Chocolate consumption may exarcerbate acne

Comment on the commentary: Diet and acne.

• "Fulton et al “proved” that chocolate had no influence on acne by comparing a chocolate bar to a pseudochocolate bar composed of 28% hydrogenated vegetable oil, a food known to increase inflammatory markers.4 The sugar content of the bars was 44.3% and 53%, respectively; both were likely to induce a rapid and high insulin response and the subsequent acneigenic hormone effects." https://www.jaad.org/article/S0190-9622(08)00605-1/fulltext
  • Block, S. G., Valins, W. E., Caperton, C. V., Viera, M. H., Amini, S., & Berman, B. (2011). Exacerbation of facial acne vulgaris after consuming pure chocolate. Journal of the American Academy of Dermatology, 65(4), e114–e115. https://doi.org/10.1016/j.jaad.2010.08.015
• Netea, S. A., Janssen, S. A., Jaeger, M., Jansen, T., Jacobs, L., Miller-Tomaszewska, G., Plantinga, T. S., Netea, M. G., & Joosten, L. A. (2013). Chocolate consumption modulates cytokine production in healthy individuals. Cytokine, 62(1), 40–43. https://doi.org/10.1016/j.cyto.2013.02.003
• White chocolate worse: https://scialert.net/abstract/?doi=ajcn.2014.35.40
• Caperton, C., Block, S., Viera, M., Keri, J., & Berman, B. (2014). Double-blind, Placebo-controlled Study Assessing the Effect of Chocolate Consumption in Subjects with a History of Acne Vulgaris. The Journal of clinical and aesthetic dermatology, 7(5), 19–23.
• Vongraviopap, S., & Asawanonda, P. (2016). Dark chocolate exacerbates acne. International Journal of Dermatology, 55. https://doi.org/10.1111/ijd.13188.

• Delost, G. R., Delost, M. E., & Lloyd, J. (2016). The impact of chocolate consumption on acne vulgaris in college students: A randomized crossover study. Journal of the American Academy of Dermatology, 75(1), 220–222. https://doi.org/10.1016/j.jaad.2016.02.1159
• Chalyk, N., Klochkov, V., Sommereux, L., Bandaletova, T., Kyle, N., & Petyaev, I. (2018). Continuous Dark Chocolate Consumption Affects Human Facial Skin Surface by Stimulating Corneocyte Desquamation and Promoting Bacterial Colonization. The Journal of clinical and aesthetic dermatology, 11(9), 37–41.
• Daszkiewicz, M., Różańska, D., & Regulska-Ilow, B. (2024). The Relationship between Chocolate Consumption and the Severity of Acne Lesions-A Crossover Study. Foods (Basel, Switzerland), 13(13), 1993. https://doi.org/10.3390/foods13131993