{"id":7376,"date":"2020-04-24T06:11:04","date_gmt":"2020-04-24T09:11:04","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/piel-seca\/"},"modified":"2020-10-30T07:30:43","modified_gmt":"2020-10-30T10:30:43","slug":"dry-skin","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/piel-seca\/","title":{"rendered":"Dry Skin"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/piel-seca\/#%C2%BFQue-es-la-piel-seca\" >What is dry skin?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/piel-seca\/#%C2%BFQuien-se-seca-la-piel\" >Who dries their skin?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/piel-seca\/#%C2%BFQue-causa-la-piel-seca\" >What causes dry skin?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/piel-seca\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-piel-seca\" >What are the clinical features of dry skin?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/piel-seca\/#Piel-seca\" >Dry Skin<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/piel-seca\/#Complicaciones-de-la-piel-seca\" >dry skin complications<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/piel-seca\/#%C2%BFComo-se-diagnostica-el-tipo-de-piel-seca\" >How is dry skin type diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/piel-seca\/#%C2%BFCual-es-el-tratamiento-para-la-piel-seca\" >What is the treatment for dry skin?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/piel-seca\/#%C2%BFComo-se-puede-prevenir-la-piel-seca\" >How can dry skin be prevented?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/piel-seca\/#%C2%BFCual-es-el-pronostico-para-la-piel-seca\" >What is the prognosis for dry skin?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-piel-seca\"><\/span>What is dry skin?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Dry skin refers to skin that feels dry to the touch. Dry skin lacks moisture in the outer horny cell layer (<span class=\"term\" data-term-id=\"273\">stratum corneum<\/span>) and this produces cracks in the surface of the skin.<\/p>\n<p>Dry skin is also called <span class=\"term\" data-term-id=\"1472\"><span class=\"term\" data-term-id=\"1897\">xerosis<\/span><\/span>, xeroderma or asteatosis (lack of fat).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-se-seca-la-piel\"><\/span>Who dries their skin?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Dry skin can affect men and women of all ages. There is some racial variability in the water and <span class=\"term\" data-term-id=\"1468\">lipid<\/span> skin content.<\/p>\n<ul>\n<li>Dry skin that begins in early childhood can be one of about 20 types of <span class=\"term\" data-term-id=\"398\">ichthyosis<\/span> (fish-<span class=\"term\" data-term-id=\"320\">scale<\/span> skin). There is often a family history of dry skin.<\/li>\n<li>Dry skin is commonly seen in people with <span class=\"term\" data-term-id=\"922\">atopic<\/span> <span class=\"term\" data-term-id=\"53\">dermatitis<\/span>.<\/li>\n<li>Almost everyone over the age of 60 has dry skin.<\/li>\n<\/ul>\n<p>Dry skin that starts later can be seen in people with certain diseases and conditions.<\/p>\n<ul>\n<li>Postmenopausal females<\/li>\n<li><span class=\"term\" data-term-id=\"1641\">Hypothyroidism<\/span><\/li>\n<li>\n<span class=\"term\" data-term-id=\"319\">Chronic<\/span> <span class=\"term\" data-term-id=\"896\">renal<\/span> disease<\/li>\n<li>\n<p>Malnutrition and weight loss.<\/li>\n<li>Subclinical dermatitis\n<\/li>\n<li>Treatment with certain medications such as oral. <span class=\"term\" data-term-id=\"762\">retinoids<\/span>, diuretics and <span class=\"term\" data-term-id=\"846\">epidermal<\/span> <span class=\"term\" data-term-id=\"523\">growth factor<\/span> <span class=\"term\" data-term-id=\"782\">receiver<\/span> inhibitors\n<\/li>\n<\/ul>\n<p>People exposed to a dry environment may experience dry skin.<\/p>\n<ul>\n<li>Bass <span class=\"term\" data-term-id=\"711\">humidity<\/span>- in desert climates or cool, windy conditions<\/li>\n<li>Excessive air conditioning<\/li>\n<li>Direct heat from a fire heater or fan.<\/li>\n<li>excessive bathing<\/li>\n<li>Contact with soaps, detergents and solvents.<\/li>\n<li>Inappropriate <span class=\"term\" data-term-id=\"1330\">current<\/span> agents such as alcohol<\/li>\n<li>Friction irritation from rough clothing or abrasives.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-la-piel-seca\"><\/span>What causes dry skin?