Discussions that mention tetracycline

Skin Problems board


Keratosis Pilaris

What do your
arms and
chicken have in
common? Well,
this is not the
latest "Why Did
The Chicken
Cross the
Road?" joke for
millions of people. Rather, it is an annoying condition called
keratosis pilaris, (aka chicken skin). Keratosis Pilaris,(KP), is a
hereditary problem of the skin where excess skin is formed
around the hair follicles. KP manifests itself as a raised, rough,
bumpy texture and appearance of the affected areas. It is often
quite noticeable. These papules may be reddish in color and give
a nutmeg-grater appearance. Areas of involvement include the
upper arms, outer thighs, buttocks, upper back and on young
children, the cheeks as well.

KP is often associated with a history of eczema. As KP is
genetically predetermined, it is controllable, not curable. Many
patients, however, do outgrow much of the exaggerated
appearance.

Treatment is aimed at smoothing out the papules and giving the
skin a nice texture and eliminating the plugging that leads to
acne formation. Use of an AHA, such as M.D. Forte’s M.D. Forte
Hand & Body Cream that contains 20% glycolic acid compound is
highly effective. OTC lactic acid products such as AmLactin 12 %
Moisturizing Cream can also help. Patients may also use
prescription Lachydrin 12% cream or a vitamin A cream such as
Retin A / Tazorac/Avita / Differin, as well. Sometimes a combined
approach utilizing a variety of active agents is used in more
resistant cases.

The use of a product such as DermaNew Microdermabrasion Total
Body Experience can really help smooth out these annoying
bumps and help allow your products to penetrate the skin better.
After using DermaNew for about a week or so, once you smooth
out the skin you can use it periodically on your own individual
routine that works for you in order to help keep the skin quite
smooth. I would point out that as you are removing the most
superficial layers of the epidermis that you probably do not want
to apply your acidic products immediately after
microdermabrading. Rather, I would use the DermaNew prior to
showering and then apply either Epilyt Lotion or a simple bland
emollient after toweling dry, saving your active agents (like M.D.
Forte, AmLactin, etc. for later in the day).

In teenage years, acne prone patients may find that they are
more likely to develop acne within the affected areas, especially
the upper arms and back.

I will often combine prescription Azelex cream or M.D. Forte’s
M.D. Forte Glycare Perfection Gel which contains salicyclic acid
in addition to the glycolic acid for acne prone patients.
Occasionally, I will have to use oral medications such as
Tetracycline as well. A wonderful medication that I used for
highly resistant cases, called Aquasol A, is unfortunately no
longer manufactured.

Recently, a reader pointed out to me the benefits she received
from the use of another topical cream, Carmol 40, which contains
40% Urea as the active agent. This would certainly be an
acceptable therapy as well. Due to it´s high potency, Carmol 40
as opposed to the other Carmol products is available via
prescription only. Carmol does come in less potent (yet highly
effective) concentrations, including Carmol 10 and Carmol 20.

And let us not overlook the helpfulness of Epilyt Lotion. I had
another reader write in that her KP never responded to anything
until she tried Epilyt and is thrilled with the improvement. I have
always liked Epilyt, but on a practical basis, it is rather oily, so I
would suggest you start out with this at bedtime only and after
you are used to the texture, then consider adding it in during the
daytime if desired. Remember, when it comes to dry skin issues
like KP, you can always work with a variety of active agents to
try to maximize your results.