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NCCIH Clinical Digest

for health professionals

Skin Conditions and Complementary Health Approaches

August 2021
Skin Conditions Alternate

Research has shown that people with skin conditions often turn to complementary health approaches, particularly vitamin, mineral, and herbal supplements. Despite interest in complementary approaches, there have been only a few studies on complementary health approaches for skin conditions, and those that have been conducted have often had methodological problems. This issue of the digest provides a summary of the current available evidence about complementary health approaches for skin conditions, including atopic dermatitis, psoriasis, acne, impetigo, and rosacea.

Skin Condition and Summary of Current Research

Atopic Dermatitis

According to the American Academy of Dermatology’s clinical practice guidelines for the treatment of atopic dermatitis, there is inconsistent to no evidence to recommend the use of fish oils, evening primrose oil, borage oil, multivitamin supplements, zinc, vitamin D, vitamin E, and vitamins B12 and B6 for the treatment of atopic dermatitis. Further, the guidelines state that the use of probiotics/prebiotics for the treatment of patients with established atopic dermatitis is not recommended because of inconsistent evidence.

Read more about the evidence base on atopic dermatitis.

Psoriasis

There is some evidence that fish oil, Dead Sea climatotherapy, and the topical herbs Mahonia aquifolium and indigo naturalis may be beneficial for the treatment of psoriasis.

Read more about the evidence base on psoriasis.

Acne

According to the American Academy of Dermatology’s clinical practice guidelines for the treatment of acne, there are currently very limited data regarding the safety and efficacy of herbal and other complementary therapies to recommend their use.

Read more about the evidence base on acne.

Impetigo

There is insufficient evidence to either recommend or dismiss herbal treatments for impetigo, including tea tree oil, garlic, coconut oils, tea effusions, and Manuka honey.

Read more about the evidence base on impetigo.

Rosacea

Although some natural products have shown promise for improving symptoms of rosacea, there is insufficient evidence to support the use of many of these products for rosacea.

Read more about the evidence base on rosacea.

NCCIH Clinical Digest is a service of the National Center for Complementary and Integrative Health, NIH, DHHS. NCCIH Clinical Digest, a monthly e-newsletter, offers evidence-based information on complementary health approaches, including scientific literature searches, summaries of NCCIH-funded research, fact sheets for patients, and more.

The National Center for Complementary and Integrative Health is dedicated to exploring complementary health products and practices in the context of rigorous science, training complementary health researchers, and disseminating authoritative information to the public and professionals. For additional information, call NCCIH’s Clearinghouse toll-free at 1-888-644-6226, or visit the NCCIH website at nccih.nih.gov. NCCIH is 1 of 27 institutes and centers at the National Institutes of Health, the Federal focal point for medical research in the United States.

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