Pilar keratosis
Treatment
Given the genetic predisposition and genetic etiology is not universally available or effective treatment. Remissions and inconsistent season and hormonal variations are described. Some cases heal spontaneously without treatment. There are many treatment options. Most patients experience temporary relief after a steady diet. As a general rule the treatment should be continuous. Since no single therapy is not universally beneficial there is a whole list of lotions and creams available. General measures to prevent dry skin as mild soaps are recommended, along with hydration. The best results are obtained with combination therapy.
Mild cases can be reduced by lubricating the classic lotions: cetafil, Purpose, lubridem. Additional therapeutic options available include lactic acid, acid alfahidroxi lotions, creams with urea, salicylic acid and topical corticosteroid creams, products with retinoids: tretinoin, tazarotene, adapalene.
The affected area should be washed once daily or twice daily with mild soap. Lotions be gently massaged the area 2-3 times daily. Emollient creams should be applied twice a day. Persistent skin discoloration can be treated with creams hidroquinona, Kojic acid and acid azelai. Pilar keratoses can be treated with immunomodulators such as pimecrolimus or tacrolimus. They are indicated in extreme cases resistant or when inflammation is present. Photodynamic therapy with aminolevulinic acid and blue light has been reported as effective.
Surgical therapy. Minor surgical procedures such as extraction of acne may be useful in resistance keratosis. The best results are obtained by combining emolientelor topical and physical therapies, such as manual extraction, microdermabrasion and chemical peels. Microdermabrasion is safe, minimally invasive skin to peel off easily. Microdermabrasion removes excessive keratin and the superficial layer of the epidermis in a controlled manner.
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