Consuming an All-Meat Ketogenic Diet for the Long-Term Management of Candida Vulvovaginitis and Vaginal Hidradenitis Suppurativa: A 47-Month Follow-Up Case Report.

Autor:	Yar N; College of Medicine, American University of Antigua, Antigua, ATG., Mukona LT; Psychiatry, American University of Antigua, Antigua, ATG., Nguyen K; Obstetrics and Gynecology, American University of Antigua, Antigua, ATG., Nalbandyan L; College of Medicine, American University of Antigua, Antigua, ATG., Mukona L; College of Medicine, American University of Antigua, Antigua, ATG., St Fleur G; College of Medicine, American University of Antigua, Antigua, ATG., Lamberty NL; Obstetrics and Gynecology, Montclair Medical Center, Montclair, USA., Zullo K; College of Medicine, American University of Antigua, Antigua, ATG., Le A; Internal Medicine, Medical University of the Americas, Charlestown, KNA., Van A; Internal Medicine, Medical University of the Americas, Charlestown, KNA., Allen B; College of Medicine, American University of Antigua, Antigua, ATG.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Oct 20; Vol. 14 (10), pp. e30510. Date of Electronic Publication: 2022 Oct 20 (Print Publication: 2022).
DOI:	10.7759/cureus.30510
Abstrakt:	This case report describes long-term therapeutic management in a 33-year-old diagnosed with Candida vulvovaginitis and vulvar hidradenitis suppurativa 47 months previously. Candida spp. yeasts are part of many women's normal vaginal microflora, and the development of vulvovaginal candidiasis is typically a result of a disturbance in the patient's microbial ecosystem, which manifests itself by intense pruritus, erythema, swelling, and thick white vaginal discharge. Hidradenitis suppurativa is a chronic auto-inflammatory skin condition that causes painful weeping lesions in areas of dense apocrine glands. Although certain mechanisms underlying the pathogenesis of Hidradenitis Suppurativa (e.g., risk factors include smoking, obesity, and family history) have been investigated, a definitive explanation remains elusive. Nutritional intervention in the form of an all-meat ketogenic diet may be considered therapy in the management of both diseases, as successfully seen in this case report. The patient refused standard of care with oral fluconazole for Candida vulvovaginitis and surgical removal for Hidradenitis suppurativa, and instead consumed a zero-carbohydrate all-meat ketogenic diet mostly of beef with strict adherence to the diet for 43 days in which symptoms ceased. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Yar et al.)
Databáze:	MEDLINE
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