otherwise healthy foods. Eventually over time people do seem to recover because in feeding yourself better your has the tools to do it’s own recovery work. That is the “cause and effect”.

  3. thelowhistaminechef Avatar

    Glad it was of use to you!

  4. thelowhistaminechef Avatar

    Hi Rebecca, thanks so much for your post. Indeed, candida seems to be a problem for many. But I still believe the root cause for me was generally poor nutrition, beginning with what my parents ate and how that affected my DNA, the chemicals, diet and stress I was exposed to in the womb, and then of course diet and stress as children and adults. I’m still flabbergasted that my symptoms have almost entirely disappeared, within a few months, no matter what I eat. I attribute it to how I’m re-introducing foods, but generally just to the hours of meditation (Well, I do have a couple of years of intense nutrition to thank too lol)….I’m so glad he’s feeling better!

  5. Diane Avatar
    Diane

    I just recently found your wonderful blog through a rosacea forum. I’ve had rosacea for several years now (I’m 55 and menopausal). Even though I’ve eaten a very good paleo/primal diet for the past few years and cleared up many health problems, the rosacea continues to plague me. Recently I’ve noticed that certain foods and drink are causing me to flush badly, and my face throbs/pulses. I’ve also had heart palpitations. From everything I’ve been able to discern I am suffering from Histamine overload. Most of what I was eating on a paleo/primal diet was high histamine food, so it’s no wonder! The question I have for you is if you know if rosacea falls into the same category as eczema and psoriasis as far as food and skin conditions go. Often I see the latter two conditions mentioned but not rosacea. I’ve always suspected a gut/skin connection as to causing rosacea, but nobody knows for sure. I have not gone to a specialist (family doctor diagnosed it as rosacea) because I don’t want to use antibiotics and steroids and other harmful chemicals on my skin. But my attempts with natural cures have not worked. If you could offer me any insight into this I’d be very appreciative!

  6. thelowhistaminechef Avatar

    Hi Diane! I’ve found a few studies linking mast cells to rosacea, among them http://www.ncbi.nlm.nih.gov/pubmed/18071725 seems like the medical world is getting with the program and testing out the most commonly prescribed mast cell stabliser (sodium cromlyglycate) to see if it helps with rosacea. I would start a food diary and note the flares and any other symptoms. Then come back to me and I can tell you which foods are in what group 🙂 Then you can just put the problem foods on a long rotation, or eliminate them for a while if need be. Hope that helps!

  7. Diane Avatar
    Diane

    Thanks SO much! I read the link, and will do more research on mast cells. I recently developed a bump on my hand that looks an awful lot like a picture I saw (I think here), of some mast cells on a hand. I thought perhaps it was a wart, but it’s been a couple of months now and it’s not going away. As for foods, I’ve known for months now that I react negatively to wine and alcohol (wine being worse), but I’ve been loathe to give it up 😉 The foods I’ve reacted to are scallops and crab, cashews, spices (pumpkin pie spice and chili powder, and tomato sauce. I’ll continue to keep track of all this, and I’ll keep doing my research. It’s quite the rabbit hole I’m falling down with all this information!

  8. Bernadette Avatar
    Bernadette

    Thank you for your amazing blog. I am wondering if I have a histamine problem, although my symptoms don’t seem to be typical (no skin problem). My problem is low blood pressure, losing circulation in my hands that starts with pins and needles followed by total loss of circulation so I can’t move them. If it is bad enough it affects both arms from shoulder down and also my feet. The worst time is the early morning from 2-6 am. I also have keratoconus. I have always had allergies and a low white cell count. I know that it is made worse by damp weather, stress, hormones and what I eat, I definately get sick from spinach, vinegar and probiotics, I’ve always eaten healthy so I couldn’t understand why I keep getting sick. I know I have the candida problem, and my keratoconus is getting worse. There is an association between the two and I wonder if it is all caused by histamine. I will try the recipes in your book.
    Thanks, Bernadette

