What is the treatment for keratosis pilaris?

Keratosis Pilaris Ka Ilaaj

Keratosis pilaris ke liye sabse pehle topical keratolytic agents (jaise 10% lactic acid ya 5% salicylic acid) use karein, jo twice daily lagane se 52-66% lesions ko kam kar sakte hain, aur agar yeh kaam na karein toh laser therapy (particularly Q-switched Nd:YAG laser) consider karein. 1, 2

Pehli Line Treatment: Topical Keratolytics

Salicylic Acid

• 6% salicylic acid FDA-approved hai keratosis pilaris ke liye aur yeh excessive keratin ko remove karne mein madad karta hai 3
• 5% salicylic acid cream twice daily lagane se 3 mahine mein 52% lesions clear ho jaate hain 2
• Yeh dead skin cells ko break down karta hai jo hair follicles ko block karte hain 4

Lactic Acid

• 10% lactic acid sabse zyada effective topical treatment hai, jo twice daily use karne par 3 mahine mein 66% lesions ko reduce karta hai 2
• Yeh salicylic acid se thoda better results deta hai aur skin hydration ko bhi improve karta hai 2
• Treatment ke baad bhi improvement maintain rehta hai follow-up period mein 2

Urea

• Urea FDA-approved hai keratosis pilaris ke treatment ke liye aur yeh hyperkeratotic conditions mein useful hai 5
• Yeh skin ko hydrate karta hai aur keratin buildup ko reduce karta hai 5

General Skin Care Measures

• Skin ko hydrated rakhein, lambe baths ya showers se bachein, aur mild soaps use karein - yeh sab first-line recommendations hain 6
• Yeh basic measures topical treatments ke saath combine karne chahiye 6

Second Line Treatment: Laser Therapy

Laser Options

• Q-switched Nd:YAG laser sabse zyada supported laser treatment hai keratosis pilaris ke liye 1
• Laser therapy tab consider karein jab topical treatments se fayda na ho 1, 6
• 175 patients ke systematic review mein laser treatments promising results dikha rahe hain 7

Other Laser Types

• Various lasers aur microdermabrasion bhi options hain refractory cases ke liye 6
• Yeh treatments particularly KP rubra aur KP atrophicans variants ke liye helpful hain 7

Additional Topical Options (Agar Pehle Wale Kaam Na Karein)

Topical Retinoids

• Retinoids second-line therapy hain keratolytics ke baad 6
• Yeh follicular hyperkeratosis ko reduce karte hain 6

Topical Corticosteroids

• Steroids anti-inflammatory properties ke liye use hote hain jab erythema (lali) prominent ho 4, 6
• Yeh appearance ko minimize karne mein help karte hain 4

Other Topical Agents

• Tacrolimus, azelaic acid, aur mineral oil-hydrophil petrolat bhi effective hain appearance improve karne ke liye 1

Treatment Algorithm

1. Shuru karein topical keratolytics se: 10% lactic acid (best) ya 5-6% salicylic acid, twice daily for 3 months 3, 2
2. Agar erythema zyada hai: Topical corticosteroid add karein 6
3. Agar 3 months mein adequate response nahi: Topical retinoid add karein ya laser therapy consider karein 1, 6
4. Refractory cases ke liye: Q-switched Nd:YAG laser therapy 1

Important Caveats

• Side effects limited hain mild irritation tak, koi systemic side effects nahi hote 2
• Treatment ke results maintain karne ke liye ongoing use zaruri hai, kyunki yeh chronic condition hai 2
• Cosmetic concern hai lekin asymptomatic condition hai, isliye treatment patient ki preference par depend karta hai 1, 6
• Skin hydration maintain karna treatment ke saath-saath bahut important hai 2, 6