Child Suffering From Keratosis Pilaris. On Eucerin Plus With AHA, Cetaphil. Family History Of Same Disease. Suggestions To Improve Condition ?
Thank you for posting the query,
You have provided with good information regarding your daughters skin problem and it is a very good description. I appreciate it.
Keratosis pilaris is an autosomal dominant disorder characterized by minute goose-flesh like horny plugs mainly over outer sides of the thighs ,upper arm,buttocks & legs.It can be associated wit dry skin(ichthyosis) .KP usually manifests at 2-3 years of age ,remains until the age of 20 and then subsides gradually.
Treatment consist of using moisturizers as what you have been using ,and along with this one can also use mild keratolytics like 2-3% salicylic acid ointment or tretinoin cream.Lactic acid ,urea, adapalene or tazarotene are also recommended in certain cases.
Eucerin plus with AHA also helps in exfoliation and moisturizing the skin ,but it is pretty mild.Cerave is just a moisturizer,which would be as good as eucerin.Cetaphil again is a moisturizer with no exfoliation .
I would recommend use of a mild keratolytics as mentioned above(tretinoin would be a better choice at this age).
The whole idea here is mild exfoliation and moisturizing the skin.
Since your sister is a dermatologist ,I think you can discuss these possibilities with her and use them under her guidance.
Hope this answers your query.Should you have additional concern regarding the same ,I would be happy to address it.
Regards,
Dr.Bharat chawda
Thank you for writing back,
Lac hydrin contains lactic acid which is considered to be very mild as compared to tretinoin or any other AHA's(Alpha hydroxy acids).Yes it would be more safer than tretinoin.
I would suggest you not to scrub the area ,as in long term it would lead to hyper-pigmentation of the area.A gentle wash is always good.And never use a loofah to scrub either .
I thank you again for submitting your question. I hope you found my response to be helpful and informative. If you have any additional concerns I would be happy to address them.
Best Regards,
Dr.Bharat chawda