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April 1983

The Diet and Acne

Arch Dermatol. 1983;119(4):276. doi:10.1001/archderm.1983.01650280004002

To the Editor.—  Rosenberg and Kirk's1 thoughtful article in the April Archives (1981;117:193-195) regarding the influence of diet on acne stirred a memory or two. My formative years were spent in the closing phase of paleodermatology. Medical training at that time treated sluggish bowel elimination as a causative mechanism in disease with hostility.In a day when few effective medications were available for the treatment of acne, diet and other general measures were employed in addition to the contemporary topical use of sulfur and salicylic acid.Stokes et al1 set great store in the systemic aspects of treatment, with emphasis on management of the gastrointestinal (GI) tract.I believe correction of constipation is a favorable influence on acne, an opinion admittedly anecdotal, circumstantial, empirical, and tinged with folklore. I recall several highly motivated patients with acne who had a rapid, indeed almost abrupt, clearing of their acne through