Autism: Trying Most Things, But Not Everything

6a00e55255b462883401901b97af0f970b-200wiI recently read a column in the New York Times by Jane Brody titled “Trying Anything and Everything for Autism.” In it, parents of an autistic child find success with alternative treatments, but are unsure whether the treatment relates to the child’s improvement. The article quotes a physician from England who suggests that alternative treatment for autism like avoiding dairy is like returning to the Dark Ages.

What emerges from Jane Brody’s column minimizes the two important positive responses that the boy, Casey showed to the alternative treatments of dairy-free diet and hyperbaric oxygen. The difficulties of avoiding certain foods are emphasized, but compared to the Behavioral Approach, which is promoted but requires working with a child for 30-40 hours per week, dietary restriction should be relatively simple.
Nothing is mentioned about the science related to casomorphin from milk affecting brain function, nor anti-gliadin antibody levels indicating wheat sensitivity.
Other non-conventional treatments are also based on scientific data. Genetic defects found in some autistic children in a biochemical pathway called “methylation,” respond to correction with a combination of B-vitamins and other
supplements. Yeast overgrowth in the intestines irritates the lining and allows undigested food molecules to leak into the circulation and irritate the immune system.  This can be corrected by diet changes and supplements. Since specialized immune cells are involved in the nervous system, it is not hard to imagine that improper dietary stimulation of the immune system could interrupt proper brain development.  Far from the Dark Ages, we can begin to understand multifactorial Autism by connecting scientific basis to anecdotal evidence.

My medical colleagues who specialize in autism treatment use the above science-based and other forms of analysis and therapy.  It would be a shame if parents, physicians, and researchers don’t vigorously pursue these connections that may lead to effective treatment.

To your health,

Dr. Alan M. Dattner, MD

Holistic Dermatology
New York, New York

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As always, the content of this blog is for information and education purposes only, and should not be used to prevent, diagnose or treat illness; please see your physician for care.

 


Acne “trigger” discovered, offering possible new natural acne treatment.

6a00e55255b462883401a73d70d75a970d-250wiImagine a hot button that sets off acne when it is pushed. There is such a “button” that has been recognized in cells that sets off an inflammatory response. It is call the “inflammasome”.

A recent study published in the latest issue of the “Journal of Investigative Dermatology” showed that the acne bacteria, Propionibacterium acnes, activates the “inflammasome” in cells, and may be an important part in the mechanism that sets off acne.

While they suggest finding ways to block this activation, I suggest we look for ways to avoid it and keep our fingers off the button.

To your health,

Dr. Alan M. Dattner, MD

Holistic Dermatology & Integrative Medicine


A Pioneer in Natural Acne Treatment: Dr. Alan Shalita

6a00e55255b462883401a3fcb5d456970b-320wiFor the past few decades, the role of diet in acne treatment was considered to be a red herring. But thinking is changing in recent years. In part, thanks to a great dermatologist and world expert on acne who just passed away last Sunday.

Dr. Alan Shalita was an expert in both clinical treatment and research in the field. And most impressively, his perspective changed as new evidence cam in.

Years ago, he rebuffed my suggestion that diet might have some role in affecting the sebum in a way that caused acne. But in 2010, he was senior author on a scientific article that re-examined the evidence on the association of diet and acne and he concluded that “Dermatologists can no longer dismiss the association between diet and acne.”

He called for others to explore this relationship between diet and acne, something I have been doing successfully for the past few decades. It is of note that such an expert revised not only his thinking, but that his speaking out helped to change the thinking of the majority of dermatologists.

For the past half a century, dermatologists believed that diet had no effect on acne. It’s time for us to wake up to what we are putting in our bodies, if we truly want clear skin.

To your health,

Dr. Alan M. Dattner, MD

Holistic Dermatology & Integrative Medicine


The Secret to Natural Acne Treatment

6a00e55255b462883401a511657216970c-200wiFor years I have been writing and lecturing that acne is caused by inflammation that comes from within.

It’s not just a “local” process caused by plugged follicles. It’s not just caused by the bacteria Propionibacterium acnes that lives in the follicle. Over the years, more data has accumulated to support this thinking.

The big news is that just this month, an article came out in the most scholarly of all the dermatology professional journals, showing that acne is not only related to inflammation, but also has characteristics of an autoimmune disease.

