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I've noticed small, whitish bumps on the backs of my arms and legs; it feels like chicken skin. I've tried moisturizing and using a loofah sponge, but I can't get rid of them. What can I do?
Aug. 21, 2000 -- The "chicken skin" you describe is a common, harmless skin condition known as keratosis pilaris. These rough, goose-bumpy, sandpaper-like patches are usually seen on the backs of the arms and outer thighs but can show up anywhere hair grows.
Sometimes keratosis pilaris is confused with pimples or ingrown hairs. But whereas the bumps in such conditions vary in size, shape, and arrangement, keratosis pilaris is uniform. The lesions are generally the same in appearance and form a regular pattern.
This condition is caused by rough follicular papules -- in other words, the top layer of skin where the hair emerges is jagged and upraised. It is often associated with atopic dermatitis (also called eczema), which is characterized by red, itchy skin patches, but it can also be seen alone. Keratosis pilaris tends to run in families and most frequently occurs in children and teens. Most people simply grow out of it in their late 20s or early 30s.
You're on the right track with the lotion and loofah sponge, but those won't get rid of the problem. What's more, vigorous scrubbing may make the area more inflamed. Follow these steps to minimize the appearance of the bumps:
Purchase a urea cream (like Carmol 20) and ask your pharmacist to mix it with 2% to 3% salicylic acid. Carmol 20 is available over the counter at your pharmacy.
After showering, gently pat the skin dry, leaving the affected areas slightly moist.
Rub the cream on the affected areas and gently buff with a loofah for five seconds.
If your skin shows no sign of irritation after a week, increase the buffing time by five seconds a week until you reach 20 seconds per area. Don't exceed the recommended buffing time, as it won't make the condition go away faster and could cause further irritation.
Once the bumps are under control, you can reduce the buffing to once or twice a week and use plain urea cream, without the added salicylic acid. If the condition doesn't diminish or gets worse after following these instructions for a few weeks, see a dermatologist. I am thinking about getting an IUD. Do I just make an appointment with the doctor to insert one, or are there tests that need to be done first?
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