There are many dermatological conditions associated with the alteration of the gut and/or skin microbiota, while for others this connection has not been fully explored yet. We can divide these conditions into two large groups. The first one comprises all the chronic inflammatory diseases, such as psoriasis and atopic dermatitis, and the autoimmune diseases such as vitiligo and alopecia areata. In all these conditions it’s very important to explore intestinal inflammation and intestinal dysbiosis. In the second group we can list the conditions usually considered as infections such as acne, seborrheic dermatitis, rosacea and pityriasis versicolor. They are caused by microorganisms normally living on the skin even in healthy individuals. For this reason we should begin to consider such diseases not as infections, but as a form of skin dysbiosis.

The dermobiotic approach to these pathologies is a 360° approach that attributes a very important role to the diet but also includes the use of probiotics.

For example, a patented probiotic mix composed of Lactobacillus plantarum PBS067, L. reuteri PBS072 and L. rhamnosus LRH020 has been tested in atopic dermatitis and acne.

We discussed the dermobiotic approach with Marco Pignatti (Dermatologist, University of Modena, Italy).