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KP Disclaimer
I am not a Doctor, nor do I try to pass myself off as one. The information found in the links above are for your convenience. They are only offered on my site as a tool to help you better understand KP. SkinCare4U does not guarantee the accuracy of the information found, for I am in no way affiliated with the publishers of the articles above. I found them on the Web, in my search for answers to what I, myself can do for my KP Disorder. I only added them to my site to give you insightful information on KP. Information that I have found to be very helpful to me. If you believe that you may have KP, the best thing for you to do is to set up an appointment with your Physician or a Dermatologist for their medical advice on the condition. [Not all products recommended will help everyone with their KP disorder. You have to find what works best for you.]
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Keratosis Pilaris
A Common Skin Disorder
Good Question
Q: This winter I'm noticing red, rough, scaly bumps on the backs of my arms. What are they, and how can I get rid of them?
A: Those bothersome blemishes, each about the size of a goose bump, are probably keratosis pilaris (KP), an inherited skin condition that affects 40 percent of adults worldwide. The problem stems from a buildup of cells that get trapped around hair follicles, says Clark C. Otley, M.D., clinical associate professor of dermatology at the Mayo Clinic and Mayo Medical School. KP typically occurs on the backs of the arms, thighs, buttocks, or cheeks, he explains, and is often confused with acne or eczema. It becomes more severe during winter, when low humidity dries out skin.
"Keratosis pilaris usually improves with age and can go away on its own," Otley says. "If it doesn't, you can't cure it, but you can achieve temporary relief with ongoing treatment." Avoid soap, keep skin well-moisturized, and use a manual exfoliator like a Buf-Puf or body scrub, followed by a lotion that contains glycolic, salicylic, or lactic acid. (Try DermaDoctor's KP Duty Dermatologist Moisturizing Therapy for Dry Skin, $36, or Neutrogena's Skin Smoothing Body Lotion, $9.99.) Prescription solutions, which can be more effective than over-the-counter remedies, include Retin-A, chemical peels, or microdermabrasion; again, however, results are not permanent.
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Definition of Keratosis Pilaris
Keratosis Pilaris (KP) - a common benign eruption consisting of scaly papules of the follicles; primarily affects the extensor surfaces of the arms and thighs.
Background
Keratosis Pilaris (KP) is a disorder of hyperkeratosis. It is a very common benign condition, which presents as folliculocentric keratotic papules. Although there is no defined etiology, it is often described in association with ichthyosis vulgaris and less commonly with atopic dermatitis.
(Find KP Resources below, and recommeded products at right.)
Post your questions on our
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The Merck Manuals - A common disorder of keratinization in which horny plugs fill the orifices of hair follicles.
eMedicine - Provides a description of the disorder and treatment options.
Epinions - A Skin Disorder Without A Cure, But There Are Treatments That Work.
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Andrews' Diseases of the Skin -
Clinical Dermatology, Richard B., M.D Odom, et al
Clinical Dermatology -
A Color Guide to Diagnosis and Therapy, Thomas P. Habif, Thomas P. Habie
Dry Skin and Moisturizers -
Chemistry and Function, Marie Loden (Editor) Howard I. Maibach
Genodermatoses -
A Full Color Clinical Guide to Genetic Skin Disorders, Joel L. Spitz
Sauer's Manual of Skin Diseases -
8th Edition John C. Hall (Editor) Gordon C. Sauer
Skin Deep -
An A-Z of Skin Disorders, Treatments and Health; Carol A. Turkington, Jeffrey S. Dover
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Glycolic Acid
An array of alpha hydroxy acids (AHAs) are utilized in a dermatologist’s quest to smooth out keratosis pilaris. Glycolic acid works as a chemical exfoliating agent. MD Formulations - Hand & Body Creme is a buffered 14% glycolic acid cream potent enough to help retexturize the skin.
Lactic Acid
Lactic acid is also an AHA. Dermatologists often turn to OTC and Rx lactic acid products to palliate KP. These can vary from low potency LactiCare Lotion appropriate for young children, particularly if treating areas on the face or far more potent AmLactin 12 % Moisturizing Cream or AmLactin AP Moisturizing Cream for more stubborn, itchy flare-ups. Prescription LacHydrin 12% is quite similar to AmLactin.
Urea
Urea is one of those favorites of dermatology. It’s role is to soften the crustiest skin. Carmol comes in 2 OTC strengths: Carmol 10 and Carmol 20. Both are excellent in the fight against KP. For intractable KP, prescription Carmol 30 or Carmol 40 are medications to consider.
KP Duty
Too many times my patients had difficulty trying to figure out when to apply a variety of products or find effective items that were also well tolerated. And KP is most definitely one of those skin conditions that responds best to a multi-therapeutic approach. In my experience single ingredient products or routines don’t do nearly as well as combination therapy. So I sat down and tried to combine the best active agents into a single cream targeted at keratosis pilaris.
DERMAdoctor KP Duty Dermatologist Moisturizing Therapy For Dry Skin combines high potency dermatologist strength glycolic acid and urea with green tea. The AHA and urea work as a combination invisible chemical exfoliant and humectant, eliminating bumps and softening the skin. Green tea contains ECCG to fight the inflammation that causes the formation of post inflammatory skin discoloration so commonly seen in KP. Apply it once or twice a day and watch KP rapidly smooth itself away.
Vitamin A Treatments
Patients may turn to prescription vitamin A creams such as Retin A / Tazorac/Avita / Differin to help restore a smooth texture in recalcitrant cases or as a way to help treat KP complicated by acne. Potent retinols such as Afirm or SkinCeuticals Retinol 1.0 are nonprescription options. Overeager use won’t help hasten silky skin. Instead it can leave the skin parched, peeling and painful. A tiny dab every other night is more than adequate for beginners.
Therapeutic Dry Oil
Sometimes an additional barrier that protects yet has the ability to both smooth away the keratin and reduce inflammation helps promote more rapid improvement. DERMAdoctor Handy Manum Anti-Itch Fissure Relief Serum works to eliminate bumps by blending lactic, salicylic, malic and citric acid with propylene glycol. Hydrocortisone is a proven medication rapidly reducing inflammation and is bolstered by green tea and oat beta glucan. DERMAdoctor Handy Manum Anti-Itch Fissure Relief Serum leaves a protective barrier without leaving an unpleasant oily residue. A tiny dab goes a very long way. Try applying at bedtime to enhance your regimen.
Immunomodulators
Since KP is often thought of as a manifestation of eczema, it stands to reason that new prescription medications such as Protopic and Elidel may play a role in treating keratosis pilaris. I tend to reserve this for more complex cases or for the patient who already has a tube at home, occasional use may be a helpful, off label option.
Microdermabrasion
KP is a chronic condition. Committing one self to never ending weekly sessions of medical microdermabrasion rapidly add up financially. While effective at buffing skin to a healthy glow, reserve this for special occasions and try less costly home microdermabrasion options such as DermaNew Microdermabrasion Total Body Experience, Neova Microdermabrasion Scrub or even an exfoliating scrub like Peter Thomas Roth AHA/BHA Face & Body Polish.
bumps got you down? chicken skin or goose pimple syndrome can cause unsightly bumps on the upper arm area. instead of flying the coop, treat this age problem with a daily dose of philosophy's chicken skin treatment lotion to help reduce their appearance.
apply a thin layer of chicken skin to the upper arm area daily as tolerated. (currently not available)
related products: handmade, the ginerbread man exfoliating salt scrub, the great mystery
