Dietary Intervention: An Essential Part of the Management of Patients Affected by Hidradenitis Suppurativa

Marasca, Claudio; Cinelli, Eleonora; Annunziata, Maria Carmela; Barrea, Luigi; Savastano, Silvia; Fabbrocini, Gabriella

doi:10.1159/000504912

Cited by 3 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, Marasca et al suggested the inclusion of evaluation of individual nutritional status as an essential part in the management of HS patients 25 . Barrea et al showed that, compared to a healthy control group, HS patients demonstrated dietary habits tending towards a pro-inflammatory state that was associated with reduced consumption of complex carbohydrates, monosaturated fatty acids, and n-3 saturated fatty acids and a greater intake of saturated fatty acid and n-6 polyunsaturated fatty acids.…”

Section: Diet and Weight Lossmentioning

confidence: 99%

See 1 more Smart Citation

The most recent advances in understanding and managing hidradenitis suppurativa

2020

View full text Add to dashboard Cite

Hidradenitis suppurativa (HS) is a chronic, inflammatory, recurrent, and debilitating skin disease of the hair follicle unit that typically develops after puberty. HS has a significant negative impact on both the quality of life (QOL) of patients affected by this disease as well as family members and caregivers. However, the pathogenesis of HS is multifactorial and still remains to be fully elucidated, which makes the development of treatments difficult. The last 10 years have seen a surge in HS research, and many new findings have come to light, yet much more remains to be elucidated. Physicians must employ a multidisciplinary approach to maximally address all facets of HS. Clinical characteristics of the disease that differ between females and males as well as across different races and ethnic groups must be considered. Targeted topical, oral, and injectable therapies continue to be developed for HS as a greater understanding of the pathogenesis is reached. However, randomized controlled trials regarding dietary factors that may contribute to HS are needed to meet our patients’ growing concerns and questions about the role of diet in HS pathogenesis. Finally, improved outcome measures are needed to standardize HS severity and grading between physicians and clinical trials, and a more diverse representation of HS populations is needed in clinical trials.

show abstract

Section: Diet and Weight Lossmentioning

confidence: 99%

“…Furthermore, Marasca et al . suggested the inclusion of evaluation of individual nutritional status as an essential part in the management of HS patients 25 . Barrea et al .…”

Section: Pathophysiology and Triggers Of Hsmentioning

confidence: 99%

The most recent advances in understanding and managing hidradenitis suppurativa

2020

View full text Add to dashboard Cite

show abstract

“…Increased HS severity was positively correlated with both total and simple carbohydrate intake and negatively correlated with omega‐3 fatty acid intake 39 . The anti‐inflammatory benefits of the Mediterranean diet are attributed to dietary fibers, omega‐3 fatty acids, antioxidants, and polyphenols found in plant foods 40,41 . The Mediterranean diet may be a valuable nutrition plan for HS patients; however, cost and ability to access certain ingredients may limit adherence.…”

Section: Dietary Recommendationsmentioning

confidence: 99%

“…39 The anti-inflammatory benefits of the Mediterranean diet are attributed to dietary fibers, omega-3 fatty acids, antioxidants, and polyphenols found in plant foods. 40,41 The Mediterranean diet may be a valuable nutrition plan for HS patients; however, cost and ability to access certain ingredients may limit adherence. Table 2 highlights recommended dietary modifications for HS patients.…”

Section: Mediterranean Diet/anti-inflammatory Dietmentioning

confidence: 99%

Lifestyle modifications and complementary treatments for hidradenitis suppurativa

Rick

Shih

et al. 2022

Dermatological Reviews

View full text Add to dashboard Cite

Background: Hidradenitis suppurativa (HS) is a chronic inflammatory dermatosis with recurrent painful nodules and abscesses affecting the intertriginous areas.Patients often experience a significant negative impact on quality of life from associated pain, discharge, odor, scarring, and social stigma. Even with complex medical regimens, patients may report inadequate disease control. Lifestyle changes and complementary and alternative medicines (CAM) are used by a majority of HS patients. Conventional medicines and lifestyle and CAM modalities strategically incorporated together can increase treatment satisfaction and success.Objective: We aim to highlight lifestyle and CAM treatment modalities to use alongside conventional treatment plans for HS patients. Findings: Lifestyle modifications for HS patients include weight loss, reducing skin friction, smoking cessation, and stress reduction. Dietary modifications for HS patients include limiting foods containing dairy, Brewer's yeast, and simple carbohydrates, appropriate caloric reduction, and consuming foods in the Mediterranean diet. The CAM modalities studied in HS are vitamin D, niacinamide, vitamin B12, zinc, and magnesium. Potential CAM modalities for HS include probiotics, cannabinoids, turmeric, bathing regimens, and acupuncture. Conclusion: This review is a guide for clinicians to provide evidence-based care for HS patients seeking non-pharmacologic treatment modalities such as weight loss, clothing choices, dietary changes, and use of supplements and complementary medicine. Lifestyle and CAM modalities may be used in parallel with conventional medicines to synergistically improve patient disease outcomes.

show abstract