Diet and acne: a review of the evidence

  title={Diet and acne: a review of the evidence},
  author={Elsa H Spencer and Hope R. Ferdowsian and Neal D. Barnard},
  journal={International Journal of Dermatology},
Pharmaceutical acne treatments are costly and have potentially severe side-effects. Adolescent acne is typically the result of clogged, infected, pilosebaceous follicles. Adults may experience fewer comedones and more inflammatory lesions. 1 Normally, sebum travels up the follicle to the skin surface. Hormones may increase sebum production and cause follicular cells to hyperproliferate and block the follicular opening, forming a comedo. 4 Complete follicle blockage results in closed comedones… 

Modern management of acne

There is a strong argument for early, effective treatment with systemic therapy when topical and general measures have failed in acne, and oral isotretinoin remains the most effective well established treatment that targets all the aetiological factors.

Acne vulgaris: an inflammatory disease even before the onset of clinical lesions.

Acne is a chronic self-limited disease, which affects mostly teenagers, without gender difference. In recent years, the incidence has increased in female adults. The factors involved in this

A Brief Review on Acne Vulgaris: Pathogenesis, Diagnosis and Treatment

The present review focuses on an epidemiology, etiology, pathogenesis, diagnosis, differential diagnosis and management of acne with the pharmaceutical dosage forms of oral and topical administrations.

Acne and diet: a review

Current knowledge on the association between acne and diet with special attention to the most frequently discussed factors involved in its pathogenesis are summarized: milk, chocolate, omega‐3 fatty acids, hyperglycemia, hyperinsulinism, and IGF‐1.

Acne: current perspective

Acne vulgaris or acne is a multi factorial chronic inflammatory disease of pilosebaceous unit that affects approximately 9.4% of the population and is the most common chronic skin disorders which require urgent attention.

Isotretinoin updates

Over the past 30 years, this medication has revolutionized the treatment of acne, however, despite its popularity there are numerous side effects associated with its use.

Acne vulgaris

A streamlined outline of treatment intended for the non-specialist is provided for acne, which has clear detrimental psychosocial effects and may lead to permanent scarring.

Acne and diet: a review of pathogenic mechanisms.

The diet has been highlighted in the pathogenesis because of its direct relation with some biochemical markers and the transcription of specific genes associated with sebaceous gland activity, inflammation, and bacterial proliferation, which together promote the development of the disease and affect the severity of the condition.



Is Acne vulgaris a Genuine Inflammatory Disease?

The role of P. acnes in acne cannot be explained by its presence in the follicle, and the number of follicular bacteria on untreated skin of acne patients does not correlate with the grade of severity of acne.

Acne update: 2004

This review focuses on new literature that has emerged regarding the biology of the folliculosebaceous unit, the identification of particular mediators responsible for inflammatory acne, the use of topical and systemic retinoids in acne therapy, and approaches to address the emergence of antibiotic-resistant Propionibacterium acnes strains.

Acne vulgaris: a disease of Western civilization.

The astonishing difference in acne incidence rates between nonwesternized and fully modernized societies cannot be solely attributed to genetic differences among populations but likely results from differing environmental factors.

Effect of chocolate on acne vulgaris.

A review of studies purporting to show that diets high in carbohydrate or fat stimulate sebaceous secretion and adversely affect acne vulgaris indicates that these claims are unproved.

Sugar consumption in acne vulgaris and seborrhoeic dermatitis.

The liver showed changes of chronic venous congestion in most of the liver lobules and consisted of dilated central veins and dilated and congested sinusoids and a small patch of necrosis, yellowish in colour, in the right lobe.

Observations on Acne, Seborrhoea, and Obesity

A survey of 2,720 unselected soldiers was made in order to clarify the natural history of acne and its correlation, if any, with seborrhoea, obesity, and colouring, suggesting that there may be such an association.

Beliefs and perceptions of patients with acne.

There is a need for accessible, accurate, community-based education on the natural history of acne, pathogenesis, risk of sequelae, the effectiveness and expected duration of treatment, and the importance of prompt medical attention.

Recent findings in the epidemiologic evidence, classification, and subtypes of acne vulgaris.

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Factors believed by Jordanian acne patients to affect their acne condition.

Patients' perceptions of factors that have an effect on their acne condition were assessed and it was found that emotional stress, hot weather and sweating, and premenstrual factors and cosmetics were factors among women.