Background: Hidradenitis suppurativa HS, or acne inversa, is a chronic inflammatory skin disease characterized by abscesses, fistulating sinus tracts, and scarring. The exact pathogenesis of this disease remains unclear. We present our experience with HS and a possible cause of the disease and offer a surgical and clinical treatment that allows for disease resolution. Methods: We studied 12 patients who presented with axillary and perineal fistulas and underwent surgical excision repaired by skin grafts or healing by secondary intention or localized treatments followed by diet modification. All patients were found to have a specific immunology IgG reaction to brewer’s yeast and wheat and were put on a controlled brewer’s yeast-free diet for 12 months and followed monthly. Results: The diet demonstrated immediate stabilization of their clinical symptoms, and the skin lesions regressed over the month treatment period. Similarly, all the patients demonstrated an immediate recurrence of skin lesions following accidental or voluntary consumption of beer or other foods containing brewer’s yeast or wheat.
Hidradenitis suppurativa, or acne inversa, is a chronic skin condition. It affects the areas of your body with sweat glands, such as your underarms. This condition can cause deep, inflamed skin lesions or sores that may look like boils. Hidradenitis suppurativa usually develops after puberty and may be genetic. Your doctor may recommend treatments such as antibiotics, laser treatments, or surgery. Hidradenitis suppurativa is higher in people with obesity. Research has shown that losing weight can significantly reduce symptoms. The foods you eat may also affect flare-ups. Certain foods may help reduce skin inflammation and balance hormones. Maintaining a healthy diet to help reduce skin flare-ups is similar to eating a balanced diet to prevent chronic conditions such as diabetes and heart disease. Milk and other dairy products may raise levels of certain hormones that lead to hidradenitis suppurativa symptoms.
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