In some patients only one particular food will make their acne worse. This has nothing to do with whether the food is a starch, sweet or fat. For example, they cannot eat chocolate without noticing a sizable increase in the number of papules and pustules the next day. It does not make any difference whether the chocolate is in ice cream, sauces, cake, soda, pudding, candy or cocoa; they get worse. In fact, since candy is so often chocolate flavored, it may be that “sweets” have been falsely blamed for making acne worse.
There are other foods which will flare up acne in some patients, such as pork, which includes ham and bacon, shellfish, nuts, sharp cheese, eggs, milk and malt. Some of these foods are important for you to have. You should not eliminate foods at the risk of depriving yourself of a well-balanced diet, unless you have been convinced beyond any doubt that they make your acne worse.
In the region of the Great Lakes and in the states of the Northwest there is a deficiency of the important mineral iodine in the water and soil. We know that a lack of iodine in the body causes a disturbance of the thyroid gland. The thyroid is another one of the hormone-secreting glands. It regulates the speed or rate of our metabolism. If the thyroid isn’t going full force, it affects all the other internal glands.
To replace this lack of iodine in water and food, salt companies have added iodine to some table salt. You may have noticed the words “Iodized Salt” on the label. Using iodized salt in areas which are lacking in natural iodine is desirable. In the localities where ample natural iodine exists the use of iodized salt is not good. In people who are unusually sensitive to even small amounts of iodine it may aggravate acne. Incidentally, iodine is present in some cough medicines, asthma remedies and also in some vitamin mixtures.
Iodine is chemically related to a group of drugs called bromides. Some sedatives and other so-called “nerve medicines” contain bromides. They are also in preparations which claim to give relief from headache, indigestion and “acid conditions.” Soda fountains and restaurants serve them. The use of bromides is so common today that many people are taking these drugs regularly without realizing that bromides have the same effect on acne as iodine.
The importance of infected teeth, tonsils and sinuses in the cause of acne has been exaggerated. Some dermatologists, however, do feel strongly that such a source or “focus” of infection in the body makes acne worse, or at least keeps it going. Certainly it is not good to have the pus from infected tonsils draining into your system all the time. Your body has to keep fighting off these bacteria and cannot rally enough resistance to the infection which accompanies acne.
There are some working conditions which have been found to make acne worse. On some jobs there are dust, heat and humidity to contend with and personal hygiene is poor. Some types of work require rough or woolen clothing, which can irritate the skin or rub bacteria into the follicle openings. Occupations which expose the skin to oil, wax and grease are not desirable for young men with acne. These chemicals affect the lining of the oil-gland ducts and cause pustules even in people who do not have acne. The same thing occurs to the duct openings in many women when they use cosmetics with a greasy base.
The question arises — what does your general health have to do with acne? Are you likely to have more colds or other infections than a person free from acne? Are your pep and energy below average? Dermatologists and many acne patients have noticed that their acne is worse in the winter and better in the summer. Perhaps this is because in the winter our resistance is lower than in the summer. In the winter we have more colds or flu and our vitality is lower. During the summer everyone seems to feel better. There is less sickness and we have more energy.
The explanation of these observations may have something to do with the greater amount of sunshine we are exposed to in the summer months. We do know that sunlight helps manufacture Vitamin D in our bodies and that this vitamin is very important to good health, Often the foods we eat in the summer are richer in vitamins and other essentials to good nutrition. It is suspected that during the winter many of us become slightly anemic, not enough to be serious, but just enough to make us always more or less fatigued. We feel, as the saying goes, “a little under par.” This may be due to the absence from our diet of fresh fruits and some vegetables which are rich in iron and other minerals.
It is true that acne occurs mainly in active young people who are not suffering from any disease. Yet, what about the general level of health of most young people today? Do they receive adequate sleep and rest? Is the food they eat well balanced and nourishing? Does it contain enough energy value to make up for the energy spent during a day’s work and play? For most growing young men and women all too often the answers are “No.” In fact, it even makes me tired just to think of the daily routine of some young people. It is a mystery to me how one patient I knew kept going. Up early on a school day, he would run out the door tucking his shirt under his belt with one hand and clasping his books to his body with the other. If he thought he had an extra minute, he might stop in the kitchen for a piece of toast. This was not likely, unless he heard his mother’s voice pleading with him to please have some breakfast. Somehow, despite all the rushing, he barely managed to get to class just as it began. A busy morning of studies was interrupted by a feverishly gulped lunch consisting of foods which would go down with the greatest of ease. He would return to class until midafternoon and then go out to the football field. After two or three hours of strenuous scrimmage the rush would be on again to get home in time for dinner. This was eaten slightly more slowly under the critical eye of his father. Then he would try to do his homework just as the day’s strain began to affect his weary body. All this was a little too much for his brain, which soon lost the struggle with sleep. Despite pangs of conscience, the homework was usually put off until the next night with the hope that there would be more time then. This story must be so familiar to you that I am sure I do not have to tell you that the next night was not any different.

