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Keratosis Pilaris

Keratosis pilaris is a common, benign skin condition characterized by the appearance of multiple small firm skin colored bumps on the lateral aspect of the upper arms and sometimes thighs. There can be surrounding redness. The bumps can resemble goose bumps and are sometimes referred to by the lay population as "chicken skin". They can cause the skin to have a sandpapery feel when touched. These bumps can also be seen on the face along the outer cheeks in children. The asymptomatic bumps occur due to the harmless buildup of keratin in hair follicles. The condition usually improves with age and is a trait that is often seen in multiple family members. About 10% of the population carries this trait but there is an increased incidence in people with eczema (atopic dermatitis).

Diagnosis

The diagnosis of keratosis pilaris is easily made by a dermatologist based on its appearance. No biopsy is necessary. The diagnosis is further supported by obtaining a history of other family members with a similar condition.

Management

Treatment is not necessary but is often sought because of the rough feel, the bumpy appearance of the skin or the accompanying redness. The appearance and texture can be improved with the use of a topical moisturizing lotion that contains filaggrin-like peptides and ceramides (Cetaphil Restoraderm) or topical keratolytics such as moisturizing lotions that contain citric acid, alpha hydroxy acid (e.g. Eucerin plus lotion or cream), ammonium lactate (e.g. AmLactin 5% lotion or cream) or urea (e.g. Ureacin 10% lotion). These lotions are readily available over the counter without a prescription. Roughness and bumps reduce significantly after about 2 weeks with regular twice daily use. If improvement is not seen with these medicated moisturizers, a higher strength of these ingredients or prescription topical retinoids, which are commonly used for acne treatment, can be applied. Gentle physical exfoliation can also be performed for resistant lesions through in-office microdermabrasion. It is important to know that lotions need to be used regularly to keep the condition under control; if the lotions are stopped the bumps will become prominent with a delay of about 2 weeks. Redness usually reduces at the same time as the skin becomes smooth but if it persists, pulsed dye laser treatment may be pursued. Several sessions spaced 4 weeks apart are often necessary to completely remove redness. Results are long lasting.

Coping

Most people are assured by understanding the benign nature of the condition. However, when the appearance of these bumps or surrounding redness is disturbing, treatment may be started. Many will treat during the warmer months of the year when they wear short sleeves or in anticipation of an important event. In such cases, treatment should begin at least 2 weeks prior to the date. Some people will employ aggressive measures to remove the bumps of keratosis pilaris such as through use of a loofah sponge or through picking. Not only are they rarely effective, they are discouraged due to the risk of skin irritation.

Prevention

Keratosis pilaris is an inherited trait, therefore prevention is not possible at this time.

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SKIN

# of surveys: 3749
Last updated: 05/18/2017 4:45 PM,

PATIENT RATINGS

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definitely
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probably
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0.58%
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0.02%

Compare our service to other similar practices

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87.9%
very good
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good
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Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
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0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
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0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
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0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
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Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
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Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
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What WE DID WELL

(Answers:674)

Pretty, Friendly Ladies up front!

#12011-01-13 11:13:22

I appreciated that Dr. Ringpfeil took the time to thoroughly explain everything we spoke about. She did not simply provide a professional opinion, she provided her opinion and supplemented it with an explanation that made everything clear to me. I felt like I was listened to and interacted with, rather than just spoken at (which has often been my experience with other dermatologists). Thank you!

#22017-07-19

good service

#32011-04-19 10:17:20

I liked the computers.

#42017-08-30

I actually look forward to my doctor's visits! Been a patient of Dr. R's since she was in Center City and have referred family and friends to her!

#52010-11-24 09:41:39

very warm friendly staff

#62017-02-25

Jenny took the time to address all my concerns and gave me great advice. She was very professional, very knowledgeable, and friendly

#72011-05-27 09:49:17

I especially liked the friendliness of the staff and doctor. Also, this office is beautiful. I've never seen a doctor's office that compares with this one.

#82017-02-05

knowledge and friendly

#92017-08-13

The office atmosphere: paintings, light fixtures.

#102017-04-04

What can we do better?

(answers:373)

Everything was great!

#12011-02-17 17:11:54

Have the patient internet working

#22011-09-08 11:08:45

any information on services provided for enhancing skin apperance

#32016-11-29

no complaints

#42016-12-03

You were amazing

#52010-09-28 09:24:38

More chairs in the waiting room. More parking spaces.

#62010-09-15 12:08:01

When making a first appointment ask who ther person would like to see. Doctor vs Aesthetician

#72017-08-02

shorter wait time for new patient appointment.

#82017-02-20

everything was great

#92016-12-22

just continue listening which is so important

#102017-01-04
Customer Rating : 4.3

Based on 33 ratings