DEAR DR. GOTT: I have really bad keratosis pilaris all over my back, thighs stomach, and the backs of my arms. I have seen doctors about this but they just gave me a cream (Amlactin) that didn’t really help and told me the only way to get rid of it was with laser surgery. Are there any other remedies you have found to cure or lessen the symptoms of this skin disorder?
DEAR READER: Keratosis pilaris is a benign but common skin condition that causes keratin (a protein) to form hard plugs within hair follicles. It appears to run in families and is more commonly found in those who already suffer from very dry skin or eczema.
Symptoms include “goose bump”-like lesions on the back of the upper arms and thighs, a slight pinkness around the bumps, flesh-colored bumps about the size of a grain of sand, and some that feel like rough sandpaper. When the condition occurs on the face, it may be mistaken for acne.
Treatment isn’t necessary, but may reduce symptoms. Options include over-the-counter moisturizing lotions, prescription lotions and creams, and others that contain steroids. The creams and lotions recommended should contain urea, lactic acid, glycolic acid, salicylic acid, tretinoin or vitamin D.
The Amlactin cream that you were prescribed contains lactic acid and ammonium hydrochloride, acting as a moisturizer. If you aren’t helped by it, there are several others that contain one or more of the above substances that can be tried. You also mention that your doctors stated that the only way to get rid of your keratosis pilaris is with laser surgery. To the best of my knowledge, laser treatments are available for some patients but need larger studies before efficacy can be determined. That said, many sufferers experience a gradual disappearing of the condition as they age, with complete recovery by age 30.
At home, it is important that you avoid scrubbing your skin or picking at it to remove the plugs. Use warm or cool water when bathing, avoid harsh soaps and pat dry rather than rubbing your skin. Moisturize regularly and use a humidifier to keep the air from causing excess dryness.
I recommend you request a referral to a dermatologist who is your best option for finding a successful treatment for your keratosis pilaris. You appear to have a fairly extensive case yet have only been prescribed one cream. There are other options available to you.
Readers who are interested in learning more can order my Health Report “Dermatitis, Eczema and Psoriasis” by sending a self-addressed, stamped number 10 envelope and a $2 US check or money order to Dr. Peter Gott, PO Box 433, Lakeville, CT 06039. Be sure to mention the title when writing or print an order form from my website, www.AskDrGottMD.com.
