0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
The Best of the Best |

Top-Accessed Article: Acne Vulgaris FREE

Linda Stein Gold, MD
Arch Dermatol. 2010;146(6):604. doi:10.1001/archdermatol.2010.64.
Text Size: A A A
Published online

Cordain L, Lindeberg S, Hurtado M, Hill K, Eaton S, Brand-MillerJ. Acne vulgaris: a disease of Western civilization. Arch Dermatol. 2004;140(6):696-701.

The article by Cordain and colleagues is an observational study that evaluates 2 isolated nonwesternized populations: the Kitavan Islanders of Papua New Guinea and the Ache hunter-gatherers of Paraguay, who have a lack of acne. Dietary limitations are the only control. The glycemic index of their diets is substantially lower than that of a Western diet. Their genetic backgrounds are similar to those of other South American Indians and Pacific Islanders, who live in more westernized settings and have a considerably higher incidence of acne.

These results have helped to spark new interest in the relationship between diet and acne. However, dietary advice has not been incorporated into the mainstream standard of care for the treatment of acne. Certainly, it is not recommended as monotherapy. Until we have prospective, randomized, well-controlled studies, we will not fully understand the efficacy of dietary interventions.

From June 2004 through August 2009, this article was viewed 4268 times on the Archives of Dermatology Web site.

Contact Dr Stein Gold at the Department of Dermatology, Henry Ford Hospital, Detroit, Michigan (lstein1@hfhs.org).

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.