A 26-year-old woman presented to our clinic with pruritic, hyperpigmented, symmetric edematous plaques on her upper flank, chest, and lower back (FIGURE) 3 weeks after starting a strict ketogenic (high fat/low carbohydrate) diet for postpartum weight loss. The patient was an otherwise healthy stay-at-home mother with an unremarkable medical history.
Pruritic rash on chest and back
Department of Dermatology, Naval Medical Center San Diego, Calif
Richard P. Usatine, MD
University of Texas Health at San Antonio
The authors reported no potential conflict of interest relevant to this article. The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, or the US government. All authors are military service members. This work was prepared as part of their official duties.
Was a recent change in diet to blame for this patient’s rash?