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Follicular Keratosis (Keratosis Pilaris) Health Feed

Causes And Treatment Of Keratosis Pilaris!

Dermatologist, Anand
Causes And Treatment Of Keratosis Pilaris!

As complex as it may sound, Keratosis Pilaris is a harmless, non-contagious type of skin disorder, which primarily affects people with dry skin. This disease has the potential to convert a person’s once smooth skin into skin as rough as sandpaper.

Symptoms

A number of light-coloured small bumps start appearing on the skin and in most cases, they tend to appear on the upper arms, thighs and buttocks of the affected person. In certain cases, there may be some swelling or redness, which comes along with the bumps. The skin loses its original glow and colour.

Causes

As mentioned above, people with dry skin suffer from Keratosis Pilaris. Also anyone with extra sensitive skin who is prone to be allergic to various substances tend to fall prey to this disease. Often Keratosis Pilaris is inherited from other family members as well. Persons suffering from asthma and eczema have higher chances of getting affected by Keratosis Pilaris.

But what leads to such a condition? A protein in our body called ‘keratin’, which protects our skin from various infections, is the main cause behind Keratosis Pilaris. Although there is no particular reason for excess building up of keratin in our body, too much of it under the skin leads to blockages of hair follicles and growth of rashes.

Treatment

For people who are scared of medical tests, it may be a relief to know that Keratosis Pilaris does not need any sort of testing. Treatment of Keratosis Pilaris is a time taking process and immediate results may not be seen after applying a particular lotion or cream. However, sometimes it gets cured on its own without any medication.

To start off, the amount of time which is spent in water should be limited. In addition to this, there are other steps which may be taken. For example, while taking a shower, hot water should be substituted by warm water. Also, it is vital to ensure that the skin is adequately moist. Two ways of going about doing this are using moisturizers and making use of a humidifier. Make sure you use mild soaps for regular hygiene and for your shower.

Who gets Keratosis Pilaris?

Anyone can get Keratosis Pilaris. It is estimated to affect between 50-80% of all adolescents and approximately 40% of adults. Females may be more frequently affected than males. Age of onset is often within the first 10 years of life and can particularly get worse during puberty. Keratosis Pilaris may however begin at any age. A large percentage of patients have other people in their family with the same condition. It has commonly been seen in twins. Keratosis Pilaris is also seen in atopic dermatitis patients and patients with very dry skin.

One big relief when it comes to having Keratosis Pilaris is the fact that there is little risk at all if a person has it as it is not threatening. That being said, the sooner it is under control, the better!

5023 people found this helpful

Keratosis Pilaris - How To Treat It?

Dr. Sheela Nataraj 85% (10 ratings)
MBBS, DDVL, Fellowship In Medical Cosmetology & Aesthetics
Dermatologist, Bangalore
Keratosis Pilaris - How To Treat It?

The skin has a protein called keratin that protects it from infections and other harmful toxins.  For various reasons, mostly unknown but likely genetic, there could be a buildup of this keratin leading to small, light-colored, hard bumps under the skin that can feel like sandpaper. This condition is medically known as keratosis pilaris.  These pillars of keratin block the hair follicles that open onto the surface of the skin, and when a number of follicles are blocked, it leads to dry, bumpy feeling. In common words, it is also referred to as chicken skin, chicken bumps, or goose bumps.

Occurrence:  The onset is usually in the first decade of life, continues to grow in number in teenagers (80%), and slowly subsides as they grow older (40% of adults).  People with dry skin are more likely to have these bumps than people with oily skin.  The most commonly affected areas include upper arms, thighs, buttocks and very rarely on the face.

Cause: This is a genetic disorder, and the bumps are due to excessive formation and buildup of keratin due to faulty genes.  There could be surplus skin formation under these follicles or hair follicles trapped under these bumps.  There could be a small area of inflammation and redness around the bumps.
Weather Correlation:  Keratotis pilaris is more common and evident during the winter months when the skin is normally drier than in summer months.  Some people could have this condition lifelong, with only manifestation seen in winters and complete absence of bumps in the summer months. 

Symptoms: The condition is usually asymptomatic, except for the dryness, and does not cause itching or medical harm. The esthetic concern, especially if in upper arms, is the only concern.  Some people could be affected by the hard, bumpy feeling of the skin.  There are no long-term medical symptoms or harmful effects of this condition though.

