and Treating Bumpy Skin: Solutions for Your Concerns - Dermatology

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The skin looks strange..?


Hello doctor, I have small bumps on my arms and face that resemble goosebumps.
Sometimes they itch (especially at night) and seem to spread, which is very concerning for me.
I went to see a doctor, and they said it was due to my constitution and prescribed a topical ointment, but I don't feel like there has been much improvement.
Is there a way to completely cure this? I'm really worried.

Fanrao de nvhai, 20~29 year old female. Ask Date: 2001/05/29

Dr. Zheng Lizhen reply Dermatology


Based on your description, your issue may be keratosis pilaris, folliculitis, or another condition.
Please consult a nearby dermatologist for an accurate diagnosis and treatment.
Treatment may take about a month to show results, with significant improvement expected over several months.

Reply Date: 2001/05/29

More Info


When dealing with bumpy skin, often described as "chicken skin" or keratosis pilaris, it's essential to understand the underlying causes and treatment options available. Keratosis pilaris is a common skin condition characterized by small, rough bumps that typically appear on the arms, thighs, cheeks, and buttocks. It occurs due to the buildup of keratin, a protein that protects the skin, which can clog hair follicles and lead to these bumps. While it is generally harmless, it can be bothersome, especially if it causes itching or discomfort.

In your case, it sounds like you have already consulted a physician who has prescribed a topical medication. However, if you feel that the treatment has not provided the desired results, there are several approaches you can consider to improve your skin condition.

1. Moisturization: Keeping the skin well-hydrated is crucial. Use a thick, emollient moisturizer that contains ingredients like urea, lactic acid, or glycolic acid, which can help exfoliate the skin and reduce the buildup of keratin. Applying moisturizer immediately after bathing can help lock in moisture and improve the overall texture of your skin.

2. Exfoliation: Regular exfoliation can help remove dead skin cells and prevent the buildup that leads to keratosis pilaris. You can use gentle exfoliating scrubs or chemical exfoliants containing alpha-hydroxy acids (AHAs) or beta-hydroxy acids (BHAs). However, be cautious not to over-exfoliate, as this can irritate the skin and worsen the condition.

3. Topical Treatments: In addition to the medication prescribed by your doctor, you might consider over-the-counter treatments that contain retinoids, which can help promote cell turnover and prevent clogged follicles. However, retinoids can be irritating, so it's essential to start with a lower concentration and gradually increase usage.

4. Avoid Irritants: Certain products, such as harsh soaps or lotions with fragrances, can exacerbate skin irritation. Opt for gentle, fragrance-free products designed for sensitive skin.

5. Lifestyle Modifications: Environmental factors, such as dry air, can worsen skin conditions. In colder climates, using a humidifier in your home can help maintain moisture levels in the air and benefit your skin. Additionally, wearing loose-fitting clothing can reduce friction and irritation on the affected areas.

6. Consult a Dermatologist: If your symptoms persist despite trying these measures, it may be beneficial to revisit a dermatologist. They can provide a more tailored treatment plan, which may include prescription-strength topical treatments or other therapies.

7. Patience and Consistency: Skin conditions like keratosis pilaris often require time and consistent care to see improvement. It may take several weeks to notice significant changes, so it's important to be patient and stick to your skincare routine.

In summary, while keratosis pilaris can be frustrating, there are effective strategies to manage and improve the condition. Focus on hydration, gentle exfoliation, and the use of appropriate topical treatments. If you continue to experience issues, seeking further advice from a dermatologist can help you find a solution that works for you. Remember, skin health is a journey, and with the right approach, you can achieve smoother, healthier skin.

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