Presented by Makayla Powers PA-C
Pontoosac Shores, Massachusetts
HPI: Patient is a 15-year-old boy who presents, with his mother, for a facial eruption. His mother states this rash on his face has been present for about three years. His pediatrician prescribed a topical tretinoin, however, his mother has not used this for him yet as she is worried about it causing more skin irritation. Patient has asthma and currently uses a Flo-vent inhaler daily and albuterol inhaler as needed.
Physical exam: On exam, patient has erythematous patches with follicular papules on the bilateral cheeks, extending to the neck. He also has these erythematous follicular papules on the bilateral upper arms.
Diagnosis: Keratosis Pilaris Rubra
Discussion: We believe the patient has keratosis pilaris rubra. From the research we have been doing, topical therapies do not seem to not work well and laser therapy may be the most effective. We are asking if any of our readers has any experience treating this entity and what treatments they have found to be most successful? Thank you in advance for your time!
References:
1. Marqueling AL, et. al. Keratosis pilaris rubra: a common but underrecognized condition. Arch Dermatol. 2006 Dec;142(12):1611-6. doi: 10.1001/archderm.142.12.1611. PMID: 17178988.
2. Schoch JJ, et. al. Successful Treatment of Keratosis Pilaris Rubra with Pulsed Dye Laser. Pediatr Dermatol. 2016 Jul;33(4):443-6. doi: 10.1111/pde.12892. Epub 2016 Jun 10. PMID: 27282957.
3. Fekete GL, et. al., Keratosis pilaris atrophicans faciei: An observational, descriptive, retrospective clinical study. Exp Ther Med. 2021 Nov;22(5):1331. Free PMC article. [Dr. Warren Heymann brought this to our attention]
See: Comment # 1 from Omid Zargari
No comments:
Post a Comment
We welcome your comments. We endeavor to serve your patients and you. If you want us to respond, please add your name and email address. Some people have trouble uploading comments. In that case, please send comments directly to djelpern@gmail.com. Thank you.