Keratosis pilaris

Keratosis pilaris definition

        Keratosis pilaris is a form of ichthyosis, a skin disease characterized by drought and the presence of dander (skin scales) like fish scales, giving the skin a rough look. The disease is transmitted following the dominant mode (just one parent has the genetic abnormality than the child will get the disease) or the recessive mode (it is necessary that both parents carry the genetic defect for that the child to get the disease).

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Keratosis Pilaris simple

        It is a benign, common, more common in females. The lesions are mainly located on the outer arms and thighs, and the cheeks. There is sometimes an inflammatory reaction with redness perifollicular. Keratosis pilaris appears in childhood and most often disappear in adulthood, they are more present in the summer in half of the cases. The damage is only aesthetic. There is no biological anomaly associated. Keratosis pilaris is often simply associated with ichthyosis vulgaris and atopy.

Keratosis Pilaris simple signs

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• The skin contains small bumps, monomorphic keratotic.
• At palpation, there is a roughness or small bumps on the side arms and sometimes on the front of the thighs, buttocks or face, while other locations are possible affected by a diffuse form.
• These lesions are asymptomatic.
• Girls are affected more often: 61% women 39% men. The onset often occurs in early childhood.
• The skin is usually dry.

Keratosis Pilaris atrophia

• It is characterized by follicular keratosis lesions progressing to atrophy and rarefaction final dander.
• Treatment of Keratosis Pilaris is only symptomatic and suspension. In keratosis pilaris atrophiante, reaching the dander is the final stage.
• Several entities are characterized by follicular hyperkeratosis with inflammation followed by atrophy.
• The papules are red. They often become atrophic discreetly in adulthood.
• The cheeks are red continuously.
• This aspect is found in several genetic diseases including the syndrome of Cornelia de Lange which includes sometimes mental retardation, microcephaly, hirsutism, thick eyebrows.

Keratosis spinulosa

• Keratosis pilaris diffuse scalp evolves into a diffuse alopecia, eyelashes and eyebrows fall and are replaced by small hyperkeratotic cones.
• Photophobia related keratitis is possible.
• The onset occurs in childhood.
• The occurrence is sporadic or transmission X-linked recessive.

Keratosis Pilaris TREATMENT

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       In order to help in the treatment of Keratosis Pilaris you should:

• Avoid cleaning the skin too frequent;
• Take showers than hot baths;
• Use creamy soaps and humidify the air;
• Apply different treatments over a wet skin.

        Keratosis pilaris is characterized by a state of dryness of the skin but also by small elevations of the stratum corneum, which is also dry, surrounded by a little atrophied zone. This variety of ichthyosis localises at the posterior of arm, the outside of the thigh, sometimes on the face where it is associated with redness and atrophy (decrease) of the skin.

        Treatments have a goal of providing an improvement in the appearance of the skin and make the skin softer to the touch. In moderate forms, if there is no discomfort, no keratosis pilaris treatment is necessary. Local treatments are sufficient in the limited forms. It combines bath emollients, creams that have a "peeling" effect on limited areas and local strippers treatment . The treatments with tretinoin may give good results. Keratosis Pilaris can be treated with laser; "red lesions (KTP laser, pulsed dye laser) can provide an improvement in erythema and skin roughness.

Keratosis pilaris pictures

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