- Does keto diet cause skin rash?
- Is apple cider vinegar a possible solution to keto rash?
- What other solutions are there for keto skin rash?
- And a whole lot more!
Prurigo pigmentosa (PP), a rare form of inflammatory dermatitis; otherwise referred to as “keto rash”, has risen in prevalence as the ketogenic diet has become more and more popular.
While the keto diet is used in the treatment of many conditions, such as epilepsy, Parkinson’s and Alzheimer’s, brain tumours, and obesity, it may be accompanied by some side effects in certain individuals.
The most frequently reported adverse effects reported by individuals following a ketogenic diet are: fatigue, lethargy, hypoglycemia, and the “keto flu” (a flu like syndrome presented with muscle weakness, headache, brain fog, nausea, body pain).
PP is a much rarer occurrence (however this may be due to health practitioners’ unfamiliarity with the condition).
It has been mainly found in young Japanese women. Notably, women are also three to four times more likely to suffer with PP than men.
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It has been suggested that a change in gut bacteria may be the culprit and that making dietary and lifestyle modifications could stem the inflammatory response leading to the outburst.
It has also been suggested that those with previous conditions, such as Still’s disease, Sjögren’s syndrome and H.Pylori infection, may be at greater risk.
Arguably, the more common association in all the presented case studies is not the presence of ketosis but some kind of energy deficiency, restriction and or fasting protocol.
This thought is reinforced when we look at the study by Courtois et al. who found no association between the condition and blood glucose levels.
Although, other researchers have found improvement of the condition by resolving their ketoacidosis; however, more recent case studies have, again, found no link between blood ketones, glucose and development of PP.
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– Limiting carbohydrate is a given for a ketogenic diet, however, inadequate fibre intake should be avoided. This can affect your gut microbiome, possibly for the worse.
Antibiotics, such as minocycline, doxycycline and dapsone may also be effective treatments
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Internet “experts” have been citing ACV as a possible remedy for the condition, however, it should be viewed with caution.
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