Hidradenitis Suppurativa and Diet

The talk discusses the connection between diet and Hidradenitis Suppurativa (HS), emphasizing that while HS is a complex and debilitating condition typically treated with medical therapies, dietary modifications can play a crucial role in symptom management. Many HS patients seek dietary advice, often expressing frustration with conventional therapies, leading them to explore complementary options, particularly dietary changes. Research indicates a high percentage of HS patients use non-prescription treatments, with dietary changes being the most common. Zinc and vitamin D supplementation, as well as adherence to a Mediterranean diet, have shown promising results in improving symptoms. Specific studies revealed that patients on zinc reported fewer HS flares, while vitamin D supplementation improved clinical outcomes in those deficient in the vitamin. The Mediterranean diet, rich in olive oil, fruits, vegetables, and fish, was associated with lower disease severity. Additionally, fasting and avoiding ultra-processed foods might be beneficial strategies. The discussion also addresses common misconceptions about weight and diet contributing to HS, underscoring that HS can affect individuals of all weights. Overall, a multimodal treatment strategy, including dietary changes and medical therapy, is advised to enhance management of HS symptoms. The session concludes by introducing the HS Papaya app, a resource designed to help patients track symptoms and identify potential dietary triggers.