6

votes

Keratosis Pilaris

Answered on August 19, 2014
Created April 15, 2010 at 4:39 AM

I haz it. Yeah, it's mainly a nuisance on my upper arms and thighs. I was hoping paleo would make it go away, but no. I've tried putting coconut oil on it and other commercial moisterizer. It seems the only thing that works 100% is taking a shower rarely and using only cold water, something I gleaned from working on a farm where we didn't have hot water(I'd surmise most of our ancestors didn't have it either...).

But since I am living the normal life now, are there any other solutions you have tried? Is it worth removing the few non-paleo foods I eat like soy sauce?

47cbd166d262925037bc6f9a9265eb20

(55)

on February 21, 2014
at 10:02 AM

Oligosaccharide fibers working ? I suspect they would work. It's too easy to develop SIBO with such high fodmap sources as Jerusalem artichokes.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on April 21, 2013
at 02:23 PM

I had no expectations for adding liver into my diet, I just wanted to see what might happen. Amazed at how fast it was, and it's likely due to increased VA intake. Dry skin is disappearing, chapped lips going away. Things I've dealt with all my life that I just chalked up as 'normal.'

De1095b2ba29c1035f00428cbfe3cc7c

(777)

on April 21, 2013
at 08:19 AM

Interesting as liver is high in animal sourced vitamin a, i'll give it a go, about time i started eating some offal! I've found that walking about 5k per day, doing weighted squats 2-3 times per week, and eating lots of animal fat, mainly pork fat, along with plenty of sleep helps a lot, after a good night sleep after doing all the above my thighs are at their smoothest

E40b2fc9ddcf702bab9d61d28b8c8440

(505)

on August 23, 2012
at 02:34 AM

Me three!!!!!!!

9d43f6873107e17ca4d1a5055aa7a2ad

on April 22, 2010
at 11:32 PM

I've done this before and it didn't work. I'm going to stick with not showering until someone notices. I'm taking sponge baths instead, which people relied on until very recently.

9e2180e7bfd688eb52d4f0c536172024

(2004)

on April 19, 2010
at 10:52 PM

Me too. One day it was just gone.

9d43f6873107e17ca4d1a5055aa7a2ad

on April 16, 2010
at 03:51 PM

Cold showers are really working well so far...not much fun though :( Reminds me that living an evolutionarily appropriate life isn't all about food.

A89f9751a97c3082802dc0bcbe4e9208

(13978)

on April 15, 2010
at 06:58 AM

Have you tried increasing (or decreasing?) your dietary Vitamin A intake and monitoring how that changes your symptoms?

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15 Answers

6
6426d61a13689f8f651164b10f121d64

(11478)

on April 15, 2010
at 05:22 PM

I don't have a paleo answer, but treatment of keratosis pilaris (KP) is usually tri-modal: (1) moisturizers, (2) skin softeners and (3) anti-inflammatory.

Coconut oil is a good choice for a topical moisturizer. Fish, krill, and cod liver oils are probably worth a try to take internally.

Skin softeners that contain lactic acid and/or urea seem to work fairly well. Betamide lotion is an OTC product that contains urea + lactic acid, and it's available from amazon ( http://www.amazon.com/Betamide-Lotion-16-Ounce-Bottle/dp/B00068Y9VM ).

Finally, if you have redness, itching or a sudden flare-up of KP, a mild anti-inflammatory agent such as 1% hydrocortisone cream for 7 to 10 days may calm it down. For some, KP may be related to atopic conditions such as eczema and asthma, so avoidance of allergens can help.

5
0bc6cbb653cdc5e82400f6da920f11eb

(19245)

on April 19, 2010
at 12:29 AM

Keratosis Pilaris came up as a question on Loren Cordain's blog last year http://thepaleodiet.blogspot.com/2009/11/paleo-diet-q-112709.html

The hyperkeratosis that occurs in the pores seems similar to what occurs as a part of acne. Cordain now thinks that this hyperkeratosis may be due to high insulin levels, acting by reducing levels of Insulin like Growth Factor Binding Protein-3 (IGFBP-3) releasing IGF-1 to cause the over production of keratocytes that block the pore. Apparently in some people wheat can also result in lower IGFBP-3.

