Department of Dermatology, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, New Jersey.
Department of Dermatology, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, New Jersey.
J Am Acad Dermatol. 2014 Dec;71(6):1053.e1-1053.e16. doi: 10.1016/j.jaad.2014.06.016. Epub 2014 Nov 15.
The roles of dietary factors in aggravating, preventing, or treating skin diseases are common questions encountered in dermatology practice. Part II of this two-part series reviews dietary modifications that can potentially be utilized in the management of melanoma, chronic urticaria, and psoriasis patients. Specifically, we examine the effect of alcohol consumption and supplementation with vitamins D and E, polyunsaturated fatty acids, selenium, green tea, resveratrol, and lycopene on melanoma risk. The relationships between chronic urticaria symptoms and dietary pseudoallergens, gluten, and vitamin D are analyzed. We explore weight loss, reduced alcohol consumption, and gluten avoidance as means of reducing psoriasis-associated morbidity, as well as the possible utility of supplementation with polyunsaturated fatty acids, folic acid, vitamin D, and antioxidants. With proper knowledge of the role of diet in these cutaneous disease processes, dermatologists can better answer patient inquiries and consider implementation of dietary modifications as adjuncts to other treatments and preventative measures.
饮食因素在加重、预防或治疗皮肤病中的作用是皮肤科实践中常见的问题。本系列的第二部分回顾了可能用于管理黑素瘤、慢性荨麻疹和银屑病患者的饮食改变。具体而言,我们研究了酒精摄入以及维生素 D 和 E、多不饱和脂肪酸、硒、绿茶、白藜芦醇和番茄红素补充剂对黑素瘤风险的影响。分析了慢性荨麻疹症状与饮食假性过敏原、 gluten 和维生素 D 之间的关系。我们探讨了减肥、减少饮酒和避免 gluten 作为减轻银屑病相关发病率的方法,以及补充多不饱和脂肪酸、叶酸、维生素 D 和抗氧化剂的可能效用。通过正确了解饮食在这些皮肤疾病过程中的作用,皮肤科医生可以更好地回答患者的询问,并考虑将饮食改变作为其他治疗和预防措施的辅助手段。
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