The skin is the largest organ in the body and is one of the five sense organs, helping us with  touch.  The first outer layer is called the epidermis and the underlying layer is called the dermis. The skin has a protein known as keratin, which protects it from various external toxins and infections.

In some people, due to unknown reasons, there could be pile up of this protein in the deeper layers, producing small bumps, which feel like sandpaper. Literally, the term keratosis pilaris (KP) refers to piling up of keratin pigment. It can block the hair follicle that would normally open into the skin. When there are multiple blocks in the same area, there could be a sandpaper-like rough feeling to the touch. This gives this condition other names including goosebumps, chicken skin or chicken bumps. Though it is a cosmetic issue, it is medically a benign and very common condition.

Cause

KP, as it is popularly known as, is believed to be a genetic disorder with faulty genes leading to excessive accumulation of keratin. These appear as red, small bumps that are usually seen on the hands, arms, thighs, buttocks, and rarely on the face. The surrounding skin may be inflamed if there is a buildup of skin under the pile of keratin.

The onset of KP is usually in the first decade of life, worsens during puberty, and reduces during adulthood. There are, however, instances where the onset happens during adulthood. Twins and people with atopic dermatitis are more likely to have KP.

KP is more common in people with dry skin as oily skin seems to offer some protection.

There are also studies that give it a correlation with weather, with winter seeing more of this condition than summer. This is because our skin tends to dry more in winter than in summer. There could be some people who are completely normal during the summer months but will develop these bumps during the winter, which again subsides with the season.

Signs and Symptoms

As noted above, KP is a medically benign condition. There is a cosmetic concern if it is in the visible areas like arms and hands. Also, the area could feel rough and dry, but the affected person may not experience any itching or other harm. People with atopic dermatitis and eczema are more likely to develop KP; hence these other skin conditions require proper management.

Management

Patient education is the most important. This disease does not require any treatment and is usually self-limiting. It is very rare for KP to affect the whole body. Creams containing alpha hydroxy acid, salicylic acid, lactic acid, or vitamin A may be required to remove dead skin cells and to prevent clogged follicles from the bodies of the affected people.

Keratosis Pilaris: Signs, Causes, Treatment, and Prevention

Do you know that dandruff causes acne?

Acne is a skin condition that happens when pores get clogged with dead skin cells and oil, giving rise to pimples. It can be caused by numerous reasons like hormonal changes, improper diet, stress, consumption of specific drugs, excessive use of cosmetic products etc. In addition to these factors, acne can be caused by dandruff too, which may not be known to most of you. It has been observed that people who suffer from dandruff problems are more prone to getting pimples.

How does dandruff cause acne?

Dandruff has been associated with presence of yeast or fungi, it is also associated with abnormal skin ultrastructure. Dandruff makes the skin on your scalp flaky. These dry flakes of skin are often responsible for clogging the pores on your face, mostly affecting your forehead. In this way, dandruff triggers appearance of acne and can worsen the condition of your skin if you already have pimples. Though acne is more common among teenagers, acne due to dandruff is mostly experienced by people above the age of 20.

How can you prevent acne due to dandruff?

Eradicating dandruff from your scalp is the best way to prevent acne breakouts on your skin due to dandruff. Here are some simple ways to keep acne due to dandruff away from your skin.

1. Ensure that your hair stays off your face

Keeping hair off your face will ensure that dandruff doesn't come in contact with your skin and clog pores, preventing pimples. For this, you can use hair bands or tie your hair in a ponytail or braid.

2. Brush your hair at least twice a day

Brushing your hair at least two times a day will ensure that the dead cells on your scalp are removed and don't get a chance to clog pores. This option is highly beneficial in getting rid of acne caused by dandruff.

3. Use medicated anti-dandruff shampoo

Topical medicated solutions like a medicated shampoo should be used as a treatment. Short contact period of shampoo with scalp is important for more benefit. Good conditioner should also be used after head wash with shampoo.

If you would like to consult with me privately, please click on consult.

Do You Know that Dandruff Causes ACNE?

6 face washing mistakes that are damaging your skin, everyday!

