Body care: keratosis, body acne, eczema online
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Back and chest acne
Same biology as facial acne — clogged follicles, inflammation, bacteria. Treatment: benzoyl peroxide wash (10%), topical clindamycin, oral antibiotics for severe cases, spironolactone for hormonal patterns. Compounded body washes with tretinoin + benzoyl peroxide work well for stubborn body acne.
Keratosis pilaris
Tiny rough bumps on upper arms, thighs, butt. Affects ~40% of adults. No cure, but ammonium lactate 12% lotion + urea cream + chemical exfoliation (AHA/BHA) reduce roughness within 4-6 weeks. Telehealth programs prescribe compounded combos for $30-60/month.
Body eczema
Mild-to-moderate eczema responds to telehealth: topical steroids (triamcinolone, clobetasol — short-term only), topical calcineurin inhibitors (tacrolimus, pimecrolimus — longer-term). Severe eczema, biologics like dupilumab, requires in-person dermatology.