Dietary and Food Dermatology
Diets and foods that affect the skin.
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Dietary, foods, diseases on left; associated foods and disease on right.
Dietary, foods, diseases on left; associated foods and disease on right.
actinic keratoses | may be reduced by a low fat diet |
atopic dermatitis | avoid: cow’s milk, eggs, fish, peanuts, soy products, tree nuts, wheat |
5-hydroxy-indoleacetic acid (5HIAA) excretion, urinary | avocado, bananas, eggplant, red plum, tomatoes, walnut |
biotin deficiency | alopecia, hypotonia, intertriginous dermatitis, lethargy, periorificial dermatitis, waxy facial pallor, xerosis |
| BROW-free diet | for dermatitis herpetiformis; Avoid Barley, Rye, Oats, Wheat |
cobalamin (B12) deficiency | angular chelitis, beefy red tongue, hyperpigmentation (generalized), hyperpigmented macules, poliosis |
carcinoid s., precipitated by | avocados, cheese, chocolate, eating, eggplant, EtOH, hot beverages/foods, red plums, tomatoes, walnuts |
cobalt, diet low in | avoid; apricots, beans, beer, beets, cabbage, chocolate, cloves, cocoa, coffee, flour (whole grain), liver, nuts, scallops, tea |
copper deficiency | facial abnormalities, light hair, Menkes’ s., pili torti |
elementary diet | essential and nonessential amino acids and simple sugars, electrolytes, trace elements & vitamins; useful for dermatitis herpetiformis (gluten sensitive enteropathy) |
elimination diet (add back one food item per day) | Avoid: dairy products, wheat, egg chocolate, cola drinks, nuts, seeds, shellfish, corn, tomato, strawberries, citrus fruits, packaged & prepared meats, dried fruits, sugar substitutes, herbs, spices Eat: fresh & frozen vegetables & fruits, fresh meat, poultry, fish baked or broiled (not breaded), water, tea, salt, sugar, fresh lemon |
essential fatty acid deficiency | results in: alopecia, increased transepidermal water loss, intertriginous erosions, xerotic dermatitis |
flushing | precipitated by: capsaicin (in red pepper), cheese, chocolate, Coprinus mushrooms, dumping s., hot beverages, lemon, monosodium glutamate, nitrites, sodium nitrite (cured meats), sulfites, spiced foods, spoiled fish, spoiled cheese |
histamine elimination diet | avoid: beefsteak, cheese, chicken liver, eggplant, red wine, spinach, tomatoes |
iron deficiency | alopecia, light hair, koilonychia |
Kwashiorkor | crazy paving dermatosis, enamel paint spits, flag sign, flaky paint, hypopigmentation, peripheral edema, xerosis |
marasmus | brittle hair, monkey facies, wrinkled skin, xerosis |
niacin (Vit. B3) deficiency | angular stomatitis, cheilosis, Casal’s necklace, sores (oral, perirectal), symmetric hyperpigmented plaques (sun-exposed) AKA pellagra |
nickel reduction diet | avoid: shellfish, chocolate milk, beans, kale, leeks, lettuce, lentils, peas, soy protein powder (in prepared meats, soups, bouillon), spinach, sprouts, bran, buckwheat, millet, muesli, multi-grain breads, oat meal, rice (unpolished), rye bran, sesame seeds, wheat bran, cereals, bran biscuits, dates, figs, pineapple, prunes, raspberries, chocolate and cocoa, bottled tea, almonds, baking powder, nuts, licorice, marzipan eat: alcohol, asparagus, bananas, beets, berries (except raspberries), broccoli, Brussels sprouts, butter, carbonated beverages, cabbage, cauliflower, cheese, Chinese cabbage, coffee & tea (weak), corn, corn flakes, cornmeal, cornstarch, cucumber, dill, eggplant, eggs, fish, garlic, macaroni, margarine, meat (fresh), mushrooms, onions, parsley, peaches, pears, peppers, popcorn, potatoes, poultry, raisins, rhubarb, rice (polished), spaghetti, wheat flour, whole grain rye & wheat bread, yeast, yogurt |
| phosphorous-rich diet | (lowers Ca++ levels in calcinosis cutis): ale, artichokes, beer, broccoli, brussel sprouts, caramel, cocoa, colas, flounder, liver, milk, nuts seeds, oyster, salmon, wheat germ |
| protein restriction diet | arginosuccin aciduria: restrict protein (1-1.5 gram/kg/day) with arginine suplementation (3-5 mmol/kg/day) |
| pseudoxanthoma elasticum | calcium-restricted diet (controversial) |
pyridoxine (B6) deficiency | angular stomatitis, cheilosis, glossitis, oral erosions, pellagra-like dermatitis, seborrhea-like dermatitis |
| Refsum syndrome | restrict phytanic acid; avoid animal fat (ruminants), dairy products, green vegetables |
riboflavin (B2) deficiency | angular stomatitis, cheilosis, magenta glossitis, perleche, scrotal dermatitis, seborrhea-like dermatitis |
| Richner-Hanhart s. | low phenylalanine/low tyrosine diet, low protein diet |
selenium deficiency | hypopigmentation (generalized), white nails |
| Sjogren-Larsson s. | low fat diet, long chain fatty acid restriction |
thiamin (B1) deficiency | AKA beriberi: edema, glossitis, peripheral neuropathy, Korsakoff confabulation, Wernicke encephalopathy |
urticaria, contact | apricot pit, apple, bean, beer, buckwheat flour, caraway seed, carrot, egg, endive, fish, flour, garlic, kiwi, lettuce, litchi, maize, mango, meat (chicken, lamb, turkey, beef, liver, pork), milk, mustard, peach, peanut, pickle (cucumber), potato, rice, salami casing (mold), shellfish, soybean, spices, strawberry, tomato, watermelon |
vitamin A (retinol) deficiency | phrynoderma, xerosis |
vitamin C (ascorbic acid) deficiency | corkscrew hairs, follicular hyperkeratosis, friable gums, hemorrhage, poor wound healing, splinter hemorrhages (fingernail) AKA scurvy |
vitamin E (tocopherol) deficiency | jaundice, phrynoderma |
vitamin K deficiency | intracutaneous hemorrhage, purpura |
zinc deficiency | acral & periorificial pustulo-bullous dermatitis, alopecia, angular stomatitis, glossitis, pustular paronychia |