Face-washing may be a simple everyday task that requires no great effort on your part. But when it?s not done right, it causes significant harm to your skin, each day. The mistakes that you may make while washing your face could lead to issues like irritation, dryness and even wrinkles. Read on to find out how you can avoid making these common errors, and save your skin from blemishes, ageing and lustreless look.

1. Using the wrong cleanser

The use of the wrong cleanser can throw your ph levels out of balance. The optimal ph balance of your skin is 5.5ph. This is the ideal level at which the thin protective layer on the surface of the skin (called acid mantle) can function to keep germs, toxins and bacteria at bay. You should therefore be picking your cleanser based on your skin type as it would come with the right ph balance. 

2. Not cleaning your hands before touching the face

Always clean the germs and dirt of your hands first before moving onto your face. Ignoring this crucial first step can cause you to transfer all the bacteria and dirt of your hands on your face, giving rise to common skin problems such as acne, pimples and blackheads.

3. Using a pre-used washcloth

To avoid the filth from clogging your pores, always clean the washcloth that you use with an antiseptic to keep germs and bacteria at bay. Once you're done washing your face, don't rub the cloth all over your face but pat dry it.

4. Washing face using with hot water

When it comes to the water that you splash on your face, you should always use lukewarm or room temperature water. This is because hot water leaves your skin dry as it washes away the skin's essential oils; and cold water can break the capillaries (fine blood vessels) of your skin. In contrast, mildly lukewarm water will keep your skin hydrated and healthy.

5. Not washing the face twice a day

Just as you shouldn't ignore this important skin care habit that keeps your skin clean, you also shouldn't go overboard with it. Excessive face-washing can hamper the natural oil production of your skin, giving rise to dryness and irritation as a result. Your skin requires the natural oil it produces to keep it smooth and supple. Ideally, you should wash your face twice daily - once in the morning for removing the bacteria and dirt that clogged your pores, and again at night before going to bed.

6. Rushing through the routine

Lastly, don't rush through your cleansing routine. Make sure to properly rinse your face of cleanser completely, otherwise the residues would cause your skin to dry up later on, leading to skin irritation.

It is therefore very important to pay attention to all the little details that make up your face-washing routine. By doing it right, you get to achieve the clear and blemish-free skin that you always wanted.

If you would like to consult with me privately, please click on consult.


6 Face Washing Mistakes that are Damaging Your Skin, Everyday!

Do you know the sun is making your skin age faster? plus, 5 other reasons behind facial wrinkles

Facial wrinkling occurs when the skin develops creases, folds and ridges. The formation of wrinkles is a normal part of the process of skin ageing. However, certain factors may accelerate the process and lead to premature wrinkling of the face and other parts of the body.

The main causes of facial wrinkling are:

1. Skin ageing: as a person gets older, his/her skin becomes less taut and begins to sag. The production of natural oils and fat in the deeper layers of the skin gets reduced with age, which leads to the formation of wrinkles due to diminished skin elasticity.

2. Sun exposure: constant exposure of skin to the sun causes damage and speeds up the ageing process. The harmful ultraviolet rays of the sun break down collagen and collective tissue fibres, which is the primary cause of premature wrinkling.

3. Skin complexion: due to the absence of melanin, people with fairer (lighter) skin, experience more damage due to sun exposure. This causes them to develop wrinkles much earlier.

4. Facial muscle contraction: repeatedly making the same facial expressions and contraction of face muscles causes wrinkling. Those who constantly frown, smile or squint get facial wrinkles as it leads to reduced skin elasticity.

5. Smoking: smokers are more susceptible to premature wrinkling. This is due to the presence of nicotine, tar and other chemicals from the smoke in the bloodstream, which hamper the supply of blood and oxygen to the outer layers of skin.

6. Genetic factors: many people get facial wrinkling as a result of hereditary causes and family genetics.

However, the good news is that facial wrinkling can be prevented through these simple ways:

Sun protection

This is the most effective way of avoiding wrinkles. Keep yourself protected against sun exposure by staying out of the sun as much as possible and wearing sunscreen at all times.

Quitting the smoke

Kicking the habit will show a marked improvement in your skin quality and would help prevent further wrinkling.

Use of moisturisers

Dry skin is more prone to wrinkling. Keeping your skin supple and moisturised prevents wrinkles.

