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Dermatology  (Expert Forum)
 | 
Bumps on body
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

Bumps on body

by Amy, Sep 03, 1999 12:00AM
Hi,
I wonder if you can help.  I have raised red bumps all over my  arms (mainly upper arms)and all over my legs.  (They look like goosebumps but are there constantly).  My doctor says that they are harmless and recommended an E45 cream for them.  That was a year ago and they are still there.  I am getting married next year and would love to get rid of them.  I also have a very mild form of dry excema if that is relevant.
Thanks for your time.

by Alan Rockoff, MD, Sep 03, 1999 12:00AM
Amy:

First, I endorse your decision to get married.

The bimps you describe are called keratosis pilaris.  This is a hereditary condition characterized by bumps on the outer upper arms and sometimes the legs.  These are made of keratin, the protein which forms hair, nails, and the top, dead layer of the skin.  This is not a disease, just the way your skin is built.  It fluctuates in intensity, for reasons not obvious to me.

Treamtnet to smooth the skin is best accomplished by mild but persistent exfoliation.  Get an alpha-hydroxy moisturizer, apply it after a shower, then scriff with a loofah or Buf-Puf for 15-20 seconds a day (not enough to cause redness or irritation.)

If necessary, your doctor can prescribe a stronger alpha-hydroxy or other cream.

Please do not blame your parents, from whom you inherited this condition.  They did the best they could. . . .

Congratulations!

Dr. R
Member Comments (3)

by Maxine, Sep 18, 1999 12:00AM
On the very top of my upper right thigh, the area (crease) where your leg and stomach meet I noticed 2 or 3 red bumps (no itching, no discharge).  I ignored them but they started multiplying.  Now the affected area is 3” long.  I tried all kinds of different creams.  The only one that seemed to sort of help is Clearasil adultcare acne medicine.  The skin is smooth where the bumps first started but now it’s darker.  I had to see my reg doc the other day and she recommended cortisone cream.  She said it had something to do with the hair follicles.  I’ve had ingrown hairs before and these aren’t them.  The spreading doesn’t seem so bad except for the skin discoloration it leaves behind.  Should I try the alpha-hydroxy moisturizer, the cortisone cream, or stay with the Clearasil?  You’ll have to tell me what E45 cream is if you suggest that.  Thank-you…

by Alan Rockoff, MD, Sep 19, 1999 12:00AM
Maxine:

Sounds like follculitis (blocked pores.)  Try applying bacitracin or neosporin ointment (both OTC) till the marks are flat.  Then leave them alone.  They go away eventually.  

I don't knoiw what E-45 cream is either.

Best.

Dr. R

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