Keratosis pilaris
From Wikipedia, the free encyclopedia
| OMIM | 604093 |
|---|---|
| DiseasesDB | 32387 |
| MedlinePlus | 001462 |
| eMedicine | ped/1246 derm/211 |
Keratosis pilaris (KP) is a very common genetic follicular condition that is manifested by the appearance of rough bumps on the skin and hence colloquially referred to as "chicken skin". It most often appears on the back and outer sides of the upper arms (though the lower arms can also be affected), and can also occur on the thighs and tops of legs, flanks, buttocks or any body part except glabrous skin (like the palms or soles of feet). Less commonly, lesions appear on the face and may be mistaken for acne.
Worldwide, KP affects an estimated 40 to 50% of the adult population and approximately 50 to 80% of all adolescents. It is more common in women than in men. Varying in degree, cases of KP can range from minimal to severe.[citation needed]
There are several different types of keratosis pilaris, including keratosis pilaris rubra (red, inflamed bumps), alba (rough, bumpy skin with no irritation), rubra faceii (reddish rash on the cheeks) and related disorders.
Many people with keratosis pilaris do not know they have it (if the condition is mild). While KP resembles goose bumps, it is characterized by the appearance of small rough bumps on the skin. As a result, it is often confused with acne.
Keratosis pilaris occurs as excess keratin, a natural protein in the skin, accumulates within the hair follicles forming hard plugs (process known as hyperkeratinization). Bearing only cosmetic consequence, the condition most often appears as a proliferation of tiny hard bumps that are seldom sore or itchy. Though people with keratosis pilaris experience this condition year round, it’s during the colder months when moisture levels in the air are lower that the problem can become exacerbated and the “goose bumps” are apt to look and feel more pronounced in color and texture.
[edit] Treatment
There is currently no known cure for keratosis pilaris, however, there are effective treatments available which make its symptoms less apparent. The condition often improves with age and can even disappear completely in adulthood, though some will show signs of keratosis pilaris for life. Treatments are largely symptomatic and must be repeated. Regardless, exfoliation, intensive moisturizing cremes, lac-hydrin, Retin A and medicated lotions containing alpha hydroxy acids or urea may be used to temporarily improve the appearance and texture of affected skin. Milk Baths may provide some cosmetic improvement due to the Lactic Acid a natural Alpha Hydroxy Acid in milk. Sunlight may also be helpful but increases risk of Skin Cancer. Small amounts of Vitamin A can be used orally but only with exteme caution due to potential for liver damage. Check with a Dermatologist or Family Doctor before taking extra Vitamin A due to the Vitamins' potential toxic effects.
Scratching and picking at KP bumps causes them to redden (if they do not already appear red), and in many cases will cause bleeding. Excessive picking can lead to scarring. Wearing clothing that is looser around the affected areas can also help reduce the marks, as constant chafing from clothing (such as tight fitting jeans) is similar to repeatedly scratching the bumps.
Many KP bumps contain an ingrown hair that has coiled. This is a result of the keratinized skin "capping off" the hair follicle, preventing the hair from exiting. Instead, the hair grows inside the follicle, often encapsulated, and can be removed, much like an ingrown hair, though can lead to scarring.
Food allergies may also exacerbate the condition, causing hyper-keratosis pilaris, gluten being a common culprit (source: physician's (MD) oral presentation).
[edit] External links
- The American Osteopathic College of Dermatology - Article on keratosis pilaris
- KeratosisPilaris.org - Keratosis Pilaris Community and Forums
- HelpForKP.com - (Keratosis Pilaris Help) - Provides information on what keratosis pilaris is, treatment options, and discussion forum.
- Keratosis Pilaris - A Common Skin Disorder - Articles and treatments.
- Keratosis Pilaris Research Petition - A plea directed to research organizations.
- Keratosis Pilaris - Fact sheet for patients.
