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Keratosis pilaris: Why do red marbles appear on the arms?

Keratosis pilaris: Why do red marbles appear on the arms?

One of the patient's most frequent complaints is the rough balls on his arms. These skin changes that are more frequent on the outside of the arms and less frequent on the forearms, buttocks, face and thighs, are called keratosis pilaris. They are those of the ingrown ones, small protrusions in the skin, that sometimes can be the color of the skin, reddish or brown, that do not scratch and that often we poked with the nails to uncork the hairs.

Usually occurs in patients with very dry skin, and may compromise up to 40% of the population, but there is a higher incidence in people with a tendency to have a skin condition called atopic dermatitis.

Atopic dermatitis occurs in a percentage of the population and is genetic, worsened or stimulated by stress, dry climate, some isolated allergic process, lack of hydration of the skin and others. Generally, there is no direct relationship with hormones, although they may influence the production of sebum in the skin and, therefore, there may be improvement in some patients in adulthood, especially in some cases of follicular keratosis on the face. hydration of the skin, whether due to the change in climate, day-to-day care or quick, warm baths can improve the picture, but hydration with potent creams is essential. In the most severe cases, it is necessary to use physical and / or chemical exfoliators and in this case, indicated by the dermatologist, because it will depend on the clinical and careful examination of the patient's skin in the choice of product to be used and the power of the moisturizing cream , the frequency of its use and the duration of treatment. In addition, it is necessary to detect diseases that can lead to dry skin and to rule out atopic dermatitis.

Ingrown hair should not be pricked to avoid scarring, skin blemishes that may be difficult to treat, and even inflammation and infection in the skin. local. The cases of children with similar pictures on the face, eyebrows and cheeks, the consultation and evaluation of the dermatologist is fundamental and as early as possible for diagnosis and treatment to avoid sequelae (micro scars).

The initial orientation is really to avoid bathing very hot and prolonged and do not stop using a moisturizer for the whole skin,? caprichando? in the regions most frequently affected.


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