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General Dermatology


Keratosis Pilaris

Keratosis pilaris is a skin condition commonly seen on the upper arms, buttocks and thighs. The skin cells that normally flake off as a fine dust from the skin form plugs in the hair follicles. These appear as small pimples that have a dry ''sandpaper'' feeling. They are usually white but sometimes rather red. They usually don't itch or hurt.

Keratosis pilaris is particularly common in teenagers on the upper arms. It may occur in babies where it tends to be most obvious on the cheeks. It may remain for years but generally gradually disappears usually before age 30. Keratosis pilaris is unsightly but completely harmless. It is usually worse during the winter months or other times of low humidity when skin dries out, and may worsen during pregnancy or after childbirth.

Treatmemnt for this condition is optional but includes:

  • Medicated creams or lotions with 12 percent ammonium lactate that softens the affected skin.
  • Moisturizers (urea) that help loosen and remove dead skin cells.
  • Topical corticosteroids for short-term, temporary relief of symptoms.
  • Topical retinoids that increase cell turnover, which reduces the plugging of hair follicles.

To help alleviate symptoms, be sure to keep the affected area moistened at all times and avoid harsh soaps.




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