An article in the February issue of the Journal of Investigative Dermatology showed that extracts from the acne bacteria cause formation of “TH 17 Lymphocytes,” a type of white cell characteristic of autoimmune disorders. This same type of lymphocyte was also found in acne lesions themselves.

The other factors, such as diet, have yet to be connected to the findings in this study, but the evidence is growing stronger that something is lighting the fire to cause the inflammation in acne.

Since most people have this Propionibacterium (acne-related) organism in their skin, the flame that sets it off the fire of acne may well be coming from what you eat.

If you break out in acne, pay very close attention to what you put in your body the few days before the acne explosion. Studying your breakout cycle is the start of natural acne treatment.

To your health,

Dr. Alan M. Dattner, MD

Holistic Dermatology & Integrative Medicine


Acne Rosacea: a bug in the system.

6a00e55255b462883401a3fcb2f206970b-200wiThere have been a number of observations quoted in the literature of rosacea that is associated with a particular bacteria living in the stomach.

That bacteria is known for being associated with the formation of stomach ulcers, and is named Helicobacter pylori. Its ulcer-causing activity was proven by a bold physician who swallowed a culture of Helicobacter pylori, and got severe stomach upset and developed stomach ulcers.

Some, but by no means all, people with this bacteria living in their stomachs get rosacea, and some people taking the antibiotic triple therapy to get improvement in their rosacea.

So here we have a bug that does not live in the follicles in the face that sets off the reaction in the face that we see as rosacea. The ability of an organism at a distant site to cause a reaction on the face is likely due to the immune reaction it sets off. This could be the start of a natural acne treatment.

More soon on natural acne treatment and holistic skincare.

To Your Health,

Dr. Alan M. Dattner, MD

Holistic Dermatology & Integrative Medicine

 


Acne Rosacea… Is it bugging you?

6a00e55255b462883401a3fcb2f206970b-200wiAnother inhabitant of the skin and hair follicles is named Staphylococcus Epidermitis. This form of staph is as common as robins in springtime; that is to say most people have this organism living on their skin.

Nevertheless, there is at least one report on rosacea that seems to be related to it. Whether the individual had some sort of immune defect, or the bacteria had some genetic variation, there is an inflammation caused by it.

There are many other organisms that share the skin, and Staphylococcus epidermitis is valuable because it is a benign bacteria that usually not only does not cause harm: it also occupies the niche so that harmful bacteria cannot find a place to grow. Unfortunately, even this “friend” can sometimes be a bad actor. Here’s a reference to the study.

More on rosacea and natural acne treatment soon.

To Your Health,

Dr. Alan M. Dattner, MD

Holistic Dermatology & Integrative Medicine


Rosacea… Acne’s Annoying Cousin.

6a00e55255b462883401a3fcb2f206970b-200wiMy seventh grade science teacher used to recite a quote, to give us the essence of the biologic world:

“Big fleas have little fleas upon their backs to bite ‘em, and little fleas have smaller fleas, and so on, ad infinitum.”

And so it goes with rosacea. A portion of the people with rosacea have organisms living in the follicles that may be part of the cause of the rash.

One of the organisms that has been found in increased numbers in the hair follicles is a mite (not a flea, but a very distant relative), named Demodex folliculorum. A propos to the quote, Demodex is inhabited by a bacteria called Bacillus Oleronius, which itself has been suspected to be a stimulus of the inflammation seen. Would you believe, this bacteria was first identified in rear gut of a termite? It may be involved in causing the downfall of both your appearance and your house!

More on Acne Rosacea and treating acne naturally, soon.

To Your Health,

Dr. Alan M. Dattner, MD

Holistic Dermatology & Integrative Medicine


Acne Rosacea – What’s Getting Under Your Skin?

6a00e55255b462883401a3fcb2f206970b-200wiTreating your acne rosacea naturally can bring up a bit of shock. People are often horrified to find out that there are tiny organisms living in the follicles on their nose and the center of their face. Some of those organisms include tiny mites that burrow into the hair follicles with their tail sticking out.

These mites, known as Demodex, are shaped like tiny cigars, with legs at one end. Identifying an abundance of them under the microscope after scraping the skin can be very helpful for the treating dermatologist, and for the patient as well.

Nevertheless, they can bring up great disgust when the patient sees them, wiggling under the microscope after being scraped off their skin. There is an old morbid old children’s rhyme: “the worms crawl in, the worms crawl out, the worms play pinochle on your snout.” Sounds like rosacea to me.

