Review ArticleInternational Journal of Research in Dermatology

Publication:
Evaluating the impact of high-dose vitamin D3, vitamin C, vitamin E, and zinc supplementation on inflammatory cytokines, lesion severity, and symptom management in hidradenitis suppurativa

Int J Res Dermatol. 2025;11(2):199-207.DOI10.18203/issn.2455-4529.IntJResDermatol20250443

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Abstract

This integrative, holistic review critically evaluates the impact of high-dose vitamin D3, vitamin C, vitamin E, and zinc supplementation on inflammatory cytokine levels, lesion severity, and symptom management in patients with hidradenitis suppurativa (HS). By integrating data from recent clinical trials and observational studies, we explore how these supplements influence key aspects of HS pathology. High-dose vitamin D3 has been shown to significantly reduce levels of inflammatory cytokines and decrease lesion severity, suggesting its role in modulating immune responses and improving disease outcomes. Similarly, the antioxidant properties of vitamins C and E are assessed for their ability to reduce oxidative stress and inflammation, which may lead to improved symptom management and reduced severity of HS lesions. Zinc supplementation, particularly in the form of zinc sulfate, is examined for its effects on enhancing skin barrier function and decreasing the frequency of disease flares. Collectively, these nutritional interventions may offer a multifaceted approach to HS management, highlighting the potential for combining these supplements to optimize therapeutic outcomes. The findings underscore the need for further research to determine the optimal dosing, duration, and interaction of these supplements with standard HS treatments to establish comprehensive management protocols.

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Affiliations

  1. Alabama College of Osteopathic Medicine, Dothan, AL, USA
  2. UTHealth Houston McGovern Medical School, Houston, TX, USA
  3. Department of Dermatology, Northwell Health, New Hyde Park, NY, USA
  4. Midwestern University Arizona College of Medicine, Glendale, AZ, USA
  5. University of Missouri School of Medicine, Columbia, MO, USA
  6. California Health Sciences University College of Osteopathic Medicine, Clovis, CA, USA
  7. Norton College of Medicine, SUNY Upstate Medical University, Syracuse, NY, USA
  8. Lincoln Memorial University, Debusk College of Osteopathic Medicine, Harrogate, TN, USA

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