- The doctor may give you a prescription for a gel or lotion to use on your skin.
- Patients should avoid sun and heat. Emollients containing urea or lactic acid are of benefit for more limited lesions. Topical application of tretinoin or isotretinoin is effective against hyperkeratosis, but the risk of irritation limits their use. Topical steroids may reduce irritation, but they are not effective when used alone. Retinoids such as tazarotene are better tolerated. In case of severe disease, acitretin (an oral retinoid) is the most effective treatment, but possible side-effects must be monitored.
- Dermabrasion, electrodessication and surgical removal were once the only options for removing DD lesions. These methods each have limitations on the type of skin, skin area and degree of the DD skin condition that may be effectively treated. Carbon dioxide (CO2) laser vaporization emerged as another option for removing skin lesions caused by DD, but this method poses side effects, risks and complications that outweigh the benefits for many patients.
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