Ketogenic rash, or prurigo pigmentosa

By SWA

The remedy for a ketogenic rash, or prurigo pigmentosa, often involves several approaches that can be used alone or in combination, depending on the severity of the rash and individual circumstances. Here are some commonly recommended strategies:

  1. Adjusting the Diet: One of the first steps may include modifying the ketogenic diet to include more carbohydrates, thereby reducing the state of ketosis. This can help alleviate the rash for some individuals.

  2. Topical Treatments: Over-the-counter or prescription topical creams and ointments, such as corticosteroids, can help reduce inflammation and itching.

  3. Oral Medications: In more severe cases, doctors may prescribe oral medications. Antibiotics like doxycycline or minocycline are sometimes used for their anti-inflammatory properties, not just their antibiotic action.

  4. Supplementing Nutrition: Ensuring adequate nutrition, especially regarding vitamins and minerals that support skin health (such as vitamin A, D, and zinc), can be beneficial.

  5. Good Skin Care: Maintaining a gentle skin care routine that avoids irritating the affected areas can help. This includes using mild soaps, moisturizing regularly, and avoiding scratching.

  6. Antihistamines: Over-the-counter antihistamines may provide relief from itching.

  7. Seeking Medical Advice: It's important to consult with a healthcare provider for a proper diagnosis and treatment plan, especially if the rash is severe or persistent. A healthcare provider might suggest additional treatments or adjustments to the diet.

  8. Reintroduction of Carbohydrates: If the rash does not improve with other treatments, gradually reintroducing carbohydrates to exit ketosis may be recommended as a last resort.


Each individual's response to these remedies can vary, and what works for one person may not work for another. It's important to monitor the rash and symptoms and adjust the approach as needed.

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