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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: 3921
Last updated: 1/13/2021 4:54 PM

PATIENT RATINGS

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Compare our service to other similar practices

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Overall doctor performance

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4.89%
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The doctor listened to you attentively

excellent
93.9%
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The doctor took time to answer your questions

excellent
94.0%
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good
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The doctor explained treatment options

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The doctor explained treatment options

excellent
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5.69%
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Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
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very poor
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Aesthetician performance

excellent
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Office comfort

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Parking

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15.7%
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2.49%
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0.9%

Friendliness of the staff during appointment

excellent
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very good
7.23%
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What WE DID WELL

(Answers:674)

the people

#12021-02-26

Office ambiance and the how attentive everyone is in the office.

#22021-08-08

Quiet, on time, attentive, professional, organized, convenient, reasonably priced compared with others in the area.

#32011-01-31 10:42:48

thoroughness of staff

#42021-07-08

Appreciated the time the doctor took with me and the fact that she discussed fees in advance of services. Bottom line: excellence in every way.

#52021-08-04

Dr Ringfell was very attentive to my problem. She reviewed my medical history throughly unlike any other physician that I have met before. I felt that she aswered to all my questions with extreme knowledge and confidence. I am leaving my appointment today reasured that she will find the right diagnosis to my problem.

#62021-05-27

Very efficient!

#72021-08-23

I liked the fact that I could enter my information on a computer and I was not asked to provide the same more than once on the informational forms!

#82021-03-14

You LISTEN AND YOU HEAR

#92021-03-26

Friendliness of the receptionist and Dr. Ringpfeil's expertise

#102021-10-20

What can we do better?

(answers:373)

You were amazing

#12010-09-28 09:24:38

very satisfied

#22010-10-13 11:22:48

Just continue your good work to keep your credibility in place.

#32010-10-12 10:33:59

Evening hours

#42021-05-01

NOPE; COULD NOT IMPROVE ON YOUR ARTISTRY IN HEALING ATMOSPHERE AND MEDICAL ATTENTIVENESS.

#52021-07-04

I thought that consideration could have been made re: pricing of skin tag removal since I only had one tag removed.

#62021-05-24

When making the initial appointment and then calling to try to get it moved up (our of fear that I had a melanoma), I didn't think that one of the booking person(s) was particularly helpful or reassuring.

#72021-08-01

wouldnt change nothing

#82021-05-13

The service is wonderful nothing needs to be changed.

#92021-02-22

A sign in front of office to locate parking for first timers would be helpful.

#102021-04-15

Customer Rating : 4.5

Based on 275 ratings
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