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Written by Dr. Ringpfeil

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.

How can we help you?

SKIN

# of surveys: 3750
Last updated: 05/25/2018 9:32 AM,

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
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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%
very poor
0%

The doctor took time to answer your questions

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

The doctor explained treatment options

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

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

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%
poor
0.05%
very poor
0.05%

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
0.05%
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What WE DID WELL

(Answers:674)

The treatments that are on display in the lobby. Also, the fact that the dermatologist told me the truth about commercial face cleansers.

#12019-02-18

on a very short notice was able to squeeze in an appointment for my daughter...thank you

#22019-01-31

Everything was easy, transitions were smooth, staff was friendly, everyone smiled. It was a great experience

#32012-07-26 11:37:17

Yes, I liked Dr. Ringpfeil's attentive, friendly demeanor and the fact that she expained things well, making available every sort of treatment, but also making clear what was needed/recommended and what could/should be skipped in a sensible, conservative approach.

#42019-09-30

The friendliness of the doctor and staff

#52011-01-24 15:16:37

Very little wait time, which is so appreciated! Very comfortable atmosphere. Really a wonderful appointment.

#62011-06-02 16:32:12

Doctor made eye contact while talking - this is truly the sign of a caring person. Thank you.

#72019-07-16

The waiting room was very pretty

#82018-12-22

STAFF VERY FRIENDLY!

#92019-09-05

I did not have to wait to be seen at all. From the start of my visit until I walked out the door the doctor & staff were very professional & took the tim to answer my questions and listen to me also. I have been seen by other dermatologist and I was defibately impressed here.+++A+++ Higly recommended.

#102018-11-14

What can we do better?

(answers:373)

Complain to the insurance industry that they cove too little, complain to the product manufactures that they truely charge too much for the products. I feel that the industry in general is very slow to treat because of insurance allowances. Patients have busy work schedules and pay for monthly coverage that covers too little. In one hour or less could do what multiple appointments do to remove or treat small skin defects require many visits. Should provide payment better incentives.

#12010-11-10 12:28:11

Appointments available on shorter notice

#22010-10-25 10:00:31

Service was excellent!

#32010-09-30 13:09:12

I had problems with my insurance. Since you took my insurance information over the phone it might have been nice to know that before I came in so I could have fixed it.

#42011-05-19 10:14:50

No complaints - overall best experience at any dermatologist.

#52011-09-27 12:59:17

I do not like waiting long periods of time in either the reception area or exam room fort he Dr to come in. The exam with the Dr should be relatively close to the appointment time

#62019-06-16

I do not like waiting long periods of time in either the reception area or exam room fort he Dr to come in. The exam with the Dr should be relatively close to the appointment time

#72019-02-16

move closer to home

#82010-11-08 09:51:29

My advice would be to continue doing exactly what you are presently doing. I had a very good first impression of Dr. Ringpfeil and the practice. Thank you.

#92011-02-07 10:50:14

let people know about opportunity for free consultation with Jill(?) when making appointment.

#102010-09-13 11:24:22
Customer Rating : 4.5

Based on 110 ratings