Do you know
someone whose cheeks seem a little too rosy,
even when they aren’t blushing? Or perhaps
you’ve noticed someone at the gym whose upper
arms are dotted with small red and white bumps,
usually smaller than a pinhead? Perhaps,
looking in the mirror, you’ve seen patches of
these bumps along your thighs, back or buttocks?
The odds are strong that you or someone you know
has keratosis pilaris (KP).
Keratosis pilaris
is a common skin condition sometimes called
“chicken skin” and is often confused with
allergies, eczema or acne. While it may
occur in concert with those conditions, it is
not related. To date, it is estimated that 50%
or more of the world’s population has KP in one
form or another.
KP is physically
harmless, which is one reason many people are
not aware of it, let alone the name and its
treatments. Still, while KP remains
physically harmless, it can manifest as an
unsightly condition many would prefer to do
without. There is no cure for KP, but
fortunately, there exists a wealth of simple,
affordable and effective treatments.
KP manifests
itself in a variety of forms and places (and at
various stages of your life), but most common
are the “chicken skin” or pimple-like bumps that
appear on the upper arms and thighs.
Significant individual variation exists in
the prominence and severity of KP. Studies
estimate that 51% percent of cases appear in the
first decade of life, 35% in the second, 12% in
the third, and 2% in the fourth. The back,
buttocks, and facial cheeks are the typical
areas affected by KP, though few cases are
troubling enough to be alarming. KP is in
fact medically harmless and often diminishes
with age.
KP is hereditary,
and is passed by way of a single gene from
either parent. The name keratosis pilaris
comes from the process of “keratinization,” our
body’s process for building up the epidermis, or
outer-most layer of skin. When the body
performs this process too much, too often, or in
the wrong areas, excess skin collects around the
hair follicles. This creates a miniature
cone or clogged pore, much like a small pimple.
Though KP bumps are generally smaller than acne,
the appearance of small pustules may tempt one
to reach for the Loofa.
The reddish or
sometimes brownish appearance of KP bumps comes
from inflammation of keratin that is trapped
under extra skin and debris. A clean,
moisturized skin surface is often the best way
to combat minor outbreaks. However,
because seasons and certain climate changes can
create more raised and reddish bumps than one is
comfortable with, and because some cases of KP
are not managed by Loofas and lotions alone, we
will discuss some advanced regimens and
products.
While there is no
real “cure” for KP, there are effective ways to
treat the bumps. Many of these treatments
come in over-the-counter products and are very
effectual when used regularly or in combination
with other treatments. However, if you
feel your skin is not responding to treatment,
or that your KP outbreaks are more severe, make
sure you speak to your dermatologist before
self-prescribing.
The strategy for
treating KP involves one or more of the
following processes: exfoliating,
moisturizing, softening, and applying
anti-inflammatory agents. Some of the
agents and recommended products used to treat KP
include:
Alpha Hydroxy Acids
(AHAs)
Glycolic acid and Lactic
acid are two AHAs used to minimize the bumps
through chemical exfoliation.
M.D. Forté Hand and Body Cream
contains 20% glycolic acid and other agents to
assist in re-texturizing your skin.
Lactic Acid, which
comes in over-the-counter and prescription
formulas, is also an effective ingredient for
alleviating the appearance of KP bumps.
For sensitive skin on the face or in cases of
children with KP,
LactiCare Lotion is the mildest
treatment. Two stronger products for
treating more serious cases of KP are
AmLactin 12% Moisturizing Cream,
AmLactin AP Moisturizing Cream, and
Lac-Hydrin 12%.
Urea
As with conditions that result in extremely dry
and scaly skin, such as psoriasis, eczema, and
ichtyosis, you may find your KP affected areas
unresponsive to milder treatments. In this
case you’ll want to try a product containing
urea.
Carmol 10 and
Carmol 20
are OTC products, but for advanced cases of KP
you may want to talk to your Dermatologist or
doctor about a prescription for Vanamide or
Carmol 40 Cream.
Glytone’s KP Kit
As KP often responds well to a multi-faceted
approach, consider a therapy regimen that
incorporates more than one product, such as
Glytone’s KP Kit. Since the goal
of KP treatment is to exfoliate, moisturize, and
prevent discoloring at the inflamed areas,
you’ll find it handy to have both treatments and
a gentle puff in one convenient package.
Vitamin A
Treatments
Sufferers of acne and KP have used vitamin A
creams such as Retin A, Tazorac and Differin for
years. And while the potency of these
products is undeniably effective at treating
blemishes, the skin can become dry and pinkishly
raw with overuse. For that reason, you may
want to start with a nonprescription alternative
such as
Afirm. Use a small amount of cream
applied to the affected areas only once every
other day or night.
Soothing Topical
Anti-inflammatories
Yes, the bumps are
receding, you might say, but what about the
itch? For an anti-inflammatory with the
added benefit of itch relief,
Sarnol-HC provides the
effectiveness of 1% hydrocortisone.
Sarnol HC
Lotion’s base compounds help soften, smooth
and moisturize the skin. In addition to
KP,
Sarnol HC Lotion relieves the discomfort
of sunburn, poison ivy, poison oak, and insect
bites.
Microdermabrasion
Microdermabrasion therapies offered through
visits to your dermatologist may be the last
resort for sufferers of KP, but they can also be
costly and inconvenient. However, there
are a couple of at-home microdermabrasion
products that, when used regularly, can have a
similar glowing effect.
Neova Microdermabrasion Scrub and
Peter Thomas Roth AHA/BHA Face and Body
Polish
are excellent OTC alternatives.
As with any
long-term goal, persistence is the key to
treating keratosis pilaris. It is, after
all, a chronic condition that requires long term
treatment. But chronic doesn’t mean panic.
Regular treatment through the specialized
products above will go a long way toward
preventing new “chicken skin bumps.”
Just remember,
there’s a lot more to you than a few red bumps,
and beauty, as always, is only skin deep.