  9. Bernadette Avatar
    Bernadette

    Mediation really helped? This is interesting, because I think my problems are stress-related. I was always the caretaker/problem solver in my family since I was young. I took care of one parent for 15 years and the other for 7 now. I have a sibling who does nothing to help and yet is the favorite who gets everything. Working and caregiving were my whole life, and I feel so restricted opportunity-wise and unappreciated in my life, to the point for years I had a death wish. Chi gong helps with this, I also do yoga, but meditation is hard for me, my parent also has ADHD and a past brain injury and there’s too much noise and chaos. I will try harder.

  10. Ed Avatar
    Ed

    Hi, I am new to the whole concept of histamine intolerance and after two years after being diagnosed with non allergic rhinitis, I am hopeful that I might have found the answer to my problem. I have been suffering from tension headaches, aching muscles and was taking all kinds of painkillers, flu remedies to no avail. Coupled with my dosages of Nasonex for my rhinitis and sleeping tablets both over the counter and prescribed, I was living a life of looking for the super cure and keeping illness at bay. On top of this, i was developing atopic skin. Reading a list of symptoms in connection with high levels of histamine, I was thinking that they were talking about me….some foods as a child made me agitated, but I put it down to that just being me. After starting an antihistamine diet (along with an antihistamine tablet at night) 2 weeks ago I have never felt better. I am taking no other meds. I am only starting the journey, but hopefully the positive results continue.

  11. thelowhistaminechef Avatar

    Wow Ed! I am so excited to hear it! Please keep me updated on your progress and thanks so much for letting me know.

  12. thelowhistaminechef Avatar

    Hi Bernadette, indeed! It has changed my life. I cannot go more than a day without it now, not that I try. Meditation was super hard for me too. I practiced sporadically for so long and yet it wasn’t working. Finally I committed to it 30 mins a day and everything changed. I highly recommend finding a class/teacher for at least a few sessions. It makes a huge difference.

  13. thelowhistaminechef Avatar

    Hi Bernadette! Thanks for the kind words and thanks for reading. It does sound like histamine and potentially POTS. But many don’t have any skin complaints…we’re all different. Don’t forget the meditation! Let me know how it goes…

  14. thelowhistaminechef Avatar

    Good luck! Let me know what happens xx

  15. Ed Avatar
    Ed

    Thanks, Yasmina! I’ll keep you posted.

  16. anon Avatar
    anon

    Why spend a paragraph saying you need to be your own doctor as they are generally of very little help, and then say ‘but please remember to check with your doctor.” ?

  17. thelowhistaminechef Avatar

    Hi, two reasons: 1. I don’t want anyone getting hurt. I choose not to see doctors anymore but I can’t in good conscience advise others to do the same. 2. We live in a litigious society.

  18. Sak Gramma Avatar
    Sak Gramma

    What about babies that have eczema? My 4 mo. old grandson is only on formula…prescription Similac Alimentum for Food Allergies and Colic. He has severe eczema. Why would his histamine levels be so high already? And how can he go on a low histamine diet when all he is on is formula? He has been to a pediactric dermatologist that wasn’t much help. His pediatrician has been more help…but he still has huge flare up’s. And now he is getting more control of his hands he is really scratching himself to pieces.

  19. thelowhistaminechef Avatar

    Hi Sak, there are a number of ingredients that are triggers: Corn Maltodextrin (35%), Casein Hydrolysate [Derived from Milk] (18%), Sugar (15%), Soy Oil (8%). Xanthan Gum, Ascorbic Acid (usually made from fermented corn), Niacinamide, Mixed Tocopherols (are usually soy), Cyanocobalamin. To be honest, I’m shocked that this is considered a hypoallergenic formula. Corn, milk and soy are part of the “big 8” top allergens. Might be an idea to ask the doc if putting his mom on a low histamine diet and then feeding him is a better option. Please do not attempt that without the go-ahead of a doctor.

