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Keratosis Pilaris

Keratosis Pilaris on Arm

Keratosis Pilaris, also called “KP” or Chicken Skin, is a common but benign skin condition found in most children, adolescents (50-80%) – and many adults (roughly 40%). Onset of this problem usually occurs before age 10, and generally worsens through puberty. A slightly higher incidence is recorded in women than in men, and in people who are overweight.

People who have this condition may find that a close family member will also exhibit symptoms of this problem (heredity link). People who have been diagnosed with Atopic Dermatitis or have chronic dry skin may also be more prone to this skin condition.

Keratosis Pilaris is non-contagious, and usually becomes worse in the winter months or during drier weather. The condition is usually chronic, with periods of improvement or worsening. KP bumps usually appear on the back of the upper arms, but are also seen on the thighs, buttocks and occasionally on the face.

Symptoms

Symptoms include the presence of small, skin-colored or reddish bumps (similar to acne) that are usually not itchy. These can occur in patches of a dozen to over 80 bumps in a given area (i.e. upper arm). The skin in these affected areas can have a dry, rough texture.

Keratosis Pilaris on Leg Causes

KP is attributed to the buildup of excess keratin (natural protein) in your skin that ends up blocking (forms a plug) the opening of hair follicles. Many of these plugs can contain an ingrown hair when the keratin plug blocks the hair from exiting the follicle.

Treatment

The more effective treatment measures for Keratosis Pilaris focus on softening and/or removing the keratin plugs that block the hair follicles. Regular, continued daily maintenance is required due to the chronic nature of this condition. The following list includes some of the more commonly prescribed treatments for Keratosis Pilaris:

  • Urea is used to moisturize and soften dry skin. It can also help to loosen and remove dead skin cells. Lotions with urea are available over-the-counter, but stronger medications containing this active ingredient can be prescribed.
  • Alphahydroxy Acids and Retinoids can help to prevent follicle plugging by facilitating increased cell turnover.
  • Ammonium Lactate can help to reduce skin roughness and soften the keratin plugs that are blocking the hair follicles.
  • Topical Corticosteroids are sometimes prescribed for short-term use on sensitive areas, like the face or for treating larger areas.
  • Antibiotics are sometimes prescribed if a significant portion of the bumps become too inflamed.
  • Chemical Peels and Microdermabrasion may also help affected areas.

Homeopathic Options

There are several things you can do to reduce the severity and/or occurrence of this condition. For instance, when bathing use a loofa to help remove dead, dry skin. Use mild soaps and skin moisturizers (e.g. Cetaphil, Dove, Lubriderm). And pat the skin dry rather than firmly wiping with a towel.

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