Elimination diets in the management of skin diseases (psoriasis, eczema, rosacea)

Chronic inflammatory dermatoses — in particular psoriasis, eczema and rosacea — are widespread in the population and exert a negative impact on the physical and psycho-emotional status of patients. Despite the proven clinical efficacy of conventional therapeutic approaches, their use is often accompanied by adverse side-effects and does not always ensure long-term remission. The aim of this study is to systematise current data on the influence of elimination diets on the course of the aforementioned dermatoses and to present an integrated nutritional approach that targets not only the exclusion of dietary triggers but also the correction of associated metabolic dysfunctions. The methodology comprised an analysis of publications from recent years as well as a synthesis of clinical observations obtained within the authors’ nutritional support programmes. The results demonstrate that individually tailored elimination diets, implemented as part of a comprehensive metabolic management programme — including normalisation of glycaemic control, support of hepatic detoxification processes and attenuation of systemic inflammation — lead to improved clinical outcomes, reduced pharmacological burden and enhanced quality of life of patients. The study highlights the role of the gut–skin axis and the contribution of comorbid conditions such as metabolic syndrome to the pathogenetic mechanisms of dermatoses. The information presented in this article will be useful to practising dermatologists, nutritionists, dietitians and integrative medicine specialists.