  20. Dot SLady Avatar
    Dot SLady

    I feel for your grandson. My nephew looked like a huge scab as a baby and we had no help from doctors other than changing formulas. His mom, my sis, was obese and had eczema herself (inflamed). Suggest researching probiotics for the baby (lactobacillus GG from Culturell). Also: http://bit.ly/lactobaby

  21. Sharyn Hanover Avatar
    Sharyn Hanover

    I totallyagree with you. I hate doctors, even naturopaths..as they also do not use their intution but a book they learned through. Nothing is gut and dry like that that can be entered into a book to study. Everyone is different. I spent 3000 on a homeopath another 3000 on a naturopath and not to mention the thousands spent on regular dr.’s.. all that money later and no one helped me in the least bit. Until I started to google everything under sun did I start to heal myself. I have so many crazy symptoms that they would have given me countless medictions for. I did it all myself with nutrition and supplements. I feel bad for people who do rely too much on their doctors. I constantly read articles and all always say but “check with your doctor first”.. Well I don’t have a doctor I always say..but I understand why you say it of course.. But it’s interesting how it is just so mainstream for everyone to have a doctor. In my book we are not to see doctors unless we have something broken or something so serious we cannot help ourselves. I even treat my cats and have saved them a lot of stress going to vets and a lot of money. Bacteria/bladder infections can easily be treated with colloidal silver (sovereign) and a lot of other things can really be helped with Vita mineral green/superfoods. Cats thrive on that stuff.

  22. quianna Avatar
    quianna

    His,

    My son was diagnosed with leaky gut when I took him to see a naturopathic doctor for eczema and digestion issues. I decided to start the gaps diet to help this. Not sure what you know about it but we are on day 20 of the intro diet and his symptoms have not gotten better but actually worse. People have been saying it’s die off but I wasn’t convinced and posted to another site and they thought it was a histamine intolerance. Well just yesterday his body broke out in hives and by this morning he was covered head to toe. This basically confirms that it’s a histamine issue but now my concern is about mast cell disorder and what to do? The gaps diet is high in histamines with all of the long cooked broths and soups but if I make them in less time and freeze them I have heard they don’t produce as much histamine. If you have any thoughts I would very much appreciate it. Thank you.

  23. rebbie Avatar
    rebbie

    I have started out with guided meditation on cd and it makes a big difference for me. I really like Tara Brach’s

  24. Annalee Avatar
    Annalee

    So glad there is actual research to back up what I have suspected with my own! I have terrible eczema on my hands. .. nothing worked to clear it up. Ate a low histamine diet for the first time and within a week, it is almost completely gone. It is truly amazing how much our body responds to good nutrition! Thank you for sharing this.

  25. Lisa Avatar
    Lisa

    I am glad to hear you are doing so much better and have found ways to help yourself and others. My dog has mast cell tumors, some of which are cancerous. She takes benadryl to block some of the histamine but can you just list a few of the foods known to help do the same?

  26. Lisa Avatar
    Lisa

    I am glad to hear you are doing so much better and have found ways to help yourself and others. My dog has mast cell tumors, some of which are cancerous. She takes benadryl to block some of the histamine but can you just list a few of the foods known to help do the same?

  27. Carrie D Avatar
    Carrie D

    My 8 mo old son has eczema that seems to change daily. He was exclusively breastfed until 6 months when I started him on the GAPS Baby protocol. He is still breastfed in addition to solids, and I essentially did the elimination diet to see if it was something I was eating. I started to suspect a histamine issue when the GAPS diet didn’t seem to clear it up, though I can’t be sure if my diet is affecting him (I haven’t been doing the GAPS diet since I we’ve been out of town for the last 3 weeks) or if it is new types of pollen that he’s been exposed to here. What would you suggest I do? Shoudl I stop GAPS? What sort of foods should I feed him instead? He’s had non starchy veggies cooked in bone broth, animal fat/coconut oil/olive oil/ghee, whey/sauerkraut juice, and chicken cooked in broth. He has been on Klaire Labs Infant probiotics for months. I would greatly appreciate any sort of advice and/or resources you could share. Thank you!

