Acetic acid and the skin: a review of vinegar in dermatology

Abstract

Vinegar is commonly used as a home remedy for many skin problems. It is important for dermatologists to understand the evidence supporting its use in skin disease, as well as potential adverse effects, so they can properly counsel patients on the safe use of this widely available treatment. Vinegar possesses antimicrobial and antioxidant properties that provide utility in wound care as well as bacterial and fungal infections. There is also evidence to support its use in pruritus, head lice removal, and treatment of striae gravidarum. While generally safe, inappropriate use can result in damage to the skin. In this review, we discuss the evidence supporting vinegar as a treatment for skin disease, as well as adverse events reported from misuse, to provide dermatologists the knowledge to counsel patients on the safe and appropriate use of vinegar.

Examination of the topical effect of the combination of Plantago ovata and vinegar on the improvement of rural cutaneous leishmaniasis lesions

“…Although irritation occurs in the topical applications of vinegar, it is a good sign indicating that vinegar disinfectant compounds are actively fighting against bacteria or viruses and destroying dead lesion tissue. [ 21 22 ]…”

Bathing in Atopic Dermatitis in Pediatric Age: Why, How and When

“…Another recent study showed that diluted apple cider vinegar did not affect skin barrier integrity but caused skin irritation in most subjects [ 89 ]. Anyway, the acetic acid effects may depend on the type of vinegar applied and, for its antimicrobial effects, on the type of microorganism involved [ 90 ]. Future studies are needed to explore the benefits of vinegar on skin barrier integrity and its use in a safe way.…”

Home Remedies in Dermatology

“…It is known to have antibacterial, antifungal, and antioxidant properties. [ 3 ] The uses of vinegar are summarized in Table 1 . [ 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ]…”

“…The adverse effects include burns, (especially in children) and contact dermatitis to nickel, as vinegar increases the leaching of nickel storage containers leading to a higher nickel content. [ 3 ]…”