Diet in dermatology Part I. Atopic dermatitis, acne, and nonmelanoma skin cancer
Diet in dermatology Part I. Atopic dermatitis, acne, and nonmelanoma skin cancer
复制标题
DOI：
10.1016/j.jaad.2014.06.015
复制
发表时间：
2014-12-01
影响因子：
13.8
通讯作者：
Rao, Babar K.
中科院分区：
文献类型：
--
作者：
Bronsnick, Tara;Murzaku, Era Caterina;Rao, Babar K.
患者通常询问饮食调整作为预防或管理皮肤病的一种手段。考虑到关于这一主题存在的大量相互矛盾的证据，提出这些问题往往具有挑战性。这篇由两部分组成的继续医学教育文章总结了迄今为止的证据，使医生能够以循证方式回答患者的问题。第一部分包括特应性皮炎、痤疮和非黑色素瘤皮肤癌。总结了饮食补充、饮食排除、食物过敏、母亲饮食和母乳喂养在特应性皮炎发生和/或预防中的作用。皮肤内分泌机制的影响，血糖指数/血糖负荷和牛奶对痤疮的描述，以及相关的临床证据，饮食调整。最后，报告了限制或补充饮食因素预防非黑色素瘤皮肤癌的证据和建议，包括脂肪，维生素A，C，D和E，以及硒。
Patients commonly inquire about dietary modifications as a means to prevent or manage skin disease. Answering these questions is often challenging, given the vast and conflicting evidence that exists on this topic. This 2-part continuing medical education article summarizes the evidence to date to enable physicians to answer patients' questions in an evidence-based manner. Part I includes atopic dermatitis, acne, and nonmelanoma skin cancer. The role of dietary supplementation, dietary exclusion, food allergy, maternal diet, and breastfeeding in the development and/or prevention of atopic dermatitis is summarized. The dermatoendocrinologic mechanism for the effects of glycemic index/glycemic load and milk on acne is described, as well as related clinical evidence for dietary modifications. Finally, evidence and recommendations for restriction or supplementation of dietary factors in the prevention of nonmelanoma skin cancer, including fat, vitamins A, C, D, and E, and selenium, are reported.