  28. Lisa Avatar
    Lisa

    Hello! Your situation sounds a lot like mine. Have you gotten anywhere? Have any advice?

  29. Lisa Avatar
    Lisa

    Hello! Your situation sounds a lot like mine. Have you gotten anywhere? Have any advice?

  30. Carrie Avatar
    Carrie

    No, haven’t gotten any advice. I’m continuing with a GAPS (like) diet, giving supplements, and trying different creams. He’s 13 months now. How about you?

  31. Carrie Avatar
    Carrie

    No, haven’t gotten any advice. I’m continuing with a GAPS (like) diet, giving supplements, and trying different creams. He’s 13 months now. How about you?

  32. Helen Avatar
    Helen

    Thanks for this! For those who also suffer from multiple chemical sensitivities, is this product scent-free?

  33. Naomi Avatar
    Naomi

    I just ordered mine!! Thank you!!! — My one concern is that it contains Quaternium-15 (it’s the 2nd to last on the list so I imagine it’s very small amount and I’m probably being way too nit picky). However, it’s a formaldehyde releaser but has to be better for me than the strong cortisone creams I have had to use when the hives are unbearable… That’s said, I am interested in your thoughts on this. Thank you for all the great information you are sharing with us!
    http://www.ewg.org/skindeep/ingredient/705478/QUATERNIUM-15_%28FORMALDEHYDE_RELEASER%29/

  34. Betty Vorley Avatar
    Betty Vorley

    I have itching in my neck and face usually later in the day and at night (kind of a tickly itch) with no rash or hives. Would you consider this a histamine related problem? I also have swelling in my neck and face from time to time.

  35. Carol Avatar
    Carol

    I suffer from MCS. My main concern, as Naomi mentions, is that it contains Quaternium-15, a formaldehyde releaser. I react to formaldehyde and formaldehyde releasing ingredients. I’m surprised that it has been included in a product for people who have sensitivities.

  36. Penelope Sands Avatar
    Penelope Sands

    I’m confused, I just read through the article (quickly) a couple of times and cannot find out what product you are referring to? What am I missing? Do you mean nigella sativa ointment? Is there a specific one you are referring to?

  37. Naomi Avatar
    Naomi

    Hello Penelope, Very weird but I can’t find the link in the blog article now either! And I can’t seem to find the link to where I ordered it in my email but wanted to respond to let you know I will keep looking and will post again here when I do. It was a link to a cream product that Dr. Theoharides at Tuft University created and I know it was imbedded in this blog article so its so strange that I can’t find it now either. I also wanted to let you know that I did order the cream and only used it once just to see how it felt on the skin on my face. It was thick and did not go on easily and I didn’t like the feel but I can’t say whether it would work for a reaction since I haven’t had a hive reaction since I ordered it (thankfully) so I don’t know if it would work to calm down my hive out break. I hope this helps and I will post the link if I can find it. For the record I have been using an awesome product called Soothe Moisturizer by http://www.facenaturals.com – it’s not a cure but it really does soothe the skin on my face when it’s inflamed. Also, Dr. Theoharides has a supplement that Yasmina recommends that I haven’t tried that might be looking into. Hope this is helpful. …… Edit…. I found the link!
    http://www.gentlederm.com/index.php

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Welcome!

Yasmina was an award-winning broadcast journalist with a decade of experience covering war zones for CNN and the BBC. She devoted her journalism skills to researching and writing about histamine. Click here to learn about her. Each post is carefully and fully referenced with the latest scientific research. Not sure where to start? Here’s a four week meal plan and overall Histamine Reset.


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