Leading a healthy lifestyle

The combination of following a nutritious diet, drinking plenty of water, getting enough sleep and regularly exercising keeps the skin young and wrinkle-free.

Treatment options:

There are several options to improve wrinkles by procedures which include botox, fillers, prp and lasers for skin tightening. The most suitable option can be chosen depending upon the severity and type of wrinkling.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: 6 Face Washing Mistakes that are Damaging Your Skin, Everyday!

Do You Know the Sun is Adding Wrinkles To Your FACE?

When you run your hands over the soles of your feet, the surface should be smooth to touch. However, sometimes, the surface may not be so smooth. Piezogenic pedal papules are papules on the medial, posterior or lateral aspects of both heels and result from herniation of fat. These papules are usually asymptomatic and can range from a size of 2mm to 10mm. In some cases, they can be a little painful. This is seen commonly in large lesions. They become apparent when the patient stands with his full weight on his feet and disappear or shrink when the weight is removed. Piezogenic papules can also occur on the wrists. This is a fairly common condition that affects women more than men. Piezogenic pedal papules can occur at any age including infancy.

There is no known cause for the herniation of fat that causes this condition. However, there are a few factors that could increase your risk of suffering from this condition. These factors are:

Obesity
Orthopedic problems
Flat feet
Collagen disorders such as EDS
Jobs which entail standing for long hours
Excessive weight bearing
This condition can also affect newborn babies with no predisposition. The diagnosis of this condition is often confused with infantile pedal papules, xanthoma and tophi. Since they are prominently visible only when pressure is applied, it is essential for a doctor to physically examine the patient while he or she is standing. This condition does not affect the health of a person and is largely only a cosmetic issue. Thus treatment is not usually necessary but some of the things you could do to relieve the discomfort are:

In cases where Ehlers-Danlos syndrome triggers the condition, patients may be recommended betamethasone and bupivacaine injections. These injections need to be administered repeatedly for complete pain relief.
Orthotic soles or custom made inserts for shoes can help relieve the pain and distribute pressure equally.
Heel taping
Compression stockings
Avoid excessive or prolonged weight bearing
Avoid standing for extended periods and try not to run too much
Rest the feet and keep them elevated to help alleviate the symptoms
Lose weight if you are on the heavier side
Electro acupuncture
Piezogenic pedal papules are benign and are no reason to worry. If they begin to affect the quality of your life, you could consult a podiatrist. 

What are Piezogenic Pedal Papules?

Skin irritants are everywhere. Even in your house, there is practically no place where there are no skin irritants. Laundry detergents, air fresheners and floor polishes are just a few factors that cause skin itching. The reason why this happens is because products like air fresheners and floor polishes take away essential oils and water from the skin which leads to dryness and irritation.

This type of dry, itchy skin can also progress to skin conditions like eczema. Here are some ways you can stop your skin from becoming dry and itchy:

1. Wear gloves: The ideal thing to do would be to wear soft, thin cotton gloves and wear rubber gloves on top of that. Do not touch a bucket or sponge without it. If you cannot wear soft, thin cotton gloves underneath, at least wear the rubber gloves as this protects your hands from irritants.

2. Take a shower after swimming: Chlorine is one of the principal causes of itchiness in your skin. It is absolutely essential that once you have finished swimming you take a shower with water and a little soap. Even more importantly, use a moisturizer with glycerin in it, as this will keep the moisture trapped inside. Glycerin is particularly good at holding on to moisture.

3. Petroleum jelly: Petroleum jelly has been proven to reduce the chance of dry, itchy skin because it contains only one ingredient. This one ingredient formula is especially great when it is applied to sensitive skin. The reason why one ingredient is better than a moisturizer with many chemicals is because a one ingredient formula is gentler and therefore creates a protective barrier against irritants.

4. Oatmeal bath: For this kind of treatment, grind oatmeal in a blender and then sprinkle it in your bath water. Oatmeal has an anti-inflammatory substance known as Avenanthramide, which decreases itching and redness of the skin.

5. Cleanliness: This is perhaps the most important tip, which can be given. If you do not regularly clean your floors or wash your bed sheets in hot water than you are at a high risk of getting mites and these are one of the most common irritants of your skin.


5 Tips To Subdue Itching Of The Skin

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