5 Surprising Ways Vitamin E Helps Eczema

|Karen Fischer

Vitamin E is the predominant antioxidant in healthy skin so if you have skin problems it's important to ensure there is enough natural vitamin E in your diet.

Here are 5 surprising ways vitamin E supplementation can help eczema:

1. Vitamin E supplementation can decrease the allergy marker immunoglobulin E (IgE) in allergy sufferers and it improves immune responses. Supplementation of vitamin E significantly enhances both cell mediated and humoral immune functions in humans according to Turkish researchers (note all references are listed at the end of the article). So take natural oral vitamin E along with vitamin C and zinc to enhance immunity to infections. 

2. A clinical trial published in the International Journal of Dermatology revealed that nearly 50 per cent of adults with atopic dermatitis who were treated with vitamin E daily for eight months showed great improvement (compared to only one in the placebo group); and there was almost complete remission of atopic eczema in seven people taking the vitamin E, but none in the placebo group (four of the adults treated with vitamin E worsened*, compared to 36 in the placebo). *a worsening of symptoms may have been due to hidden additives which are common in non-organic vitamin E.

3. Vitamin E is anti-inflammatory as it blocks leukotriene formation in the body. Leukotrienes are implicated in the formation of eczema, and vitamin E works by decreasing the production and release of pro-inflammatory prostaglandins which trigger leukotrienes.

4. Vitamin E is a fat-soluble antioxidant that helps to protect skin cells against free radical damage. It works by guarding the oils within your skin (polyunsaturated fatty acids in the cell walls), according to research published in the American Journal of Clinical Nutrition

5. Vitamin E supplementation, especially when combined with vitamin C, reduces fatty liver disease. Fatty liver disease is common in people who are alcoholics and people who eat too much sugar. However, non-alcoholic fatty liver can occur in 17 to 31% of children with eczema according to two Japanese clinical trials by Dr. Kimata from the Department of Pediatrics and Allergy at the Ujitakeda Hospital in Kyoto. "Supplementing with vitamin E and vitamin C is a safe, inexpensive and effective treatment option in patients with fatty liver disease", according to Turkish researchers. 

FACTS ABOUT VITAMIN E

    • Vitamin E should be taken with synergistic nutrient vitamin C as it recycles vitamin E, helping it to circulate for longer in your body.
    • Vitamin E deficiency can be caused by fat malabsorption disorders or by genetic abnormalities that affect vitamin E transport.
    • Research has demonstrated that supplementation of vitamin E (α-Tocopherol) can improve immunity by enhancing the T cell-mediated immune response (research was conducted on ageing people).

Food Sources of Vitamin E
The following is a list of food sources of vitamin E with the content of vitamin E listed in milligrams:

  • 20ml (1⁄2% oz) sunflower oil, 9.8mg
  • 100g (31⁄2oz) cabbage, 0.2–7mg*
  • 100g (31⁄2oz) sweet potato, 4.6mg
  • 150g (5oz) grilled salmon, 3.5mg
  • 100g (31⁄2oz) prawns, 2.9mg
  • 1 cup cooked soybeans, 2.2mg
  • 1 cup cooked chickpeas (garbanzo beans), 2mg
  • 100g (31⁄2oz) canned red salmon, 2.1mg
  • 100g (31⁄2oz) canned tuna in oil, 1.9mg
  • 100g (31⁄2oz) canned pink salmon, 1.5mg
  • 100g (31⁄2oz) brussels sprouts, 1mg
  • 100g (31⁄2oz) leeks, 0.9mg
  • 100g (31⁄2oz) lettuce, 0.6mg
  • 1⁄2 cup raw carrots, 0.4mg

(*Green outer leaves of cabbage contain 7mg vitamin E; the white inner leaves have only 0.2mg)

Is Supplementation Necessary?

Vitamin E from natural food sources is called ‘d-alpha-tocopherol’ and it’s more potent than the synthetic form. People with eczema, often have trouble absorbing nutrients from food therefore supplementation may be necessary. 

Vitamin E dosages for eczema sufferers (in supplement form)

  • Adult: 40mg
  • 5-17 years: 20mg
  • 1-4 years: 10mg
  • 0-12 months 4-5mg (from breastmilk or infant formula)

Supplements to avoid:

Artificial vitamin E: Any supplement that lists vitamin E as ‘dl-alpha-tocopherol’ should be avoided because 'dl' indicates it is an artificial form of vitamin E. 

