Published May 13, 2025
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Medical Nutrition Therapy in Dermatological Diseases: A Joint Consensus Statement of the Italian Association of Dietetics and Clinical Nutrition (ADI), the Italian Society of Dermatology and Sexually Transmitted Diseases (SIDeMaST), the Italian Society of Nutraceuticals (SINut), Club Ketodiets and Nutraceuticals "KetoNut-SINut" and the Italian Society of Endocrinology (SIE), Club Nutrition, Hormones and Metabolism.

Creators

  • 1. Dipartimento Di Psicologia E Scienze Della Salute, Università Telematica Pegaso, Centro Direzionale, Via Porzio, Isola F2, 80143, Naples, Italy. luigi.barrea@unipegaso.it.
  • 2. Department of Public Health, University of Naples Federico II, Via Sergio Pansini 5, Naples, Italy.
  • 3. University of Naples Federico II
  • 4. Department of Medicine, Division of Endocrinology, University of Arizona, Tucson, AZ, USA.
  • 5. University of Arizona
  • 6. Facoltà Di Scienze Umane, Della Formazione E Dello Sport, Università Telematica Pegaso, Via Porzio, Centro Direzionale, Isola F2, 80143, Naples, Italy.
  • 7. Department of Health Sciences, Section of Dermatology, University of Florence, Florence, Italy.
  • 8. University of Florence
  • 9. Laboratory of Cardiovascular Endocrinology, IRCCS San Raffaele, Rome, Italy.
  • 10. Scientific Institute for Research, Hospitalization and Healthcare
  • 11. Department for the Promotion of Human Sciences and Quality of Life, San Raffaele Roma Open University, Via Di Val Cannuta 247, 00166, Rome, Italy.
  • 12. Clinical Nutrition and Dietetics, San Camillo Forlanini Hospital, Rome Cir.Ne Gianicolense 87, 00152, Rome, Italy.
  • 13. Internal Medicine Unit-Val Vibrata Hospital-Sant'Omero (TE)-Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
  • 14. Department of Dermatology, Vita-Salute San Raffaele University, Milan, Italy.
  • 15. Department of Medical Sciences, Unit of Dietetics and Clinical Nutrition, Santa Maria Alle Scotte Hospital, University of Siena, 53100, Siena, Italy.
  • 16. Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122, Milan, Italy.
  • 17. Department of Pathophysiology and Transplantation, Università Degli Studi Di Milano, 20122, Milan, Italy.
  • 18. University of Milan
  • 19. Clinic of Endocrinology and Metabolic Diseases, Polytechnic University of Ancona, 60100, Ancona, Italy.
  • 20. Department of Health Sciences, Section of Dermatology, University of Florence, Ancona, Italy.
  • 21. Dipartimento Di Medicina Clinica E Chirurgia, Unità Di Endocrinologia, Università Degli Studi Di Napoli Federico II, Naples, Italy.
  • 22. Centro Italiano Per La Cura E Il Benessere del Paziente Con Obesità (C.I.B.O), Dipartimento Di Endocrinologia, Diabetologia, Andrologia e Nutrizione, AOU Federico II, Via Sergio Pansini 5, 80131, Naples, Italy.
  • 23. UOSA of Dietetics and Clinical Nutrition, Azienda Ospedaliera Universitaria Senese, Policlinico Santa Maria Alle Scotte, Siena, Italy.
  • 24. UOSD Clinical Nutrition and Dietetic, Hospital Matera, 75100, Matera, Italy.
  • 25. Dermatology Unit, University of Campania "L. Vanvitelli", Naples, Italy.
  • 26. Hypertension and Cardiovascular Risk Factors Research Unit, Medical and Surgical Sciences Dept, Alma Mater Studiorum University of Bologna, Via Massarenti 9, 40138, Bologna, Italy.
  • 27. University of Bologna
  • 28. Cardiovascular Medicine Unit, IRCCS AOU Di Bologna, Bologna, Italy.
  • 29. Cattedra Unesco "Educazione Alla Salute E Allo Sviluppo Sostenibile", University Federico II, Naples, Italy.
  • 30. Endocrinology Unit, Department of Internal Medicine and Medical Specialties, School of Medical and Pharmaceutical Sciences, University of Genova, 16132, Genoa, Italy.
  • 31. Endocrinology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
  • 32. Dipartimento Di Medicina Clinica E Chirurgia, Unità Di Endocrinologia, Università Degli Studi Di Napoli Federico II, Naples, Italy. giovanna.muscogiuri@unina.it.
  • 33. Centro Italiano Per La Cura E Il Benessere del Paziente Con Obesità (C.I.B.O), Dipartimento Di Endocrinologia, Diabetologia, Andrologia e Nutrizione, AOU Federico II, Via Sergio Pansini 5, 80131, Naples, Italy. giovanna.muscogiuri@unina.it.
  • 34. Cattedra Unesco "Educazione Alla Salute E Allo Sviluppo Sostenibile", University Federico II, Naples, Italy. giovanna.muscogiuri@unina.it.

Description

Dermatological diseases such as acne, hidradenitis suppurativa (HS), and psoriasis are driven by chronic inflammation and oxidative stress. Emerging evidence highlights the role of nutrition in modulating these conditions, particularly through dietary patterns rich in antioxidants, polyphenols, and unsaturated fatty acids. RECENT FINDINGS: The Mediterranean diet (MedDiet) has demonstrated potential benefits due to its anti-inflammatory and immunomodulatory effects, while very low-energy ketogenic therapy (VLEKT) has shown promise in rapidly improving disease severity. Specific nutrients, including omega-3 fatty acids, probiotics, and micronutrients, may further contribute to disease management. However, the current literature is limited by small-scale studies and the lack of standardized dietary guidelines. PURPOSE OF REVIEW: This Consensus Statement, developed collaboratively by the Italian Association of Dietetics and Clinical Nutrition (ADI), the Italian Society of Dermatology and Sexually Transmitted Diseases (SIDeMaST), the Italian Society of Nutraceuticals (SINut), Club Ketodiets and Nutraceuticals "KetoNut-SINut" and the Italian Society of Endocrinology (SIE), Club Nutrition, Hormones and Metabolism, aimed to establish an evidence-based framework for medical nutrition therapy (MNT) of the most common inflammatory skin diseases, including acne, HS and psoriasis.
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