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Dx Keratosis Pilaris Treatments:

Keratosis Pilaris

The Merck Manual Home Edition
"Keratosis pilaris is a common disorder in which dead cells shed from the upper layer of skin plug the openings of hair follicles. The cause is not known, although heredity probably plays a role. Also, people with atopic dermatitis are more likely to have keratosis pilaris.

The plugs or bumps that occur in keratosis pilaris make the skin feel rough (like chicken skin) and dry. Sometimes the plugs resemble small pimples. Generally, these plugs do not itch or hurt and cause only cosmetic problems. The upper arms, thighs, and buttocks are most commonly affected. The face may break out as well, particularly in children. Plugs are more likely to develop in cold weather and to clear up in the summer.

Treatment is not needed unless the person is bothered by the appearance of the disorder. Skin moisturizers are the main treatment. Creams with salicylic acid, lactic acid, or tretinoin can also be used.

Keratosis pilaris is likely to come back when treatment is stopped."

Medications Used in Treatment:
1. Beta Hydroxy Acids: Salitop® Salkera® Keralyt® salex®/salicylic acid

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*N.H.S. Choices

*[Editor] A single compounded preparation can include salicylic acid, urea, and tretinoin. This preparation differs from those used on xeratosis (dry skin), psoriasis and eczema.

*[Editor] This is often confused with Pityrosporum folliculitis which is a yeast infection. Treatment with acne or antibiotic ointment will make the eruptions worse. The suggestion is one of three tretments: 1) topical ketocanazole, 2) oral diflucan or 3) topical ciclopirox olamine cream, econazole cream, alcohol and salicylic acid solution (with or without benzoic acid 5%), propylene glycol 50% in water, and selenium sulfide shampoo.

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