Keratosis Pilaris: Causes, Treatments, and Dietary Tips - Dermatology

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Keratosis pilaris


Hello doctor, I have keratosis pilaris, and I feel that it has been getting worse with age.
I am currently applying urea cream daily, which has shown some improvement, but I still feel very dry overall.
Even in summer, my lips crack, and I have a lot of dandruff.
Is this age considered the peak period? (Tears) Will it gradually improve after this phase? How can I improve my diet? Thank you, doctor.

Miao, 20~29 year old female. Ask Date: 2008/07/25

Dr. Zhang Zhibo reply Dermatology


Hello: You are experiencing issues with keratosis pilaris, cheilitis, dryness, and excessive dandruff, all of which are major characteristics of atopic dermatitis.
For keratosis pilaris, if the application of urea is ineffective, you might consider using topical retinoids for treatment.
Regarding "dryness and cheilitis," the key treatment focus is to enhance moisturization.
There are many over-the-counter skincare brands specifically designed for atopic dermatitis that you can try.
As for the excessive dandruff, it may indicate seborrheic dermatitis.
Basic lifestyle adjustments, reducing stress, and ensuring adequate sleep quality can help improve scalp issues.
You may also consider using anti-dandruff shampoos for care.
This condition is often hereditary and can be challenging to improve in the short term, so it's important to learn to manage it well.
When treatment is necessary, do not be lazy, as this may lead to frequent flare-ups.
Wishing you a swift passage through this difficult time!

Reply Date: 2008/07/25

More Info


Keratosis pilaris (KP), 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 is caused by the buildup of keratin, a protein that protects the skin from infections and other harmful substances. This condition is generally harmless and often improves with age, although it can persist into adulthood for some individuals.

As you mentioned, the symptoms of KP can become more pronounced with age, and many people experience dryness and flakiness of the skin, which can exacerbate the appearance of the bumps. The use of urea-based creams is a common treatment approach, as urea helps to exfoliate the skin and retain moisture. However, it is essential to maintain a consistent skincare routine to see significant improvements.

In terms of dietary considerations, while there is no specific diet that has been proven to cure keratosis pilaris, maintaining a balanced diet rich in vitamins and minerals can support overall skin health. Here are some dietary tips that may help:
1. Hydration: Ensure you are drinking plenty of water throughout the day. Hydration is crucial for maintaining skin moisture and elasticity. Dehydration can lead to dry skin, which may worsen the appearance of KP.

2. Healthy Fats: Incorporate sources of healthy fats into your diet, such as avocados, nuts, seeds, and fatty fish (like salmon). Omega-3 fatty acids found in these foods can help reduce inflammation and improve skin hydration.

3. Vitamins and Minerals: Focus on foods rich in vitamins A, C, and E, as well as zinc. These nutrients play a vital role in skin health. For example, carrots and sweet potatoes are high in vitamin A, while citrus fruits provide vitamin C. Nuts and seeds are excellent sources of vitamin E and zinc.

4. Limit Processed Foods: Try to reduce your intake of processed foods, sugars, and refined carbohydrates, as these can contribute to inflammation and skin issues. Instead, opt for whole foods, including fruits, vegetables, whole grains, and lean proteins.

5. Probiotics: Consider incorporating probiotics into your diet, either through fermented foods like yogurt, kefir, sauerkraut, or through supplements. Probiotics can support gut health, which is increasingly recognized as being linked to skin health.

Regarding your concerns about the severity of your condition and whether it will improve with age, many individuals find that keratosis pilaris tends to diminish over time. However, this is not the case for everyone, and some may continue to experience symptoms into later life. Consistent use of moisturizing creams, exfoliants, and treatments prescribed by a dermatologist can help manage the condition effectively.

If you are experiencing significant dryness, particularly on your lips and scalp, it may be beneficial to consult with a healthcare provider or dermatologist. They can assess your skin condition comprehensively and recommend specific treatments or lifestyle changes tailored to your needs. Additionally, they may suggest medicated shampoos for scalp issues or topical treatments for dry skin.

In summary, while keratosis pilaris can be a persistent condition, a combination of proper skincare, dietary adjustments, and possibly medical treatments can help manage symptoms and improve skin appearance. It is essential to be patient and consistent with your approach, as improvements may take time.

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