Treatment:  No treatment is required; however, moisturizers may be required to prevent the bumps from drying up. In very severe cases, creams may be used to remove dead skin cells and to prevent plugged follicles.  Alpha hydroxy acid, salicylic acid, or lactic acid containing creams can be used to remove the dead skin cells. These also help moisturize the skin and reduce dryness.  Vitamin A containing creams can be used to unplug the hair follicles.

A word of caution though - these creams can cause itching and redness.  Since this condition is prevalent in children, these creams need to be used only if absolutely essential and with medical prescriptions. The condition is harmless and self-limiting, so no treatment is mandatory.  Patient education is of utmost importance in these cases.

3984 people found this helpful

Hi, I am allergic to UV rays so when it is extremely hot my nose turns and small red boils come out of my hand/arms which is exposed to sun and it itches very badly in the night and day, I have a history of this but time and again due to negligence I ignore putting sun screen lotion. As of now my Nose is extremely red and there is watery discharge coming out, have tried Ayurveda but didn't help, Tried Calpure Lotion Moisturizer didn't help much, Any permanent cure or medicines, ointments that can cure it permanently will be much appreciated as its very embarrassing sitting with a extremely red nose.

Dr. Tanmay Palsule 94% (5024 ratings)
MD - Homeopathy, BHMS
Homeopath, Pune
Hi, I am allergic to UV rays so when it is extremely hot my nose turns and small red boils come out of my hand/arms w...
You seem to be suffering form solar dermatitis. Homoeopathy is wonderful in treating such chronic, repetitive complaints More details like your family history, past history, thermals, thirst, desires aversions, attitudes is required to make a prescription especially in a chronic case such as yours. Consult in private with the above details. More questions may be asked if required.
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4 Different Way Keratosis Pilaris Can Be Treated!

Dr. Purvi C Shah 83% (28 ratings)
MD - Dermatology , Venereology & Leprosy, MD, MBBS
Dermatologist, Mumbai
4 Different Way Keratosis Pilaris Can Be Treated!

If any grown-up skin faces it, it is a condition which is regarded as undiagnosed till date by dermatologists, it is none other than Keratosis Pilaris. The building of keratin on the skin and blockage of hair follicles is termed as Keratosis Pilaris. Arms, butt, and legs are the areas where the formation of these scaly plugs is likely to be found. Though not dangerous, this kind of skin texture can offer a feeling of irritation. Estimation shows that almost forty percent of adults have a tendency of having Keratosis Pilaris.

Dry weather and eczema are conditions with which Keratosis Pilaris can be closely associated. As a matter of fact, this condition also does come along with genetic conditions. Hence, the next time you have ingrown hairs, consult a doctor before you begin to scour your skin.

Areas of the skin that are affected

  1. When feeling troubles due to some irritation on your skin, especially around your legs and arms, stop for a minute and think what it can be.
  2. Allergy on your skin, white bumps similar to whiteheads, raised lumps are some the visuals that you can see on your skin if you detect that you might have Keratosis Pilaris.
  3. Patches of rough or uneven skin are also few of the symptoms.
  4. Self-diagnosing is never recommended for which you need to see a dermatologist straight away so that you do not have to think for solutions for a condition that you do not have.

Available treatments
To be honest, Keratosis Pilaris is that condition that will linger if you are an adult for life. But for a child, the effects are less harmful as the skin disease seems to fade away by the time they reach thirty. Effectual treatment options have now materialized in this modern era due to such encroachment in medical science for treating the condition of Keratosis Pilaris in the best possible way. Few medical treatments available are as follows:

  1. Creams: Chances are when you visit a reputed dermatologist; the expert will recommend you to apply creams that include salicylic and alpha-hydroxy acid that obstructs the building of keratin scaly plug. The amlactic body lotion is one of the products that are highly sought-after ones that also make your skin smooth and soft.
  2. Topical Immunomodulators: Tacrolimus and pimecrolimus are few topical immunomodulators that can be utilised for treating Keratosis Pilaris.
  3. Oral medication: Isotretinoin pills are considered as a very effective oral medication for this skin condition. Acne scarring can be reduced to large extents with this.

Every individual is known to have different kinds of skin. Hence, not every tip will help you to eradicate the disease but will do help in controlling the spreading of the skin condition. Listen to what your body is trying to say to you, agree with what your doctor recommends, and you will have beautiful skin in no time. In case you have a concern or query you can always consult an expert & get answers to your questions!

