and Managing Keratosis Pilaris: Effective Solutions - Dermatology

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Keratosis pilaris


Doctor, I have had something similar to keratosis pilaris on my upper arms and calves since childhood.
I just found out online that it might be keratosis pilaris.
I would like to ask the doctor what improvement methods are available.
Thank you, doctor.

Xuan, 10~19 year old female. Ask Date: 2016/07/19

Dr. Wu Yuxin reply Dermatology


First, have a physician confirm the diagnosis.
If it is keratosis pilaris, products containing alpha hydroxy acids, salicylic acid, or other ingredients that help exfoliate keratin and treat acne can be used.

Reply Date: 2016/07/19

More Info


Keratosis pilaris, often referred to as "chicken skin," is a common and benign skin condition characterized by small, rough bumps that typically appear on the upper arms, thighs, cheeks, and buttocks. These bumps are caused by the buildup of keratin, a protein that protects the skin from infections and other harmful substances. While keratosis pilaris is not harmful and does not require medical treatment, many individuals seek ways to improve its appearance for cosmetic reasons.


Understanding Keratosis Pilaris
Keratosis pilaris occurs when the hair follicles become clogged with keratin, leading to the formation of small, raised bumps. The condition is often more noticeable in individuals with dry skin or those who have a family history of the condition. It can be exacerbated by factors such as dry weather, hormonal changes, and certain skin types.


Effective Solutions for Management
1. Moisturizers: Regularly applying a good moisturizer can help soften the skin and reduce the rough texture associated with keratosis pilaris. Look for products containing ingredients like urea, lactic acid, or glycerin, which can help hydrate and exfoliate the skin.

2. Exfoliation: Gentle exfoliation can help remove dead skin cells and prevent the buildup of keratin. You can use physical exfoliants (like scrubs) or chemical exfoliants (like alpha-hydroxy acids or beta-hydroxy acids). However, be cautious not to over-exfoliate, as this can irritate the skin and worsen the condition.

3. Topical Treatments: Over-the-counter creams containing ingredients such as salicylic acid, glycolic acid, or retinoids can be effective in treating keratosis pilaris. These ingredients help to promote cell turnover and prevent the clogging of hair follicles. For example, products like Ueraly Cream, which may contain urea or other keratolytic agents, can be beneficial.

4. Prescription Medications: If over-the-counter treatments do not yield satisfactory results, consulting a dermatologist may be beneficial. They can prescribe stronger topical treatments or recommend other therapies tailored to your specific skin type and condition.

5. Lifestyle Modifications: Maintaining a healthy skincare routine is essential. This includes using gentle, non-irritating soaps and avoiding hot showers, which can dry out the skin. Additionally, incorporating a humidifier in your home can help maintain moisture levels in the air, especially during dry seasons.

6. Diet and Hydration: While there is no direct link between diet and keratosis pilaris, maintaining a balanced diet rich in vitamins and minerals can support overall skin health. Staying hydrated is also crucial for keeping the skin moisturized from within.

7. Patience and Consistency: It is important to understand that keratosis pilaris is a chronic condition that may not completely resolve. Consistent use of treatments and moisturizers over time is key to managing the appearance of the bumps.


When to Seek Professional Help
If you find that your keratosis pilaris is particularly bothersome or if you are experiencing significant skin irritation, it may be worthwhile to consult a dermatologist. They can provide a thorough evaluation and recommend a personalized treatment plan that may include prescription-strength topical treatments or other interventions.

In conclusion, while keratosis pilaris is a common and harmless condition, there are various effective management strategies available. By incorporating moisturizers, exfoliants, and possibly prescription treatments into your skincare routine, you can significantly improve the appearance of your skin. Remember to be patient and consistent with your approach, and don't hesitate to seek professional advice if needed.

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