Diet in the prevention of hidradenitis suppurativa (acne inversa)

J Am Acad Dermatol. 2015 Nov;73(5 Suppl 1):S52-4. doi: 10.1016/j.jaad.2015.07.042.


Full control of hidradenitis suppurativa requires the prevention of new lesions. These appear to be induced by a complex series of hormonally driven molecular activities that lead to obstruction of the follicular duct, rupture and destruction of the sebaceous glands, the development of deep dermal sinuses that subsequently rupture to the surface, and production of an invasive subcutaneous mass that is resistant to medical therapy. Preliminary observations suggest that the use of a healthy and fully natural zero dairy and low glycemic-load diet may provide relief from progression of the lesions and possibly prevention of new lesions, even when medications fail.

Keywords: acne inversa; diet; hidradenitis suppurativa; hormones; prevention.

Publication types

  • Review

MeSH terms

  • Adult
  • Diet, Carbohydrate-Restricted / methods*
  • Diet, Protein-Restricted / methods*
  • Female
  • Hidradenitis Suppurativa / diet therapy*
  • Hidradenitis Suppurativa / prevention & control*
  • Humans
  • Male
  • Prognosis
  • Risk Assessment
  • Symptom Flare Up
  • Treatment Outcome
  • Young Adult