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Relationships between Dietary Factors and Inflammatory Skin Diseases

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Public Health".

Deadline for manuscript submissions: 5 December 2024 | Viewed by 9328

Special Issue Editor


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Guest Editor
Department of Dermatology, Venereology and Allergology, University of Leipzig Medical Center, 04103 Leipzig, Germany
Interests: regulation of inflammation and wound healing in obesity; role of free fatty acids in inflammation; interplay of dermal cells in inflammation and wound healing
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Special Issue Information

Dear Colleagues,

Chronic inflammatory skin diseases, such as psoriasis, acne, atopic dermatitis or contact dermatitis, strongly decrease one’s health-related quality of life. Despite the existence of efficient treatment options, these are most often lifelong chronic diseases. Several studies have established that nutritional and dietary factors play an important role in maintaining normal skin integrity and that they may play a pathogenic, preventive and/or therapeutic role in a number of skin-related diseases. Researchers have studied the role of dietary factors in skin aging, acne, inflammation, and several chronic immune-mediated diseases, such as atopic dermatitis, psoriasis, diabetes, obesity, and wounds.

Our goal is to explore all the theoretical and practical knowledge that is related to dietary factors and inflammatory skin diseases. You are welcome to submit original research articles or reviews of the scientific literature on the role of diet and/or specific nutrients in the prevention and treatment of skin diseases related to “Relationships Between Dietary Factors and Inflammatory Skin Diseases”

Dr. Anja Saalbach
Guest Editor

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Keywords

  • dietary
  • nutrition
  • food
  • skin
  • skin disease

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Published Papers (4 papers)

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Research

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13 pages, 1281 KiB  
Article
Insights into Gut Microbiome Composition in Hidradenitis Suppurativa: A Comprehensive Examination of Dietary Habits and Environmental Influences
by Edyta Lelonek and Jacek C. Szepietowski
Nutrients 2024, 16(11), 1776; https://doi.org/10.3390/nu16111776 - 5 Jun 2024
Viewed by 1141
Abstract
This study explores the relationship between dietary habits, environmental influences, and gut microbiome composition in individuals with hidradenitis suppurativa (HS), a chronic inflammatory skin condition. A cohort of 80 participants, equally divided into HS patients and healthy controls, was assessed through comprehensive questionnaires [...] Read more.
This study explores the relationship between dietary habits, environmental influences, and gut microbiome composition in individuals with hidradenitis suppurativa (HS), a chronic inflammatory skin condition. A cohort of 80 participants, equally divided into HS patients and healthy controls, was assessed through comprehensive questionnaires capturing demographics, dietary habits, and other health-related information. Fecal samples were collected and analyzed using next-generation sequencing to examine microbiome composition. Despite previous studies suggesting gut dysbiosis in HS, this research found no significant differences in alpha-diversity and Shannon diversity index between the groups. However, significant disparities in dietary habits were observed, with HS patients showing higher sugar and milk consumption. The study also identified a significant correlation between coffee consumption and the presence of certain bacterial genera. While the study did not reveal major differences in microbiome diversity, the findings on dietary habits and specific microbiome components suggest potential targets for therapeutic intervention. These results underscore the importance of further research into the gut–skin axis and its role in HS, aiming to enhance management strategies through dietary modifications and lifestyle interventions. Full article
(This article belongs to the Special Issue Relationships between Dietary Factors and Inflammatory Skin Diseases)
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13 pages, 259 KiB  
Article
Nurturing Infants to Prevent Atopic Dermatitis and Food Allergies: A Longitudinal Study
by Emilia Vassilopoulou, Dimitrios Rallis, Gregorio Paolo Milani, Carlo Agostoni, Gavriela Feketea, Maria Lithoxopoulou, Evangelia Stefanaki, Fani Ladomenou, Nikolaos Douladiris, Caoimhe Cronin, Codruta Alina Popescu, Raluca Maria Pop, Ioana Corina Bocsan and Sophia Tsabouri
Nutrients 2024, 16(1), 21; https://doi.org/10.3390/nu16010021 - 20 Dec 2023
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Abstract
Background: Atopic dermatitis (AD) at a young age often precedes the development of food allergies. Although AD affects millions of infants worldwide, prenatal and postnatal risk factors, and their association with the development of food allergies later on, are not fully elucidated. This [...] Read more.
Background: Atopic dermatitis (AD) at a young age often precedes the development of food allergies. Although AD affects millions of infants worldwide, prenatal and postnatal risk factors, and their association with the development of food allergies later on, are not fully elucidated. This study seeks to investigate AD epidemiology in infancy and its risk factors, examining early-life factors (both prenatal and postnatal) that could contribute to the later development of food allergies. Methods: Between January 2019 and December 2019, 501 infants were included in this prospective cohort study. Longitudinal data collection was performed through maternal interviews, the first one conducted within three days after the delivery and the second within 24 to 36 months after the delivery, encompassing variables such as demographics, family history of atopy, maternal smoking, antibiotic use during pregnancy, the mode of delivery, breastfeeding history, food practices, and greenness exposure within 3 days from delivery, while they were still in the hospital. Results: Maternal smoking during pregnancy (p = 0.001) and an older sibling atopy history (p = 0.03) was significantly linked to AD incidence. Cesarean section delivery (p = 0.04) was associated with a higher risk of food allergies in infants with AD. Having a garden at home correlated with a higher likelihood of AD (p = 0.01), and food elimination without medical guidance (p = 0.02) due to AD correlated with an elevated risk of food allergies. Conclusions: Encouraging timely allergenic food introduction while promoting dietary diversity, rich in plant-based foods, maternal smoking cessation, and professional dietary guidance may help minimize AD and food allergy risk. Future studies should address the role of greenness in the development of AD and food allergies. Full article
(This article belongs to the Special Issue Relationships between Dietary Factors and Inflammatory Skin Diseases)
15 pages, 1246 KiB  
Article
Modulation of Dietary Fatty Acids in an Open-Label Study Improves Psoriasis and Dampens the Inflammatory Activation Status
by Anja Saalbach, Anna-Theresa Seitz, Johannes Kohlmann, Lena Kalweit, Lisa Vogt, Lars Selig, Kathrin M. Engel and Jan C. Simon
Nutrients 2023, 15(7), 1698; https://doi.org/10.3390/nu15071698 - 30 Mar 2023
Cited by 5 | Viewed by 5118
Abstract
Obesity and high abdominal fat mass are risk factors for developing the chronic inflammatory skin disease psoriasis. They are associated with increased incidence, prevalence and severity of the disease. A positive effect of weight loss on psoriasis activity has been shown in several [...] Read more.
Obesity and high abdominal fat mass are risk factors for developing the chronic inflammatory skin disease psoriasis. They are associated with increased incidence, prevalence and severity of the disease. A positive effect of weight loss on psoriasis activity has been shown in several studies. Obesity-related factors such as the dysregulation of glucose and lipid metabolism, the activation of adipose tissue and resultant persistent low-grade inflammation have been discussed as links of obesity and inflammatory diseases. Recently, we demonstrated a critical role of free fatty acids (FFAs) in obesity-mediated exacerbation of psoriatic skin inflammation in both mice and humans. In the present study, we translated these findings into a therapeutic intervention. An open-label study focusing on the dietary reduction of FFAs was conducted in patients with mild-to-moderate plaque psoriasis, and disease severity and serum markers of inflammation were analyzed. Here, we show that such a dietary intervention improves psoriatic disease activity independently of weight loss. Diet-related metabolic changes, such as a reduction in saturated free fatty acids (SFAs), may thus be more important than weight loss itself. Moreover, dietary intervention inhibited the overall pro-inflammatory activation status in patients, as shown by analysis of serum inflammatory parameters using the Olink platform. From our pilot study, we conclude that dietary intervention focusing on SFA reduction has the capacity to reduce disease activity and general inflammatory status in psoriasis patients. Full article
(This article belongs to the Special Issue Relationships between Dietary Factors and Inflammatory Skin Diseases)
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Review

