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KERATOSIS PILARIS AND TREATMENT


 KERATOSIS PILARIS AND TREATMENT

Keratosis pilaris (ker-uh-TOE-sis pih-LAIR-is) is a common skin condition that causes rough patches and small, acne-like bumps, usually on the arms, thighs, cheeks and buttocks. Keratosis pilaris bumps are usually white, sometimes red, and generally don't hurt or itch. Keratosis pilaris can be frustrating because it's difficult to treat. However, keratosis pilaris isn't often serious and usually disappears by age 30. In the meantime, prescription medications and self-care measures can improve the appearance of keratosis pilaris.

SYMPTOMS
Keratosis pilaris can occur at any age, although it's particularly common in young children. Signs and symptoms include:
*Small white or red bumps, typically on the upper arms, legs, buttocks or cheeks
*Dry, rough and sometimes itchy skin in the areas with bumps
*Worsening in winter, when humidity is low and skin tends to be drier
Keratosis pilaris may be limited to individual, sandpaper-like bumps resembling goose flesh. In some cases, the bumps may become inflamed and cause scarring, especially on the face.
Gradually, keratosis pilaris usually resolves on its own.
When to see a doctor?
Keratosis pilaris isn't often a serious medical condition, and treatment usually isn't necessary. However, if you're concerned about the appearance of your skin, consult your family doctor or a specialist in skin diseases (dermatologist). He or she can often make a diagnosis by examining your skin and the characteristic scaly plugs.

CAUSES
Keratosis pilaris results from the buildup of keratin — a hard protein that protects your skin from harmful substances and infection. The keratin forms a scaly plug that blocks the opening of the hair follicle. Usually many plugs form, causing patches of rough, bumpy skin.
Why keratin builds up is unknown. But it may occur in association with genetic diseases or with other skin conditions, such atopic dermatitis. Keratosis pilaris also occurs in otherwise healthy people. Dry skin tends to worsen this condition.

PREPARING FOR YOUR APPOINTMENT
You're likely to start by seeing your family doctor or a general practitioner. However, in some cases when you call to set up an appointment, you may be referred to a specialist in skin diseases (dermatologist).

TESTS AND DIAGNOSIS
There is no laboratory test or skin test commonly used to diagnose keratosis pilaris. Instead, it's typically diagnosed based on an examination of your skin and a review of your medical history. Your doctor will ask questions about your signs and symptoms.

TREATMENTS
No single treatment universally improves keratosis pilaris. Most options, including self-care measures and medicated creams, focus on softening the keratin deposits in the skin.
Treatment of keratosis pilaris can include the following medications:
*Topical exfoliants. Medicated creams containing alpha-hydroxy acid, lactic acid, salicylic acid or urea moisturize and soften dry skin while helping to loosen and remove dead skin cells. Depending on their strength, certain creams are available over-the-counter and others require a prescription. Your doctor can advise you on the best option for your skin. The acids in these creams may cause redness, stinging or skin irritation. For that reason, topical exfoliants aren't recommended for young children.
*Topical retinoids. Derived from vitamin A, retinoids work by promoting cell turnover and preventing the plugging of the hair follicle. Retinoids may be an effective treatment, but they can cause bothersome skin irritations, such as severe dryness, redness and peeling. If you're pregnant or nursing, your doctor may opt to delay topical retinoid therapy or choose an alternative treatment.
*Laser therapy. Certain types of keratosis pilaris involving severe redness and inflammation have been successfully treated with laser therapy. Laser treatment involves passing intense bursts of light into targeted areas of skin. This type of treatment may require repeat sessions over the course of a few months, depending on your response.
Using a medication regularly may improve the appearance of your skin. But if you stop, the condition returns. And even with medical treatment, keratosis pilaris tends to persist for years.

LIFESTYLE AND HOME REMEDIES
Although there's no way to prevent keratosis pilaris, you can take steps to keep your skin moist and healthy:
*Moisturize your skin. Moisturizers provide a seal over your skin to keep water from escaping. Thicker moisturizers work best, such as the over-the-counter brands Eucerin and Cetaphil.
*Use warm water and limit bath time. Hot water and long showers or baths remove oils from your skin. Limit your bath or shower time to about 10 minutes or less, and use warm, rather than hot, water.
*Avoid harsh, drying soaps. Choose mild soaps that have added oils and fats, such as Neutrogena, Basis or Dove. Avoid deodorant and antibacterial detergents, which are especially harsh. You might want to experiment with several brands until you find one that works particularly well for you. A good rule of thumb is that your skin should feel soft and smooth after cleansing, never tight or dry.
*Pat dry. After washing or bathing, gently pat or blot your skin dry with a towel so that some moisture remains on the skin. Immediately moisturize your skin with an oil or cream.
*Use a humidifier. Low humidity dries out your skin. A portable home humidifier or one attached to your furnace adds moisture to the air inside your home. Portable humidifiers come in many varieties. Choose one that meets your budget and any special needs. And be sure to keep your humidifier clean to ward off bacteria and fungi.
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Mtonga Isaac Pharmacy,
Ng'ombe Township,
#16/24 Off Zambezi road,
Email: mtongaisaacpharmacy@gmail.com,
Tel: +260974272433/+260966399444,
Lusaka, Zambia.
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