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  • Rash from ketosis?

    Hello!

    I'm wondering if anyone has ever experienced a rash after eliminating refined carbs and grains. I have a client who eliminated all grains for a week - she was eating fruits, tons of veggies, lean meats, a little olive oil and butter, and developed a rash on her ears that spread to her neck and face - one of her eyes became swollen as well. She went to her physician who tested her urine and he told her that the rash was due to ketosis. (She is not diabetic or insulin resistant - but does have autoimmune issues) I have heard of some people developing a rash while on a VERY low carb diet such as Atkins - but she was eating fruits and veggies!

    I figure you primal folks might have some ideas for us!

    Thanks!

    Michelle Corey CNC

  • #2
    I also have recently developed a rash on my face, neck, and chest. I am eating a lot of vegetables and at least one piece of fruit a day.
    "Let food be thy medicine and medicine be thy food." -- Hippocrates

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    • #3
      I developed a rash but I was vlc (<30g). I combed through many, many low-carb and bodybuidling forums and found this link someone posted: http://www.ijdvl.com/article.asp?iss...09;aulast=Boer

      It's called prurigo pigmentosa and the description totally matched mine. But it normally doesn't affect the face.

      Also, what's the rash like? Bumpy? Itchy? Comes and goes? Any itchy, painful or swollen throat?

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      • #4
        i'd say candida die off (other pathogens dying too). lower carb diets are very healing when it comes to this. antifungal diets are pretty much the same as primal (little more strict though)
        Red meat is not bad for you. Now blue-green meat, that's bad for you! ~Tommy Smothers

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        • #5
          Interesting, Shannon! Clearing my Candida overgrowth is one of my main reasons for being Primal. I'm also taking apple cider vinegar daily for this purpose.
          "Let food be thy medicine and medicine be thy food." -- Hippocrates

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          • #6
            yay!!!! that was also my main reason. acv is super potent @ killing the buggers too.
            Red meat is not bad for you. Now blue-green meat, that's bad for you! ~Tommy Smothers

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            • #7
              Hi everyone,

              Thank you for the thoughtful replies. I thought die-off at first too but she doesn't have ANY other symptoms. This rash started on her ears (not in her ears) and then spread to her neck shoulders and face (swollen eye). The rash is bumpy and very itchy and looks like dyshidrotic eczema (small red vesicles filled with clear fluid). The patient is of Mexican decent and has a history of autoimmune disease in her family (mother has rheumatoid arthritis and aunt has Lupus). She came to me to treat pain in her hands and arms which she feels is the beginning of a rheumatoid condition. I started her on an anti-inflamation/elimination diet i.e., no grains, dairy, sugar, corn, or soy, etc., - it's lots of veggies, lean meats, eggs, and some low glycemic fruits. Three days into the diet she was ketonic and developed the rash. She has not tried any new personal care products and she hasn't had contact with any new plants or potential allergens. It doesn't look like prurigo pigmentosa - of course we'll see when it heals. Her doctor suggests that the rash is directly caused by ketosis and that she needed to add the grains back. I have put hundreds of patients on this diet and have never seen a case like this.

              Syzchan, did your rash leave any pigmentation? Did it go away when you raised your carbs?

              Just wondering if anyone has ever experienced this after only 4 days of going off grains???

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              • #8
                How much are you taking? I'm interested in getting rid of some issues myself.
                29 years old, type 1 diabetic with insulin resistance -- HORRIBLE a1c, and borderline cholesterol problems. Carb addict.

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                • #9
                  @barefoot: if you're asking about acv, you can take a few TB. mixed with water and drink throughout the day. take it slooooowwwww. maybe start with smaller amt.
                  really works though.
                  Red meat is not bad for you. Now blue-green meat, that's bad for you! ~Tommy Smothers

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                  • #10
                    Originally posted by Vibrant68 View Post
                    This rash started on her ears (not in her ears) and then spread to her neck shoulders and face (swollen eye). The rash is bumpy and very itchy and looks like dyshidrotic eczema (small red vesicles filled with clear fluid). The patient is of Mexican decent and has a history of autoimmune disease in her family (mother has rheumatoid arthritis and aunt has Lupus).
                    I'd be worried about herpes zoster involving the eye region. But you said she has seen her doctor. If her eyeball is painful or red or vision is affected at all she should really get a second opinion immediately.
                    Last edited by avocado; 08-09-2010, 06:32 PM.

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                    • #11
                      Yup, got the pigmentation still. It was hard to tell since the first time I got the rash, it lasted about 6 weeks (mid-March till end of April) and then about 2 weeks when it came back at the beginning of June. It may have been in my head, but I thought that eating more carbs helped calm it down a bit (but I was pretty stubborn/fearful of upping carbs and wasn't convinced it was due to ketosis) and eating a lot of pork fat seemed to make it worse. But as I said, that was probably likely in my head. It also happened after a few months of vlc. I convinced the doctor to give me a prescription for the antibiotic treatment mentioned in the article and its been about 3 weeks since I stopped treatment, so about 6 weeks rash-free. Plus, I'm trying hard to stay in the 50-75g carb range.

                      The rash was never pus-filled/vesicles, but was severely itchy to the point of almost painful/burning.
                      Last edited by syzchan; 08-09-2010, 06:26 PM.

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                      • #12
                        It's on both sides of the midline, no pain and no other symptoms so pretty sure not herpes - thank goodness - just a weird itchy rash and swelling.

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                        • #13
                          Rash

                          I too developed a rash on neck, jaw, (later on back and arms) around the time that I started this diet - 1.5 years ago. I have spent a year trying to figure it out- no allergy to soaps, no bugs, no sun...I increase carbs, but it doesn't completely go away and I gain weight and get headaches. Going to a Dermatologist in a week.

                          Did anyone find relief by increasing carbs? Ot medicine to help? I feel so good, I don't want to start eating carbs again.

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                          • #14
                            I have this issue. And I only have this issue when in a state of ketosis. Which sucks. Because otherwise I love this lifestyle. But the recurring rash does give me pause and causes me to question whether this lifestyle is a healthful fit for me.

                            And yeah, once the rash appears, nothing cures it but carbs. And the healing effect of the carbs is almost immediate.
                            Last edited by Janice; 09-26-2012, 12:30 AM.

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                            • #15
                              rash cited in medical study

                              Did anyone find a way to deal with this rash? or its reason? I did find a medical study that was looking at weight loss and low carb diet. It did mention that 10% of the people had rash as a side effect. I'm not sure I could find the study again -sorry. It was in a medical journal from my university, though.

                              I am coming close to two years having the rash. I take heavy antihistamines day and night, but it really only reduces the swelling, the new spots still emerge every day or so. About once every 15-21 days, I will have no new itching spots for 2-3 or so days. Its such a relief.

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