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23 pages, 580 KiB  
Review
The Role of Nutrition in the Pathogenesis and Treatment of Autoimmune Bullous Diseases—A Narrative Review
by Aleksandra Anna Kajdas, Agnieszka Żebrowska, Anna Zalewska-Janowska and Aneta Czerwonogrodzka-Senczyna
Nutrients 2024, 16(22), 3961; https://doi.org/10.3390/nu16223961 - 20 Nov 2024
Viewed by 288
Abstract
Autoimmune bullous diseases (AIBDs) are a group of conditions marked by the formation of blisters and erosions on the skin and mucous membranes. It occurs in all age groups, slightly more often affecting women. Several factors may be linked to the development of [...] Read more.
Autoimmune bullous diseases (AIBDs) are a group of conditions marked by the formation of blisters and erosions on the skin and mucous membranes. It occurs in all age groups, slightly more often affecting women. Several factors may be linked to the development of AIBDs, with nutrition being one of them. The literature mentions various food products and food ingredients acting as disease modifiers. Given the complex relationship between bullous diseases and nutrition, the current literature on AIBDs has been reviewed, with an emphasis on the influence of dietary modifications, various diets, and the nutritional consequences of these conditions. This review summarizes the role of nutrition in the pathogenesis and treatment of the following AIBDs: (i) pemphigus, (ii) bullous pemphigoid and mucous membrane pemphigoid, (iii) dermatitis herpetiformis, and (iv) epidermolysis bullosa acquisita. Several nutrients and dietary factors have been studied for their potential roles in triggering or exacerbating AIBDs. The key nutrients and their potential impacts include thiols and bulb vegetables (Allium), phenols, tannic acid, tannins, phycocyanin, isothiocyanates, all trans-retinoic acids, cinnamic acid, and walnut antigens. Many patients with ABIDs may require supplementation, particularly of vitamin D and B3, calcium, potassium, zinc, selenium, and cobalt. In addition, various diets play an important role. A soft diet is recommended for individuals with issues in the oral cavity and/or esophagus, particularly for those who experience difficulties with biting or swallowing. This approach is commonly used in managing pemphigus. A high-protein, high-calcium diet, DASH (Dietary Approaches to Stop Hypertension), and the Mediterranean diet are utilized during long-term glucocorticoid therapy. However, in dermatitis herpetiformis it is advisable to follow a gluten-free diet and eliminate iodine from the diet. When it comes to herbal supplements, Algae (Spirulina platensis), Echinacea, and St. John’s wort (Hyperitum perforatum) enhance the ABIDs, while Cassia fistula may be recommended in the treatment of erosions in pemphigus vulgaris. Fast foods enhance the development of ABIDs. However, the pathomechanism is not yet fully understood. Future researchers should more precisely define the relationships between nutrients and nutrition and blistering diseases by also looking at, i.e., genetic predispositions, microbiome differences, or exposure to stress. Full article
(This article belongs to the Special Issue Relationships between Dietary Factors and Inflammatory Skin Diseases)
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