Keto Rash Cure – How to get rid of Keto Rash

How to get rid of Keto Rash? It’s also known under the name Prurigo Pigmentosa. This dermatologist will explain the latest
updates concerning the Keto Rash Cure or Keto Rash Treatment. Please like and subscribe. Thank you. The keto rash or Prurigo pigmentosa, also
referred to as Nagashima’s disease, is a rare inflammatory skin condition of unknown
etiology. It typically presents as pruritic erythematous
papules, papulovesicles, and vesicles appearing in a reticular pattern on the back, chest,
or neck. In a previous video, that I will link under
this one, you can learn more about the keto rash and the link with the keto diet. In this one, we’ll talk about the treatment
options. If prurigo pigmentosa appears in a patient
that recently started the keto diet, the increase of dietary carbohydrate intake can stop further
worsening of the disease. Topical and systemic corticosteroids are not
effective for prurigo pigmentosa. Oral minocycline is usually the first-line
therapy for prurigo pigmentosa. However, doxycycline, macrolide antibiotics,
and/or dapsone may be indicated for some patients. Dosage of minocycline for this indication
is 100mg twice a day. Doxycycline at a dosage of 100mg a day can
be an alternative. Recently macrolide antibiotics such as erythromycin
have also been demonstrated to be helpful. Macrolide antibiotics have anti-inflammatory
as well as antibacterial effects. Dosages are: erythromycin 500mg given twice
a day, clarithromycin 400mg daily or 300mg of roxythromycin daily. Tetracycline antibiotics and Dapsone are effective
in treating prurigo pigmentosa during the inflammatory phase of the disease. These treatments are thought to work by interfering
with the movement and function of neutrophils. Dapsone or diaminodiphenyl sulfone (DDS) is
an antibiotic used in various skin conditions and autoimmune diseases. Since it can cause some serious adverse effect,
such as hemolysis and toxic hepatitis) in most cases it is not a first choice of treatment. Often used dosages are 150 mg dapsone per
day. For many years scientists attempted to develop
a topical formulation of dapsone that would be as effective as oral dapsone, but without
the hemolysis side effect. This was difficult to accomplish because dapsone
is highly insoluble in aqueous solvents. In February 2016, the FDA approved a 7.5%
dapsone gel. This has the advantage of a once-daily application,
without causing clinically significant declines in hemoglobin levels. This could be tried in prurigo pigmentosa. In the literature several case reports describe
treating prurigo pigmentosa successfully with low-dose isotretinoin. Dosages of 0.3 mg/kg/day (20 mg/day for most
people) resolved all erythematous macules and papules after 3 months of treatment. Scientists concluded that Low-dose isotretinoin
is not only adequate for the improvement of erythematous lesions, it also helps resolve the reticular hyperpigmentation of prurigo pigmentosa. To date there are no effective treatments
for the hyperpigmentation that develops in the later stages of the disease. Topically creams and gels with hydroquinone
can be tried, next to fruit acid peels or chemical peels, or laser therapy. However this post-inflammatory hyperpigmentation
can be very resistant to treatment. Thanks for watching. Please leave you questions or comments under
this video.

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