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Dry skin is due to abnormalities in the integrity of the barrier function of the stratum corneum, which is made up of <span class=\"term\" data-term-id=\"1447\">corneocytes<\/span>.<\/p>\n<ul>\n<li>There is an overall reduction in <span class=\"term\" data-term-id=\"1469\">lipids<\/span> in the stratum corneum.<\/li>\n<li>Ratio of <span class=\"term\" data-term-id=\"1094\">ceramides<\/span>, <span class=\"term\" data-term-id=\"1507\">cholesterol<\/span> and free fatty acids can be normal or altered.<\/li>\n<li>There may be a reduction in <span class=\"term\" data-term-id=\"893\">proliferation<\/span> of <span class=\"term\" data-term-id=\"1069\">keratinocytes<\/span>.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"917\">Keratinocytes<\/span> The subtypes change in dry skin with a decrease in keratins K1, K10 and an increase in K5, K14.<\/li>\n<li>Involucrin (a protein) can be expressed early, increasing cell stiffness.<\/li>\n<li>The result is retention of corneocytes and a reduced water holding capacity.<\/li>\n<\/ul>\n<p>Inherited forms of ichthyosis are due to loss of function. <span class=\"term\" data-term-id=\"871\">mutations<\/span> in several <span class=\"term\" data-term-id=\"775\">genes<\/span> (listed in parentheses below).<\/p>\n<ul>\n<li>\n<p>Ichthyosis vulgaris (FLG).<\/li>\n<li>\n<p>X-linked recessive ichthyosis (STS)<\/li>\n<li>\n<span class=\"term\" data-term-id=\"828\">Autosomal<\/span> recessive <span class=\"term\" data-term-id=\"1036\">congenital<\/span> ichthyosis (ABCA12, TGM1, ALOXE3)<\/li>\n<li>Keratinopathic <span class=\"term\" data-term-id=\"399\">ichthyosis<\/span> (KRT1, KRT10, KRT2)<\/li>\n<\/ul>\n<p>Acquired ichthyosis may be due to:<\/p>\n<ul>\n<li>Metabolic factors: thyroid deficiency<\/li>\n<li>Illness: <span class=\"term\" data-term-id=\"976\">lymphoma<\/span>internal <span class=\"term\" data-term-id=\"1742\">malignancy<\/span>sarcoidosis <span class=\"term\" data-term-id=\"127\">HIV<\/span> <span class=\"term\" data-term-id=\"145\">infection<\/span>\n<\/li>\n<li>Drugs: nicotinic acid, kava, protein kinase inhibitors (eg, EGFR inhibitors), <a class=\"wpil_keyword_link\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hydroxyurea\/\" title=\"hydroxyurea\"><a class=\"wpil_keyword_link\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/hydroxyurea\/\" title=\"hydroxyurea\">hydroxyurea<\/a><\/a>.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-piel-seca\"><\/span>What are the clinical features of dry skin?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Dry skin has a dull and rough surface, <span class=\"term\" data-term-id=\"385\">scaly<\/span> quality. The skin is less flexible and cracked. When dryness is severe, the skin can become inflamed and <span class=\"term\" data-term-id=\"1412\">cracked<\/span>.<\/p>\n<p>Although any site on the body can be dry, dry skin tends to affect pimples more than any other site.<\/p>\n<p>The clinical features of ichthyosis depend on the specific type of ichthyosis.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Piel-seca\"><\/span>Dry Skin<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ichthyosis__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildeznf0-1681976-3846902' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ichthyosis__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDEzNF0-1681976.jpg'>\n<\/div>\n<p class=\"p-small\">Ichthyosis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ichthyosis-c__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4460872-8041158' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ichthyosis-c__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4460872.jpg'>\n<\/div>\n<p class=\"p-small\">Ichthyosis close-up<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='discoid__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm3xq-1269019-3734874' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/discoid__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsInkiLDM3XQ-1269019.jpg'>\n<\/div>\n<p class=\"p-small\">Dry skin dermatitis.<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>See more images of dry skin.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Complicaciones-de-la-piel-seca\"><\/span>dry skin complications<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Dry areas of skin may be itchy, indicating a form of <span class=\"term\" data-term-id=\"491\">eczema<\/span>\/ dermatitis has developed.