Keratosis pilaris is caused by the buildup of keratin in hair follicles, which creates tiny, raised bumps that are spread in patches along areas of skin with fine hair. In general, keratosis pilaris is a chronic condition that requires long-term care and treatment to control its symptoms. Keratosis pilaris often follows a chronic course of flare-ups and remission in many patients. This chronic course is often intensified when skin is dry or lacks moisture for extended periods of time. In contrast, temporary symptoms of keratosis pilaris are often due to patients experiencing short-term remission; as a result, a seemingly "temporary" short-term form of keratosis pilaris does not usually signify the disappearance of the condition. However, the disorder may be considered temporary in the sense that most individuals are free from symptoms by adulthood.
Because keratosis pilaris is usually a chronic problem that demands long-term maintenance, most treatments that doctors suggest must be used perpetually to maintain results and to reduce symptoms effectively. Initial treatment for this condition usually involves moisturizing and exfoliating your skin regularly, using soap-free cleansers when bathing, and installing a humidifier in your home. These methods can prevent excessive skin dryness and promote healthy skin-cell turnover, which will limit the extent of keratosis pilaris.
Often, dermatologists advise treating keratosis pilaris with combination therapy to ensure the most effective reduction of symptoms. In addition to the at-home remedies described earlier, combination therapy would also include the use of prescriptions such as topical steroid creams, retinoid creams, and fading creams to combat skin discoloration and to reduce inflammation. If your symptoms still persist with these forms of treatment, your doctor or dermatologist may also suggest surgical alternatives such as laser therapy, dermabrasion, or microdermabrasion to soften the skin in affected areas. These treatments must usually be repeated regularly to ensure maximum effectiveness.
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