Abstract
Prurigo pigmentosa (PP) is an inflammatory skin disease that has increasingly been associated with the ketogenic diet and is even nicknamed “keto rash.” However, when Nagashima first described PP in 1971, ketosis was not the proposed cause but rather friction from clothing. PP is an uncommon diagnosis, even more so in Western countries. As a result, current knowledge has been limited to case reports. A retrospective chart review of PP patients over a 10-year period including several academic centers in the United States was designed to study a larger number of PP patients.
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