Tag Archive: Minocycline

Case Report of the Keto Rash in the journal: Pediatric Dermatology

The Pediatric Dermatology journal published a case report of the keto rash, prurigo pigmentosa, in their March-April 2015 issue:

Prurigo pigmentosa after a strict ketogenic diet.

 

This was a report of a 17 year old kid who developed a rash and joint pains.  They thought he had something called dermatomyositis which involves inflammation of the skin and muscle, and treated him with intravenous steroids.  This only helped his joint pains, but his rash remained.

Steroids Did Not Help

The ineffectiveness of steroids is typical of keto rash.… Read More

Susan Successfully Treats Keto Rash with Minocycline

There are now over 74 comments now in the Treatments page and in one of the latest comments Susan shares her experience with treating keto rash using the antibiotic minocycline:

I have been dealing with this horrendous and incredibly itchy rash on and off for about 6 years and have seen countless doctors about it. I’ve desperately tried every single thing listed under treatments (and some), but to no avail.

It wasn’t until I came across this site that I found a solution that actually worked!

Read More

Keto Rash in 49 Koreans

Keto Rash in 49 KoreansNow this may sound familiar, especially since I just wrote a post on another study where they analyzed the keto rash in 50 koreans, and I myself had to do a double take because this was published in the same year as the other study… but after reading the paper itself, I can reassure that it is a completely separate study.  While the country is the same, the authors are different, the journal is different, and the patients are different (although there may be some overlap, I’ll explain why).… Read More

Prurigo Pigmentosa vs Confluent and Reticulated Papillomatosis

Prurigo Pigmentosa and CARP

This is just a letter to the editor in the Journal of the American Academy of Dermatology reporting a single case published in 2013.

Is prurigo pigmentosa an inflammatory version of confluent and reticulated papillomatosis?

The case was of a 24 year old white male with a 2 week history of itchy rash on his back, chest, and abdomen.

He was first treated with both oral and topical corticosteroids to no effect.  A skin biopsy was performed and he was diagnosed with prurigo pigmentosa.

Unfortunately they do not go into potential causes of the rash in this patient (ie fasting, dieting, weight loss, etc.), but since this is a letter to the editor, it’s not subject to the same scientific rigor as regular journal articles.… Read More

The Keto Rash in 2 American Women

Keto Rash in 2 American Women

Keto Rash in 2 American Women2Here are two American women that developed the keto rash.

Prurigo Pigmentosa: Report of two cases in the United States and review of the literature

Published in the Dermatology Online Journal December 2011

I actually really feel terrible for the first patient because she had this rash off and on for 2 years and underwent multiple skin biopsies… which led to her being misdiagnosed with herpes simplex virus for which she was treated unsuccessfully with anti-viral medications (oral acyclovir, valcyclovir, and topical acyclovir) as well as topical corticosteroids with no improvement.… Read More

The Keto Rash in 50 Koreans – The Most Comprehensive Study Yet!

PP 50 koreans 2This is a great paper with one of the largest series of keto rash cases assembled to date.  They also do a wonderful job going into the history of the rash, and is probably the most comprehensive paper available.  Let’s dive in!

Prurigo pigmentosa: Clinicopathological study and analysis of 50 cases in Korea

Published in 2012, in the Journal of Dermatology

They report that this rash was first described in Japan, in 1971 (can’t wait to look at this paper), with more than 300 cases reported at the time of this papers publication.… 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