Skin eruption induced by dieting – an underdiagnosed skin disease in Malaysia
- Author:
Adawiyah Jamil
;
Goh Siew Wen
;
Norazirah Md Nor
;
Felix Boon- Bin Yap
- Publication Type:Case Reports
- Keywords:
Ketogenic diet;
weight loss;
ketosis;
Malaysia;
prurigo pigmentosa
- From:Malaysian Family Physician
2019;14(1):42-46
- CountryMalaysia
- Language:English
-
Abstract:
Prurigo pigmentosa is an inflammatory dermatosis characterized by a pruritic, symmetrically
distributed erythematous papular or papulo-vesicular eruption on the trunk arranged in a reticulated
pattern that resolves with hyperpigmentation. It is typically non-responsive to topical or systemic
steroid therapy. The exact etiology is unknown, but it is more commonly described in the Far
East countries. Dietary change is one of the predisposing factors. We report on nine young adult
patients with prurigo pigmentosa, among whom five were on ketogenic diets prior to the onset of
the eruptions. All cases resolved with oral doxycycline with no recurrence. We hope to improve the
awareness of this uncommon skin condition among general practitioners and physicians so that
disfiguring hyperpigmentation due to delayed diagnosis and treatment can be avoided.
- Full text:2.2018my0030.pdf
