A recent study published in the December 2012 issue of the Journal of the American Academy of Dermatology by a group of Italian dermatologists has shown that moderate to severe acne was strongly associated with a family history of acne in first degree relatives. The risk of developing moderate to severe acne was lower in those patients who had a lower body weight; this was especially the case for male patients. There was no association found between acne and smoking, although the risk of developing acne was higher in those with increased milk consumption. The association between milk and acne was most marked for skim milk. Interestingly, an association between eating more fish and having less acne was observed. Other foods such as red meat, fruits and vegetables, chocolate, cakes and sweets, breads and pasta, cheese and yoghurt were not associated with acne.