Keto Rash | Ketogenic Diet Tips | How to Treat a Keto Rash | Keto Rash Symptoms- Thomas DeLauer

Keto Rash | Ketogenic Diet Tips | How to Treat a Keto Rash | Keto Rash Symptoms- Thomas DeLauer

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Keto Rash | Ketogenic Diet Tips | How to Treat a Keto Rash | Keto Rash Symptoms- Thomas DeLauer…
The keto rash is a rare, inflammatory condition of the skin characterized by a red, itchy rash around the trunk and neck. The disease is of unknown origin and it’s often formally known as prurigo pigmentosa – dates back to 1971 where it was first reported in Japan.

**It’s incredibly rare with a few hundred cases being reported in Japan and less than that being reported in the West – just now beginning to be more recognized here, with it being mentioned more on Keto forums**

It causes itchy, red bumps, typically on the neck, chest, and back – sometime, the bumps fuse together into a bigger raised red area called a plaque. More specifically, the rash tends to start on the back, neck, and chest (especially in the middle of the chest and back). – manifests as itchy, raised skin lesions that can be red, brown, or light pink in color depending on the stage it’s on.

According to the research, people with prurigo pigmentosa usually go through 4 main stages:
Early lesions: During this stage, The skin shows light pink raised skin lesions that look like scratch marks. This stage is often overlooked because it just looks like a minor rash or scratch.
Fully developed lesions: This is the full blown rash people get worried about because it is much more aggressive. During this stage, the skin is infested with pronounced red skin lesions called papules, and sometimes the papules will include liquid-filled cysts or, more rarely, pus-filled cysts.

Resolving lesions: When the rash is receding, crusted and scaly papules will take the place of the red lesions. The papules will also start to get darker.

Late lesions: The skin is left with a net-like pattern of dark spots larger than freckles, called “reticulated hyper-pigmentation”. When this happens, the rash is almost fully healed. The pigmentation might remain long after the rash is gone, but the skin will eventually return back to normal.

Best case: goes away after a couple weeks; worst case: appears any time one enters ketosis

There are a lot of hypothesis as to why it occurs, but some can be debunked:
A popular claim is that the switch to burning fat is the cause as fat stores toxins, which then get released in large quantities when a person goes ketogenic. That’s clearly not the case – not all people who lose huge amounts of weight get a rash – so this can’t be the answer.

Some people claim that the reason is down to the fact that when people switch to keto they end up consuming foods that they wouldn’t normally eat (or higher quantities than they normally would
Additionally, keto places an emphasis on foods like eggs, dairy, fish, and nuts and seeds, to name a few that are common food allergens.

Possible Causes:
Another possible cause of keto rash is that your skin may be having a negative reaction to acetone.
Simply, as acetone is excreted with our sweat, it exposes our skin to excess acetone and causes an inflammatory reaction, itchiness, and lesions on the skin that lead to keto rash.

Reintroduce carbs- This can be done as more of a test to see whether ketosis is the cause of the rash –

Stop the production of hormone-like cytokines that direct a class of white blood cells known as neutrophils to cause inflammation. Andrographis is a herb that suppresses the infiltrations of neutrophils. Ginger and Green tea are also able to lower neutrophil count as well.

1) Böer A , et al. (n.d.). Prurigo pigmentosa: a distinctive inflammatory disease of the skin. – PubMed – NCBI. Retrieved from