• Hawaii J Med Public Health · May 2018

    Case Reports

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

    • Miki Wong Maco, Erica Lee, Yolanda Wu, and Ryan Lee.
    • Nutrition Services, Shriners Hospitals for Children, Honolulu, HI (MW).
    • Hawaii J Med Public Health. 2018 May 1; 77 (5): 114-117.

    AbstractPrurigo 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.

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