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Top-Accessed Article: Keratosis Pilaris Rubra FREE

Rattanavalai Chantorn, MD; Tor Shwayder, MD
[+] Author Affiliations

Author Affiliations: Department of Pediatric Dermatology, Henry Ford Hospital, Detroit, Michigan.


Arch Dermatol. 2011;147(1):20. doi:10.1001/archdermatol.2010.353.
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Marqueling AL, Gilliam AE, Prendiville J, Zvulunov A, Antaya RJ, Sugarman J, Pang ML, Lee P, Eichenfield L, Metz B, Goldberg GN, Phillips RJ, Frieden IJ. Keratosis pilaris rubra: a common but underrecognized condition. Arch Dermatol.2006;142(12): 1611-1616.

This excellent article by Marqueling and colleagues described 27 patients with widespread erythematous keratotic follicular eruptions termed keratosis pilaris (KP) rubra (KPR). The authors reported how common KPR is and suggested 2 modes of heredity (autosomal dominant in standard KP and X-linked in the rubra form). They reassured us that KPR is not associated with any systemic conditions. Unlike KP, the incidence of KPR increases with age.

The authors differentiate KP, KPR, KP atrophicans, and erythromelanosis faciei et colli. It might be argued that they are all KP with variants, similar to the 10 types of lichen planus. No treatment options showed uniform effective therapy. Does that mean that we do not try them? Of course we do, but now we have a sober appraisal of what to expect.

From June 2004 through August 2009, this article was viewed 2807 times on the Archives of Dermatology Web site.

ARTICLE INFORMATION

Contact Dr Shwayder at the Department of Pediatric Dermatology, Henry Ford Hospital, 3031 W Grand Blvd, Ste 800, Detroit, MI 48202 (tshwayd1@hfhs.org).

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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