Cordain's main ideas are that high glycemic load carbs and dairy raise insulin, these raise androgen levels that also contribute. He thinks that omega 3 and 6 balance and dietary lectins, for example from wheat, may also play a role. If you are posibly sensitive to some common food lectins it could be worth experimenting without them. Was your diet any different when working on the farm? Another thought is that some people think reducing fat may lower androgens and increase insulin sensitivity in some people.

Not that this is probably very helpful to you as you already know about paleo eating but I thought it was interesting.

Another thought is that some people think reducing fat may lower androgens and increase insulin sensitivity in some people.


Avoiding hot water will protect the skin by removing less of the normal layer of oils on the skin surface. It is unfortunate that cold showers arn't as enjoyable.

Maybe avoiding soap would help too, in my experience soap is not really needed on the arms and legs. I find that briefly using a mildly abrasive sponge or sisal glove over the skin while showering removes dead skin and dirt without altering too much of the skins oils. There was not much soap in the stone age :)

5
06d21b99c58283ce575e36c4ecd4a458

(9948)

on April 15, 2010
at 05:24 AM

There is this blog http://www.helpforkp.com/keratosis_pilaris_forum.html The thinking is that it is a genetic condition with parents passing it along to offspring. But I wonder if the environment of the parents is what causes the offspring to get the skin condition. As in rosacea and ezcema. Don't know. Just speculation.

Dr Art Ayers thinks that most of the problems we have with skin originate with the gut bacteria flora out of whack. http://coolinginflammation.blogspot.com/ Roam around his site.

He recently talked about oligossacarides being used as a fiber that ferments in the gut to heal the gut. Foods that contain oligossacarides fibers are Jerusalem artichokes, artichokes, burdock root, chicory, jicama and pectin. Look around his site. He does answer specific question directly.

I was able to find fresh burdock root in my local organic store. I chew on some every day. My cost was $6 a pound but you get a lot by the pound. And I found chicory and powdered burdock root at http://www.herbco.com/ Monterey Bay Herb and Spice.

Definitely eliminate the soy sauce. It contains wheat as well as soy.

Good luck.

47cbd166d262925037bc6f9a9265eb20

(55)

on February 21, 2014
at 10:02 AM

Oligosaccharide fibers working ? I suspect they would work. It's too easy to develop SIBO with such high fodmap sources as Jerusalem artichokes.

3
631577fc0428c1dbc6176a3ca5935f77

(30)

on April 15, 2010
at 12:36 PM

It doesn't seem possible to fully get rid of it, except with advancing age. That said, BOTH vitamin A and vitamin D help me quite a bit. Given D's other benefits and A's potential antagonism of such benefits, I don't overdo A for the sake of my arms... By the way, I did try once a lot of A and it still only improves to a point.

2
279afb16db6c765ae91dde056f10d1d3

(155)

on April 22, 2010
at 06:19 PM

This is what worked for me: 1. Don't use soap, it's not needed is dries out your skin and makes me itchy 2. Take a long enough bath or shower that the keratin softens a bit 3. SCRUB! exfoliate with a bath mitt, salt whatever or once you get out use a dry towel scrub off loose skin 4. Next is chemical exfoliation, I use apple cider vinegar on a cotton ball and apply it to my arms 5. then coconut oil for moisture

Do this at night or at least a few hours before you go anywhere and the vinegar smell will dissapate. Try it several times and see how it affects your KP

Jess

9d43f6873107e17ca4d1a5055aa7a2ad

on April 22, 2010
at 11:32 PM

I've done this before and it didn't work. I'm going to stick with not showering until someone notices. I'm taking sponge baths instead, which people relied on until very recently.

2
E91fd339d760ed76cc72570a679ebf5a

(2369)

on April 15, 2010
at 04:32 PM

Coconut oil applied topically can help but the two things that have made a dramatic difference for me are sunbathing regularly and/or water fasting with dry brushing. Amazingly smooth skin in both cases!

1
32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on April 21, 2013
at 02:20 AM

One word: liver. 2 weeks of eating liver and my KP is totally gone.

