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Hawaii J Med Public Health. 2018 May;77(5):114-117.

Treatment of Prurigo Pigmentosa with Diet Modification: A Medical Case Study.

Maco MW1,2,3,4, Lee E1,2,3,4, Wu Y1,2,3,4, Lee R1,2,3,4.

Author information

1
Nutrition Services, Shriners Hospitals for Children, Honolulu, HI (MW).
2
John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (EL).
3
Department of Pediatrics, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (YW).
4
Medical Staff Department, Shriners Hospitals for Children, Honolulu, HI (EL, RL).

Abstract

Prurigo pigmentosa is a rare inflammatory dermatitis first described in 1971. While the etiology of Prurigo pigmentosa is yet unknown, conditions associated with ketosis often accompany this rash. Prurigo pigmentosa is successfully treated with antibiotics and by resolution of ketosis. However, there is no dietary treatment option to successfully treat the rash without sacrificing ketosis. We report two cases successfully treated with increase of dietary carbohydrate intake. The second case suggests that cessation of ketosis may not be necessary to resolve Prurigo pigmentosa.

KEYWORDS:

Epilepsy; Ketogenic Diet; Prurigo Pigmentosa

PMID:
29761029
PMCID:
PMC5945928
[Indexed for MEDLINE]
Free PMC Article

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