2469 people found this helpful

I am having keratosis pilaris from 2 year after moving here. I visited two dermatologist but condition didn't improve, now it got s increasing l. Earlier it was in my upper hand now it started affecting my back. Could you please help me out?

Dr. Narasimhalu C.R.V.(Professor) 94% (54800 ratings)
MD, MBBS
Dermatologist, Chennai
I am having keratosis pilaris from 2 year after moving here. I visited two dermatologist but condition didn't improve...
Don't worry. Medicine available for good improvement. As the treatment varies depending on the severity. Send photos of the affected area, by direct online consultation for accurate diagnosis and treatment.
1 person found this helpful
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Follicle Transfer - Know The Benefits!

MBBS Bachelor of Medicine and Bachelor of Surgery
Trichologist, Delhi
Follicle Transfer - Know The Benefits!

What is Follicular transfer (FT) is also known as follicular unit extraction (FUE).

It is a type of hair transplant procedure which is less invasive than the other types. It is performed when the person has a good hair growth at the back or side of the head which becomes the donor’s area.

How is it performed?

  1. The procedure is performed by specially designed instruments under a high powered microscope which provides precision for best and natural results. When the part gets numb the follicles are isolated with a specialized punch device which extracts the follicular units completely with necessary glands. This method is used to separate the surrounding tissue from the follicular unit which results in minimal injury and undetectable scarring.
  2. Then the follicles are removed without any damage to the area. If the scar is left behind it takes few days to heal proceeded by hair growth which takes about weeks.
  3. Then the extracted hair is prepared and sorted for treatment.
  4. Then the follicles are implanted in the scalp by making small incisions by microsurgical needles generally in a group formation of 1-4 to give a natural and recognizable look.
  5. To create a natural hairline transacted hair are used, which will start to grow within weeks naturally. The length of your hair depends upon the follicular units grafts. Approximately 12 months later you will have re-grown hair.
  6. You can get the discharge immediately after the treatment. In 5-7 days the healing takes place after which the redness and swelling disappear.

Advantages of Follicular Unit Extraction

  1. Easy recovery: As there were small incisions made in the procedure which lowers the risk of widening which generally occurs in FUT procedure. This is the reason there are fewer limitations on exercise post-procedure.
  2. Less scarring: FUE doesn’t produce linear scarring on the donor's area because it doesn’t require any sutures, scalpels; due to which you can wear your hair short too.
  3. Quick healing: As there is less scarring, the time required for healing is very less as compared to FUT where the scarring is more, therefore, the healing is slow.

Disadvantages of follicular unit extraction

  1. It’s expensive: As the cost is decided on a number of sessions required for the procedure. FUE requires more sessions than FUT, as this transplants individual follicle units which are more time-consuming.
  2. It’s temporary: In most of the cases it doesn’t last longer than FUT. because in this the follicular units are taken from a various area which leads to thinning of the donor zone and visible scarring.
  3. Shaving: The one who doesn’t like shaving can have a problem. Because FUE requires shaving of donor’s area. Only in advanced procedures like long hair FUE, shaving is not required.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4 people found this helpful

Keratosis Pilaris - Is It Something Serious?

Dr. Nitin Jain 83% (254 ratings)
MBBS, Diploma in Venerology & Dermatology (DVD), DDV, MD - Dermatology , Venereology & Leprosy
Dermatologist, Pune
Keratosis Pilaris - Is It Something Serious?

The skin has a protein called keratin that protects it from infections and other harmful toxins.  For various reasons, mostly unknown but likely genetic, there could be a buildup of this keratin leading to small, light-colored, hard bumps under the skin that can feel like sandpaper. This condition is medically known as keratosis pilaris.  These pillars of keratin block the hair follicles that open onto the surface of the skin, and when a number of follicles are blocked, it leads to dry, bumpy feeling. In common words, it is also referred to as chicken skin, chicken bumps, or goose bumps.

Occurrence:  The onset is usually in the first decade of life, continues to grow in number in teenagers (80%), and slowly subsides as they grow older (40% of adults).  People with dry skin are more likely to have these bumps than people with oily skin.  The most commonly affected areas include upper arms, thighs, buttocks and very rarely on the face.