De1095b2ba29c1035f00428cbfe3cc7c

(777)

on April 21, 2013
at 08:19 AM

Interesting as liver is high in animal sourced vitamin a, i'll give it a go, about time i started eating some offal! I've found that walking about 5k per day, doing weighted squats 2-3 times per week, and eating lots of animal fat, mainly pork fat, along with plenty of sleep helps a lot, after a good night sleep after doing all the above my thighs are at their smoothest

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on April 21, 2013
at 02:23 PM

I had no expectations for adding liver into my diet, I just wanted to see what might happen. Amazed at how fast it was, and it's likely due to increased VA intake. Dry skin is disappearing, chapped lips going away. Things I've dealt with all my life that I just chalked up as 'normal.'

1
89ba2421b38f53119e531db0d97402f3

(60)

on August 23, 2012
at 02:32 AM

I Hope I am not too late for this.

I've had it for 15 years. This is how I feel about treatment.

Dry Brushing every day for a minimum of 3 months and using a mixture of Jojoba & Castor Oil after the shower. Tried coconut but prefer to internally take it.

Its all about the gut though. There are creams and what not that will bring it down and keep it manageable and not appear so obvious.

Lately I started gettingit on my upper back. First time in my life as usually its all over legs and arms (mainly backs and sides)

Bread (Gluten), Sugar (Even the naturals like honey, rice syrup, coconut sugar, evaporated cane juice), DAIRY (due to the lactose)....Are the main culprits.

Cut them out completely. Minimum 3 months.

At the same time, get a great probiotic and take daily for the 3 months. Need to get gut flora strong and functional.

Get the Insulin levels down. ASAP

1
F92e4ca55291c3f3096a3d4d3d854986

(11698)

on November 16, 2011
at 01:23 AM

Hey Melissa, did you find a solution for this? My bumps came back recently. I used to get this as a teen, but it went away when I began to use a body puff and body wash in the shower - regular exfoliation. Now it's back, seems like the change of seasons brought it on, maybe hotter showers and drier skin. I'm applying Lac-Hydrin daily, it's an ammonium lactate cream that has helped in the past, but so far no improvement. Did you manage to succesfully hack your bumps?

0
A5f38a412009ab4c1f9c9817a1a1d6c6

(10)

on August 19, 2013
at 07:42 AM

Hi Matt, How much liver do you consume in one sitting... and how many times per week? Thanks!

0
47c4468a8158ca9fbff76aec0aeaffa0

on April 21, 2013
at 01:14 AM

Well if the ONLY reason you are taking cold showers is to get rid of the KP you might want to realize that cold showers have MANY great health benefits not only better skin. Just saying, so you might want to keep that up even though it isn't exactly a pleasant experience. AFTER a cold shower is pretty good though you feel refreshed and energetic. It's supposed to give you all sorts of great mental and physical health benefits. I would rather suffer through a cold shower and gain the benefits than take a hot shower which is actually bad for you(not only your skin.) A luke warm shower might be alright though(not damaging but not really healthy either.)

0
0fd24d837dbad54740f53cc5f72068a0

(285)

on April 24, 2010
at 07:10 PM

I had it without knowing what it was since I can remember. It has pretty much gone away post-sad. It very well could be grain related at least for me. I eliminated several ailments after removing grains from my diet.

0
886d68c7f71750c9cf429c77dd76205b

on April 20, 2010
at 11:19 PM

I have this as well, have had it since I was a pre-teen. Very annoying, and makes me a little bit self conscious about it since a girl in grade 7 stood behind me in a choir performance and yelled, "Ew what is that on the back of your arms!" ... To say the least that situation has stuck with me!

0
C53665c3f012fa1ede91033b08a8a6e7

(2269)

on April 19, 2010
at 12:22 AM

I had it on both upper arms pre-primal, but it's gone now.

Until I saw this post I didn't even realize it was gone.

9e2180e7bfd688eb52d4f0c536172024

(2004)

on April 19, 2010
at 10:52 PM

Me too. One day it was just gone.

E40b2fc9ddcf702bab9d61d28b8c8440

(505)

on August 23, 2012
at 02:34 AM

Me three!!!!!!!

0
13c5a9f1678d75b93f269cdcf69f14d5

(2339)

on April 16, 2010
at 04:08 AM

Posters over at celiac.com say this is linked to gluten intolerance and influenced by essential fatty acid deficiency.

Is your soy sauce gluten free? Taking any fish oil?

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