Keto Rash – Ketogenic Rash – Dermatologists View
Ketogenic Rash ? Here comes the Dermatologists View.
If you’ve been involved in the health and
wellness world lately, you’ve likely heard
of the ketogenic or keto diet, a very low
carbohydrate, high-fat diet.
The body starts to run on ketones from fat
instead of glucose from carbs.
However, as with any drastic dietary change,
there can be some unwanted side effects.
Initial side effects of the keto diet may
include the typical Ketogenic Rash.
In this video you will learn everything you
need to know about the keto rash, including
what can cause it, how to treat it, and how
to prevent it from happening.
￼Welcome to my channel!
The Lifting Dermatologist …
Keto rash, often formally known as prurigo
pigmentosa, is a rare, inflammatory condition
of the skin, characterized by a red, itchy
rash primarily on the upper back, chest, and
abdomen, with red papules, that take on a
Often a dark brown pattern is left on the
skin once the spots disappear.
There’s some evidence that suggests a correlation
between the keto diet and prurigo pigmentosa.
There’s a strong correlation between this
acute rash and the presence of ketosis, which
is how it gets its nickname “keto rash.”
Ketosis occurs most commonly as a result of
uncontrolled diabetes or restrictive dieting.
With the keto diet, the goal is to be in ketosis.
The rash affects most commonly female teenagers
and young adults.
According to a review of the relevant literature,
14 different people over the course of two
studies had been in ketosis when diagnosed
with prurigo pigmentosa.
But it is my opinion that this skin condition
probably gets under-diagnosed quite a lot,
since a lot of doctors do not even know or
recognize the condition.
And even if they do, they do not think about
the possibility of a correlation with a diet at all.
There are also thought to be external factors
that may aggravate prurigo pigmentosa, including
things such as sunlight and excessive heat,
sweating, friction and skin trauma, and allergens.
Although research finds a link between prurigo
pigmentosa and ketosis, the exact cause of
the rash is unconfirmed.
Ketones produced by your body during ketosis
can cause perivascular inflammation (inflammation
around the blood vessels) and trigger the
Some suggest that the keto rash might be the
result of high histamines, because of the
dumping of fat from the liver, which is holding
fat soluble toxins.
And that could explain why taking extra bile
salts is one of the treatment options, better
eliminating the fat and the toxins.
Treatment for the keto rash:
(1) Give it time.
The keto rash may go away on its own after
a few weeks.
If you’re new to the keto diet, it may just
be a waiting game while you’re body adjusts.
The longer you’re in ketosis, the more your
body adapts to the production of ketones.
(2) Reintroduce carbohydrates
There is no dietary treatment option to successfully
treat the rash without sacrificing ketosis.
(3) Correct nutrient deficiencies
Deficiencies in the vitamin A, B12 and C have been linked
with the keto rash, next to deficienties
in the minerals sodium, potassium, magnesium, calcium.
If you’re eating an overly restrictive diet,
your body may not be getting all the vitamins
and minerals it needs.
Eating an array of colorful fruits and vegetables
is a great way to ensure that you’re eating
all the nutrients nature has to offer.
(4) Eliminate food allergens
Some of the most common foods to eat on the
ketogenic diet are eggs, dairy, fish, and
nuts and seeds.
Many of these foods also happen to be on the
list of common food allergens.
Make sure to eliminate any foods you’re
allergic to, that may be worsening your rash symptoms.
(5) Anti-inflammatory supplements
Probiotics, vitamin D, and fish oil supplements
have all been used to help improve symptoms
of inflammatory skin rashes.
(6) Bile Salts
Cholic, deoxycholic, chenodeoxycholic, and
lithocholic acids help the liver process large
amounts of fat properly.
You can get all kinds of bile salt supplements
online on Amazon.
(7) Skin care
Avoid excessive sweating, and friction on
Use gentle soaps and cleansers.
Keep your skin moisturized and protected from
Effective medications prescribed for prurigo
pigmentosa are the antibiotics minocycline
Dapsone may also be used for treatment.
Although developing a keto rash is rare, you
can prevent it by taking the following precautions
when starting the keto diet:
Slowly lower your carb intake.
Try to taper carbohydrates out of your diet
A once-a-day multivitamin or multimineral
can help reduce the likelihood of nutrient
deficiencies as you start the keto diet.
If you have comments or any more questions,
leave them under the video.
Don’t forget to click the thumbs up, and
see you in a next video!