Health care providers recommend general measures to prevent excessive skin dryness, such as using mild soapless cleansers. In some cases, keratosis pilaris may also improve or clear spontaneously without any treatment. It is important to keep in mind that as with any condition, no therapy is uniformly effective in all people. Since there is no available cure or universally effective treatment for keratosis pilaris, the list of potential lotions and creams is long. As a general rule of thumb, treatment needs to be continuous. Often there is very good temporary improvement following a regular skin care program of lubrication. Many treatment options and skin care recipes are available for controlling keratosis pilaris. The upper dermis (layer of the skin below the epidermis) may have some microscopic inflammation called mild superficial perivascular lymphocytic inflammatory changes. Histopathology of keratosis pilaris shows modest thickening of the outer layer of skin (hyperkeratosis of the stratum corneum), increase in the granular cells of the epidermis (hypergranulosis), and plugging of individual hair follicles. Histopathology or pathology are terms for microscopic examination of the body tissue under high magnification by a pathologist or dermatopathologist. What does keratosis pilaris look like under the microscope? Skin biopsy (surgically taking a small piece of skin using local numbing medicine) may be useful in atypical or widespread cases. Since the appearance of keratosis pilaris is recognizable, specific laboratory tests are not needed for the diagnosis. Are there any lab tests to help diagnose keratosis pilaris? In late-onset keratosis pilaris occurring in adulthood, one needs to consider a drug as a possible cause. A physician's clinical exam confirms the diagnosis. A family history of keratosis pilaris is also very helpful since there is a strong genetic component to the condition. The diagnosis of keratosis pilaris is very straightforward and based on a typical skin appearance in areas like the upper arms. SLIDESHOW Rosacea, Acne, Shingles, Covid-19 Rashes: Common Adult Skin Diseases See Slideshow The upper skin layers may have some dilation of the small superficial blood vessels, thereby giving the skin a red or flushed appearance. The skin as examined under the microscope demonstrates mild thickening and perforation of the hair follicle. The bumps in keratosis pilaris seem to arise from the excessive accumulation of keratin from the superficial layer of skin at individual hair follicles. Keratosis pilaris may also be present with ichthyosis vulgaris, dry skin, seasonal inhalant allergies ( hay fever), rhinitis, asthma, eczema, and atopic dermatitis. Others believe that there may be some defect in hair formation, producing defective sebaceous glands, which might partially explain its physical association with hair follicles.Ī majority of patients with keratosis pilaris has a known genetic predisposition and affected family members. There seems to be a problem with overproduction of the keratin part of the skin producing hyperkeratinization. The exact cause of keratosis pilaris is unknown. Find a local Dermatologist in your town.Patient Comments: Keratosis Pilaris - Affected Areas.Patient Comments: Keratosis Pilaris - Treatment.Patient Comments: Keratosis Pilaris - Experience.Patient Comments: Keratosis Pilaris - Cause.Related Resources - Keratosis Pilaris (KP).What is the prognosis of patients with keratosis pilaris?.What are possible complications of keratosis pilaris?.Are there home remedies for keratosis pilaris?.Does diet have anything to do with keratosis pilaris?.What is the treatment for keratosis pilaris?.What types of doctors treat keratosis pilaris?.Does keratosis pilaris affect the entire body?. What conditions mimic keratosis pilaris?.What are keratosis pilaris symptoms and signs?.What to know about keratosis pilaris (KP).
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