What’s more, these mites have bacteria living inside of them, which may be a stimulation for the inflammation seen in rosacea. To top that off, this is only the beginning of the list of organisms living in the hair follicles that are suspected to play a role in causing rosacea. Treating rosacea naturally can be the safest, longest-lasting way to clear it. More on treatment methods in the next blog.

To your health,

Dr. Alan Dattner, MD

Holistic Dermatology & Integrative Medicine


Natural Skincare: Have a Sweet Holiday…

6a00e55255b4628834017eea9532aa970d-200wiBut not too sweet! 

 
The Holidays are a time for parties, celebrations, and special treats.  Candies, cookies and cakes appear as gifts and thank you’s at all sorts of homes and businesses at this time of year. It is not uncommon to hear a nudge to eat that “forbidden treat”- “Go ahead, it’s the holidays.”  In the process, a lot more sugar gets eaten at this time of year. Other rich foods, like egg nog, and alcoholic drinks, and even foods suspected of being allergic, get consumed as well. 
 
Some people date the onset or aggravation of their skin problems to this time of year. Sugar aggravates acne and other conditions by a variety of different pathways. It
favors overgrowth of yeast in the digestive tract, which leads to leaky gut, absorption of allergens from food, and inflammation of oil glands. 
 
A spike in blood sugar is answered by a spike in insulin levels, and then a rise in Insulin-like growth factor  (IGF). This IGF has been shown to affect the follicular area in more than one way that leads to acne formation. This is just one way in which too much sugar can lead to a skin problem.
 
Other rich foods, alcohol, and allergy producing foods all have ways in which they can aggravate not only acne, but other skin problems. 
 
So I wish you a sweet New Year and Holiday season, filled with love and deeper joy, but light on the sugar in its many forms. This is the one of best possible natural acne treatments.

To your health,

Alan M Dattner, MD

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As always, the content of this blog is for information and education purposes only, and should not be used to prevent, diagnose or treat illness; please see your physician for care.


Treating Food Allergy: Holiday Party Food…


6a00e55255b4628834017eea950612970d-200wiTreating food allergy, Candida overgrowth and sensitivity, and leaky gut, has been a cornerstone of my holistic dermatology practice. I’m sure that there are a lot of my patients out there who struggled with those diets, who will chuckle to hear that I recently got a “dose of my own medicine”. I want to share my experience in a short series of ongoing emails and blogs, in hope of inspiring others to make progress, and tell their own stories of success.

A few years ago, my own doctor heard about my own digestive issues, ordered some tests, and found our that I had antibodies in my blood diagnostic of a gluten sensitivity. Since that time, I have been on a fairly strict gluten-free diet, never eating wheat, barley oats or rye, but perhaps getting small amounts of gluten from Chinese restaurant soy sauce, hidden flour, or a crumb here or there that sticks to the bottom of an occasional desert. I have been well, except for a slightly active digestive system at times, and a little arthritis in two finger joints.

Recently, a repeat food test for allergy was done in thanks for giving blood to use to evaluate new testing methods for wheat sensitivity, by a lab that tested me before. The list had enlarged considerably from the first test, taking away some 50 of my favorite foods. Still reasonably cheerful, I went to the produce store in New Rochelle and bought the vegetables and foods which were still permitted on my list, and found out that I could put together some delicious but simple meals.

I also found out that I could use what was allowed to make some really tasty snacks with allowed ingredients I had never put together in those ways before. I used orange juice instead of lemon, ginger where I would have used garlic, and sesame paste to make my salad dressing.

The problem came with going to a big celebration, and then ordering food the next day. I did not notice any immediate change from all of the foods I ate out, but did get very tired after eating food with my problem soy sauce. The day after, I ate one piece of the dish, permitted by my food test (but interestingly, not by my tribe), and immediately felt a kind of heaviness and faint fogginess overtake my head.

When I bothered to check my chart, two out of three of the vegetables were not permitted, along with the soy sauce (which has traces of wheat and possibly corn starch to thicken it). So much for easy ordering and eating. I will have to prepare food from scratch. 

To your health,

Dr. Alan M. Dattner, MD


Holistic Dermatology
New York, New York

 

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As always, the content of this blog is for information and education purposes only, and should not be used to prevent, diagnose or treat illness; please see your physician for care.