Natural vitamin E: Avoid vitamin E that contains hidden additives. Look for "additive-free vitamin E" or "organic vitamin E".

 

    Is there some people who cannot take supplements or vitamin E?

    As vitamin E and vitamin C thin the blood do not take vitamin E if you are on blood-thinning medications such as Warfarin/aspirin or if you are undergoing surgery. If you are taking medications, consult with your doctor before taking supplements.

    This is an edited extract from The Eczema Diet by Karen Fischer.

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    References & supporting research

    Fischer, K., 2014, The Eczema Diet, Second edition, Exisle Publishing.

    Tsoureli-Nikita, E., Hercogova, J., Lotti, T. and Menchini, G., 2002, ‘Evaluation of dietary intake of vitamin E in the treatment of atopic dermatitis: a study of the clinical course and evaluation of the immunoglobulin E serum levels’, International Journal of Dermatology, vol. 41, no. 3, pp. 146–50.

    Vitamin E and Vitamin C and non-alcoholic fatty liver disease reference >

    Packer, L. (1991). Protective role of vitamin E in biological systems. The American Journal of Clinical Nutrition, 53(4), 1050S-1055S.

    Kimata, H. (2006). Increased incidence of fatty liver in non-obese Japanese children under 1 year of age with or without atopic dermatitis. Public Health,120(2), 176-178.

    Pekmezci, D. (2010). Vitamin E and immunity. Vitamins and hormones, 86, 179-215.

    Wintergerst, E. S., Maggini, S., & Hornig, D. H. (2006). Immune-enhancing role of vitamin C and zinc and effect on clinical conditions. Annals of Nutrition and Metabolism, 50(2), 85-94.

    1 comment

    I just bought the first edition of the Eczema Diet on Amazon, and I’ve been reading all the information in your blog while I wait until for delivery. After reading through several blog articles, I realized there is a second edition to the book. Is there a way to receive the updates and revisions included in the second edition of The Eczema Diet since I’ve already purchased the first edition? I am looking to start the Diet immediately. I am 34 years old and have had eczema since I was 2; however, I developed severe facial eczema after the birth of my first child 4 years ago. I just recently gave birth to my second child and, while my eczema symptoms improved during pregnancy, they are now back with a vengeance. Please help!

    Macey Fitzgerald

    Leave a comment

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    Frequently asked questions

    Does food allergy trigger eczema?

    Food allergy and eczema are closely linked, and allergies can absolutely make eczema worse, but they're often not what starts it in the first place. In fact, research suggests the reverse may be more accurate: eczema itself may come first and increase the risk of developing food allergies, rather than the other way around (Tsakok et al. 2016). One study found that babies with eczema were up to six times more likely to become
    sensitised to foods compared to those without eczema. In children with established eczema, up to 66% showed food sensitisation, with confirmed food allergy in up to 81% of cases (Tsakok et al. 2016).

    If you or your child has a diagnosed food allergy, those foods should be avoided for now. For additional guidance, the Food Intolerance Diagnosis (FID) Program in The Eczema Detox book can help identify food intolerances that do not show up in allergy tests (see next FAQ).

    Do food allergy tests help eczema?

    Skin prick tests and other food allergy tests including blood tests and patch tests can be unreliable on their own, so an oral food
    challenge (supervised by an allergy specialist if you are prone to anaphylaxis), is the most accurate way to confirm whether you or your child is reacting to a particular food. For additional guidance, the FID Program in The Eczema Detox book can help you to identify your personal triggers.

    About the authors

    Ren Karen Fischer is a nutritionist, mother of two, and award-winning author of seven books, including the bestsellers The Eczema Diet and The Eczema Detox. Fischer is also a peer-reviewed published researcher, and is currently undertaking eczema research as part of a Master's by Research at Bond University. Combining clinical research with real-world experience, she is dedicated to advancing evidence-based care for eczema.

    Nutritionist Bonnie Taylor holds a Bachelor of Health Science degree and helps people with eczema identify their individual triggers through the FID Program. Taylor has worked alongside Fischer for many years and offers nutrition consultations by appointment.