Ulerythema Treatment & Management

Updated: Jun 24, 2016
  • Author: Camila K Janniger, MD; Chief Editor: Dirk M Elston, MD  more...
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Treatment

Medical Care

The disease often improves with age. The risk-benefit correlation does not support the use of systemic retinoids for the treatment of ulerythema ophryogenes.

Mild keratolytics, such as lactic acid 5%, urea 5%, or salicylic acid 2-5%, may be interchanged with cold creams, while low-potency corticosteroids may also be applied for short periods. Topical retinoid therapy may be worth trying. [21]

Sun protection creams are recommended when sun exposure is anticipated because frequent exposure to UV radiation exacerbates ulerythema ophryogenes. Local retinoids may not be effective.

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Surgical Care

Successful treatment with carbon dioxide laser was reported in 2 patients, and the 585-nm pulsed dye lasers seemed efficient [22] ; however, in general, the treatment is rather unrewarding. Treatment with intense pulsed light may be worth considering. [23] Keratosis pilaris rubra and keratosis pilaris atrophicans faciei may be treated with good results using pulsed dye laser at 595-nm wavelength. [24]

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Diet

No special diet is necessary.

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Activity

Excessive sunlight should be avoided.

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Prevention

Patients with ulerythema ophryogenes should not be exposed to the sun without UV protection.

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Long-Term Monitoring

Regular checkups are recommended for patients with this condition.

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