Follicular keratinization is also called hair lichen. This disease is relatively rare. Its occurrence is often related to autosomal dominant inheritance. Some people also believe that it is related to vitamin A metabolism disorders and sunlight exposure. Small papules will appear on the patient's face. Some patients, thinking that it affects their appearance, squeeze or scratch them with their fingers, which results in skin inflammation and folliculitis, which will also cause many acne. 1. Concept Follicular keratosis is also known as pseudo-dyskeratosis follicularis. This disease is a rare, chronic keratotic skin disease with dyskeratosis of epidermal cells as the basic pathological change. Because the skin lesions tend to fuse and proliferate, it was once called proliferative follicular keratosis pilaris and proliferative follicular dyskeratosis. 2. Causes This disease is a hereditary skin disease caused by autosomal dominant inheritance and abnormal keratinization process. Some people believe that vitamin A metabolism disorders and sunlight exposure are important pathogenic factors. 3. Performance Small, firm, normal-skinned papules appear on the patient's face, forehead, scalp, chest and back. Gradually, greasy, gray-brown, and black scabs cover the concave surface of the papules. The papules gradually increase in size and become wart-like and merge into irregular plaques. The damage caused by excessive sweating and friction in the axilla, gluteal groove and pubic region is particularly evident. IV. Hazards Some patients feel that they look ugly, so they wear long sleeves and long pants even in hot weather to cover up the unnecessary embarrassment. Even worse, people may mistakenly think that the bumps are blackheads or pimples and want to get rid of them as soon as possible, so they squeeze or scratch them with their fingers, causing more serious inflammation and pigmentation. When patients scratch, the tissues around the pores will swell, causing the pore openings to become smaller and more easily clogged, resulting in acne and folliculitis. If scratched, scars and pigmentation will form, making it more difficult and troublesome to treat or improve the condition. 5. Treatment Since keratinization is a disease related to keratin, the general treatment is to use exfoliating ointments as the first choice, such as A acid, fruit acid, salicylic acid and urea. In addition, urea has the function of retaining water and is also effective in removing dead skin cells. It is a topical medicine commonly used in clinical practice. Judging from the responses of outpatients, high concentrations such as 3.5% salicylic acid have a very good therapeutic effect. 6. Daily life maintenance tips After taking a shower, the skin is highly hydrated and the cuticle becomes softened. Applying ointment at this time will have a better effect. However, if the skin feels too irritated, it is recommended to apply the medicine after 30 minutes. In addition to applying medicine, you can also do some moisturizing actions yourself. For example, applying some moisturizing skin care products to reduce dry skin can help to a certain extent. |
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