During his session, “A Holistic Approach to Diagnosing & Treating AD and AA in Adolescent and Adults, Including Addressing Unique Psychological Aspects in Patients & Families,” presented at the Mount Sinai Winter Symposium, Peter Lio, MD, discussed holistic approaches to treating atopic dermatitis (AD) and alopecia areata (AA), emphasizing that these methods, while not mainstream, can be adjuncts to conventional therapies.

For AD, Dr Lio mentioned using botanical oils, such as:

• Coconut oil
• Sunflower oil
• Hemp seed oil

He also shared that using black tea as a cooling compress may also be beneficial and noted that although these may not replace mainstream therapies, they can complement conventional treatments. Particularly, vitamin D supplementation is highlighted for its potential immune-modulating effects.

When it comes to AA, he noted that conventional treatments are scarce. The he shared the association between AA and low vitamin D levels, suggesting vitamin D and B12 as supplements. Folate and zinc may also slow the progression of the disease. In fact, he shared that the association between low zinc levels and AA is being explored, acknowledging that further research is needed to establish a clear connection. Other suggestions include aromatherapy oils like thyme, lavender, rosemary, and Atlantic cedar. Stress reduction techniques, such as hypnosis or hypnotherapy, are also recommended.

He emphasized the significant impact of these conditions on families in terms of sleep disruption, shame, helplessness, and financial burden. Sleep disturbances in AD affect the entire family, and the shame and helplessness associated with AA can be challenging for family members. The financial and emotional investments in appearance further contribute to the family's burden. He advocated for embracing alternative or holistic treatments as part of overall patient care, rather than rejecting them outright.

Dr Lio stressed the importance of acknowledging holistic approaches, even if they might not replace conventional treatments. He encouraged an open-minded approach, suggesting that learning about these methods can enhance communication with patients. Acknowledging patients' interests and exploring holistic options, when appropriate, contributes to a more collaborative and respectful patient-physician relationship.

Dr. Lio expressed that the discussion on holistic approaches is a small but important part of the broader conversation. He argued for a balanced approach, encouraging colleagues to be informed about holistic options, even if they choose not to incorporate them into their practice. He believes that engaging with these approaches, rather than dismissing them outright, contributes to better patient care and a more inclusive medical practice.

He added that the symposium, with its diverse range of topics and speakers, provides a comprehensive exploration of different facets of AD and AA, fostering a holistic understanding of these conditions. “We're not trying to replace anything. It's part of a huge group of amazing speakers and amazing ideas and new technologies. This is a little corner of it,” he concluded.

Reference
Lio P. A holistic approach to diagnosing & treating AD and AA in adolescent and adults, including addressing unique psychological aspects in patients & families. Presented at: 26^th Annual Mount Sinai Symposium; November 30-December 3, 2023; New York, NY.