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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,

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Overall doctor performance

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The doctor listened to you attentively

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The doctor took time to answer your questions

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The doctor explained treatment options

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The doctor explained treatment options

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Front desk performance

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Aesthetician performance

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Office comfort

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Parking

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Friendliness of the staff during appointment

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What WE DID WELL

(Answers:674)

yES, THERE WAS A DELAY IN SEEING THE DOCTOR AND THE MEDICAL ASST. ACTUALLY APOLOGIZED AND EXPLAINED THE PROBLEM. THAT RARELY HAPPENS IN ANY DOCTORS OFFICE I HAVE EVER BEEN IN.

#12010-11-11 10:41:38

Alana was wonderful. Her manner of dealing with patients is something to be admired.

#22011-11-30 11:47:43

Dr Ringpfiel is clearly extremely knowledgable, and dhe took the time to listen completely to me about my condition. I really appreciated the time she took with me, and I am confident she is on the right path for treatment.

#32017-04-28

Everyone was very friendly

#42017-12-14

The people are friendly and understand.

#52017-05-29

I liked the promptness of seeing the doctor, and I loved that I was given all the time that I needed to speak with her.

#62017-04-28

All

#72017-11-09

The Dr. and assistant were both very professional and efficient. Everything was done quickly and smoothly. Also, patient and friendly with my 2 1/2 yr old. Thank you.

#82017-09-22

The friendlyness

#92017-07-21

friendly, laid-back style yet factual and to-the-point feedback

#102017-03-24

What can we do better?

(answers:373)

I really can't think of anything to add

#12010-11-24 09:41:39

The entire visit was just perfect so I had no suggestions at this time.

#22010-10-05 12:14:11

i was completely satisfies with everything and everyone. Even my lateness was not held against me.

#32017-09-14

I was more than pleased with my first visit; a very warm and professional office

#42011-03-09 09:12:38

Everything is just great!

#52017-03-04

I was very happy with the care I received.

#62010-09-14 10:44:00

Couldn't be better!

#72017-09-20

nothing

#82010-09-13 14:34:51

keep up the good work. you have an excellent service and your office is great

#92018-01-12

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.

#102010-11-10 12:28:11
Customer Rating : 4.1

Based on 36 ratings