Keratosis Pilaris: Daily Use of Moisturizers and Treatments - Dermatology

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Keratosis pilaris


Hello, Doctor: A while ago, I visited a dermatologist who prescribed a small jar of medication to treat my keratosis pilaris, labeled "Xinghua Run Aili Cream." Since the affected areas include the back of my arms and thighs, I use it up very quickly and would like to buy more at the pharmacy.
I checked the ingredients with the health department and found that it contains CHOLECALCIFEROL (EQUIVALENT TO VITAMIN D3) and TOCOPHEROL ACETATE ALPHA DL, which are vitamins D and E.
I would like to ask if this medication can be applied daily.
Thank you for your assistance, and I wish you peace and well-being.

Hong Hsuan, 20~29 year old female. Ask Date: 2018/04/19

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to keratosis pilaris, you can refer to the article on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=112.
The Apricot Nourishing Cream does not contain steroids and can be applied daily.
Thank you!

Reply Date: 2018/04/19

More Info


Keratosis pilaris, often referred to as "chicken skin," is a common skin condition characterized by small, rough bumps that typically appear on the upper arms, thighs, cheeks, and buttocks. It occurs due to the buildup of keratin, a protein that protects skin from infections and other harmful substances. While keratosis pilaris is generally harmless and does not require medical treatment, many individuals seek ways to improve the appearance of their skin.

In your case, you mentioned that your dermatologist prescribed a cream containing cholecalciferol (Vitamin D3) and tocopherol acetate (Vitamin E) for your keratosis pilaris. Both of these ingredients have beneficial properties for skin health. Vitamin D3 is known for its role in skin repair and regeneration, while Vitamin E is an antioxidant that helps protect the skin from damage and promotes healing.

Regarding your question about the daily use of this cream, it is generally safe to apply moisturizers and treatments for keratosis pilaris daily. In fact, regular moisturizing is often recommended as it can help soften the bumps and improve the overall texture of the skin. The key is to ensure that the cream is well-tolerated by your skin. If you notice any irritation, redness, or worsening of your condition, it would be wise to reduce the frequency of application or consult your dermatologist for further advice.

In addition to the topical treatment, incorporating other skincare practices can enhance the management of keratosis pilaris:
1. Gentle Exfoliation: Using a mild exfoliating scrub or a chemical exfoliant containing alpha-hydroxy acids (AHAs) or beta-hydroxy acids (BHAs) can help remove dead skin cells and prevent the buildup of keratin. However, be cautious not to over-exfoliate, as this can irritate the skin.

2. Moisturizers: Look for moisturizers that contain ingredients like urea, lactic acid, or glycerin. These can help hydrate the skin and reduce the rough texture associated with keratosis pilaris.

3. Avoid Harsh Soaps: Use gentle, fragrance-free cleansers to avoid stripping the skin of its natural oils, which can exacerbate dryness and irritation.

4. Hydration: Drinking plenty of water and maintaining a balanced diet can also contribute to overall skin health.

5. Sun Protection: If you are using products that contain exfoliating agents, it’s essential to apply sunscreen daily, as these can increase your skin's sensitivity to the sun.

6. Patience: Improvement in keratosis pilaris can take time. Consistent use of your prescribed treatment, along with good skincare practices, may lead to gradual improvement over weeks to months.

In summary, it is generally safe to use the cream prescribed by your dermatologist daily, provided that your skin tolerates it well. Regular moisturizing and gentle exfoliation can further aid in managing keratosis pilaris. If you have any concerns or if your condition does not improve, it is always best to follow up with your dermatologist for personalized advice and potential adjustments to your treatment plan.

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