What are the treatment options for keratosis pilaris?

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Last updated: May 31, 2025View editorial policy

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From the Research

Keratosis pilaris can be effectively treated with topical lactic acid as the first-line therapy, as supported by the most recent study 1. The treatment options for keratosis pilaris include:

  • Topical therapies, such as lactic acid, salicylic acid, and urea, which help dissolve keratin buildup and remove dead skin cells
  • Moisturizing with thick, fragrance-free moisturizers like CeraVe, Eucerin, or AmLactin to prevent dryness and irritation
  • Lifestyle modifications, including using lukewarm water for bathing, limiting shower time, and using gentle soap-free cleansers
  • Prescription options, such as stronger retinoids or keratolytics, for more stubborn cases
  • Laser therapy, which has been shown to be effective in reducing follicular papules, although its use is limited due to lack of insurance coverage and proper equipment 2, 3. According to a recent study 1, topical lactic acid is the most commonly used first-line therapy for keratosis pilaris, with over 43% of dermatologists recommending it. It's also important to note that keratosis pilaris tends to recur when treatment is stopped, so maintenance therapy is often needed 1. Overall, the treatment of keratosis pilaris should be individualized and based on the severity of the condition, as well as the patient's response to different therapies 4, 5.

References

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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