Cause: This is a genetic disorder, and the bumps are due to excessive formation and buildup of keratin due to faulty genes.  There could be surplus skin formation under these follicles or hair follicles trapped under these bumps.  There could be a small area of inflammation and redness around the bumps.
Weather Correlation:  Keratotis pilaris is more common and evident during the winter months when the skin is normally drier than in summer months.  Some people could have this condition lifelong, with only manifestation seen in winters and complete absence of bumps in the summer months. 

Symptoms: The condition is usually asymptomatic, except for the dryness, and does not cause itching or medical harm. The esthetic concern, especially if in upper arms, is the only concern.  Some people could be affected by the hard, bumpy feeling of the skin.  There are no long-term medical symptoms or harmful effects of this condition though.

Treatment:  No treatment is required; however, moisturizers may be required to prevent the bumps from drying up. In very severe cases, creams may be used to remove dead skin cells and to prevent plugged follicles.  Alpha hydroxy acid, salicylic acid, or lactic acid containing creams can be used to remove the dead skin cells. These also help moisturize the skin and reduce dryness.  Vitamin A containing creams can be used to unplug the hair follicles.

A word of caution though: These creams can cause itching and redness.  Since this condition is prevalent in children, these creams need to be used only if absolutely essential and with medical prescriptions. The condition is harmless and self-limiting, so no treatment is mandatory.  Patient education is of utmost importance in these cases.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5384 people found this helpful

How To Treat Keratosis Pilaris?

Dr. Vimala Manne 85% (28 ratings)
MD - Dermatology, MBBS
Dermatologist, Hyderabad
How To Treat Keratosis Pilaris?

As complex as it may sound, Keratosis Pilaris is a harmless, non-contagious type of skin disorder, which primarily affects people with dry skin. This disease has the potential to convert a person’s once smooth skin into skin as rough as sandpaper.

Symptoms

A number of light-coloured small bumps start appearing on the skin and in most cases, they tend to appear on the upper arms, thighs and buttocks of the affected person. In certain cases, there may be some swelling or redness, which comes along with the bumps. The skin loses its original glow and colour.

Causes

As mentioned above, people with dry skin suffer from Keratosis Pilaris. Also anyone with extra sensitive skin who is prone to be allergic to various substances tend to fall prey to this disease. Often Keratosis Pilaris is inherited from other family members as well. Persons suffering from asthma and eczema have higher chances of getting affected by Keratosis Pilaris.

But what leads to such a condition? A protein in our body called ‘keratin’, which protects our skin from various infections, is the main cause behind Keratosis Pilaris. Although there is no particular reason for excess building up of keratin in our body, too much of it under the skin leads to blockages of hair follicles and growth of rashes.

Treatment

For people who are scared of medical tests, it may be a relief to know that Keratosis Pilaris does not need any sort of testing. Treatment of Keratosis Pilaris is a time taking process and immediate results may not be seen after applying a particular lotion or cream. However, sometimes it gets cured on its own without any medication.

To start off, the amount of time which is spent in water should be limited. In addition to this, there are other steps which may be taken. For example, while taking a shower, hot water should be substituted by warm water. Also, it is vital to ensure that the skin is adequately moist. Two ways of going about doing this are using moisturizers and making use of a humidifier. Make sure you use mild soaps for regular hygiene and for your shower.

Who gets Keratosis Pilaris?

Anyone can get Keratosis Pilaris. It is estimated to affect between 50-80% of all adolescents and approximately 40% of adults. Females may be more frequently affected than males. Age of onset is often within the first 10 years of life and can particularly get worse during puberty. Keratosis Pilaris may however begin at any age. A large percentage of patients have other people in their family with the same condition. It has commonly been seen in twins. Keratosis Pilaris is also seen in atopic dermatitis patients and patients with very dry skin.

One big relief when it comes to having Keratosis Pilaris is the fact that there is little risk at all if a person has it as it is not threatening. That being said, the sooner it is under control, the better! 

In case you have a concern or query you can always consult an expert & get answers to your questions!

4518 people found this helpful

Homeopathic or allopathic treatment .Which treatment is best for bumpy skin texture and damaged skin by medicine. Please suggest.

Dr. Jayvirsinh Chauhan 97% (16610 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
Homeopathic or allopathic treatment .Which treatment is best for bumpy skin texture and damaged skin by medicine. Ple...
Hi Jyoti... According to me first always one should try homoeopathic treatment... it is the best and most harmless treatment..
1 person found this helpful
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