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The Keto Rash and Lyme Disease

PP-BorreliaNOTE: A version of this was originally published on bjjcaveman.com (here) on August 31, 2014

I was very excited by the title of this article, especially since it offered potential insight as to a specific infectious etiology to this rash!

Molecular detection and genetic identification of Borrelia garinii and Borrelia afzelii from patients presenting with a rare skin manifestation of prurigo pigmentosa in Taiwan

This was published in the International Journal of Infectious Diseases, August 2013.  This is a free article, so please feel free to read the whole thing yourself from the link provided.… Read More

The Keto Rash after a Strict Ketogenic Diet

PP-ketogenic-diet

NOTE: A version of this was originally published on bjjcaveman.com (here) on August 28, 2014

This one had a very promising title and was in Pediatric Dermatology on December 30, 2013.

Prurigo Pigmentosa after a Strict Ketogenic Diet

This was a single case report about a 17 year old white boy who presented with this rash on his chest, upper back, and abdomen for 2 weeks.  He also had pain in his knees, wrists, elbows and ankles.

Because of his joint pains, he was initially diagnosed with dermatomyositis and was treated with IV corticosteroids (methylprednisolone). … Read More

Segmental Appearance of the Keto Rash

Segmental-PP-536x1024NOTE: This was originally published on bjjcaveman.com (here) on August 26, 2014

This next article is also hot off the presses, published July/August 2014 in Pediatric Dermatology.

Segmental Prurigo Pigmentosa

This was simply a case report about a 13 year old girl (pictured above) who developed the rash.  Unfortunately they do not discuss what they think caused it.

They thought this was worthy of report primarily because of the distribution of the rash which they call “segmental,” describing how it appears almost as a band on the left side of her chest.… Read More

The Keto Rash in the Middle East

PP-Middle-East-686x1024NOTE: This was originally published on bjjcaveman.com (here) on August 26, 2014.

Prurigo Pigmentosa: A Clinicopathologic Study of 4 Cases from the Middle East

This was the first case series from the Middle East, out of the American University of Beirut Medical Center, Lebanon.  This article is hot off the presses, just published in the American Journal of Dermatology on July 30, 2014.

SUBJECTS:

  • All 4 patients were female with a mean age of 23.5
  • 3 of the 4 had a history of prior episodes
  • One patient reported an association with the rash and with Ramadan fasting.
Read More