<\/p>\n<ul>\n<li>\n<p>Atopic eczema, especially in people with ichthyosis vulgaris<\/li>\n<li>\n<p>Eczema craquel\u00e9, especially in older people. Also called asteatotic eczema<\/li>\n<li>A dry form of nummular dermatitis \/<span class=\"term\" data-term-id=\"65\">discoid<\/span> eczema, especially in people who wash their skin excessively<\/li>\n<\/ul>\n<p>When an older person&#039;s dry skin is itchy without a visible <span class=\"term\" data-term-id=\"255\">eruption<\/span>, sometimes called winter itch, seventh age itch, senile <span class=\"term\" data-term-id=\"245\">pruritus<\/span> or chronic itching of the elderly.<\/p>\n<p>Other complications of dry skin can include:<\/p>\n<ul>\n<li>\n<p>skin infection when <span class=\"term\" data-term-id=\"935\">bacteria<\/span> or viruses penetrate a break in the skin surface<\/li>\n<li>Overheating, especially in some forms of ichthyosis\n<\/li>\n<li>\n<p>Food <span class=\"term\" data-term-id=\"1136\">allergy<\/span>, for example, to peanuts, has been associated with filaggrin mutations<\/li>\n<li>\n<p>Contact allergy, for example to nickel, has also been correlated with barrier function defects.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-el-tipo-de-piel-seca\"><\/span>How is dry skin type diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Dry skin type is diagnosed by careful history and examination.<\/p>\n<p>In children:<\/p>\n<ul>\n<li>Family history<\/li>\n<li>starting age<\/li>\n<li>Appearance at birth, if known<\/li>\n<li>\n<span class=\"term\" data-term-id=\"69\">Distribution<\/span> dry skin<\/li>\n<li>Other features, eg, eczema, abnormal <span class=\"term\" data-term-id=\"193\">nail<\/span>, <span class=\"term\" data-term-id=\"122\">hair<\/span>, dentition, sight, hearing.<\/li>\n<\/ul>\n<p>In adults:<\/p>\n<ul>\n<li>Medical history<\/li>\n<li>Medications and topical preparations.<\/li>\n<li>Frequency of bathing and use of soap.<\/li>\n<li>Evaluation of environmental factors that can contribute to dry skin.<\/li>\n<\/ul>\n<p>sometimes a skin <span class=\"term\" data-term-id=\"24\">biopsy<\/span> may be ordered Additional tests may be ordered to diagnose some types of ichthyosis.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-piel-seca\"><\/span>What is the treatment for dry skin?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The basis of treatment for dry skin and ichthyosis are moisturizers \/<span class=\"term\" data-term-id=\"1888\">emollients<\/span>. They should be applied liberally and often enough to:<\/p>\n<ul>\n<li>reduce itching<\/li>\n<li>Improves barrier function\n<\/li>\n<li>prevent the entry of <span class=\"term\" data-term-id=\"1443\">irritants<\/span>bacteria<\/li>\n<li>Reduce <span class=\"term\" data-term-id=\"287\">transepidermal<\/span> loss of water<\/li>\n<\/ul>\n<p>When considering what <span class=\"term\" data-term-id=\"1887\">emollient<\/span> is the most suitable, consider:<\/p>\n<ul>\n<li>severity of dryness<\/li>\n<li>Tolerance<\/li>\n<li>personal preference<\/li>\n<li>Cost and availability.<\/li>\n<\/ul>\n<p>Emollients generally work best if applied to damp skin, if <span class=\"term\" data-term-id=\"890\">pH<\/span> is below 7 (acidic), and if it contains <span class=\"term\" data-term-id=\"1100\">moisturizers<\/span> such as urea or propylene glycol.<\/p>\n<p>Additional treatments include:<\/p>\n<ul>\n<li>\n<p>Topical steroids if itching or dermatitis: choose an emollient base<\/li>\n<li>Topical calcineurin inhibitors if topical steroids are not suitable.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-puede-prevenir-la-piel-seca\"><\/span>How can dry skin be prevented?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Eliminate aggravating factors.<\/p>\n<ul>\n<li>Reduce the frequency of bathing.<\/li>\n<li>A humidifier in winter and air conditioning in summer.<\/li>\n<li>Compare having a short shower with a long bath.<\/li>\n<li>Use warm water, not hot.<\/li>\n<li>Replace standard soap with a substitute such as a synthetic detergent cleanser, water-miscible emollient, bath oil, antibacterial<span class=\"term\" data-term-id=\"244\">pruritus<\/span> tar oil, colloidal oatmeal, etc.<\/li>\n<li>Apply an emollient liberally and often, especially soon after bathing and when itchy. The drier the skin, the thicker it should be, especially on the hands.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-pronostico-para-la-piel-seca\"><\/span>What is the prognosis for dry skin?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The tendency to dry skin may persist throughout life, or may improve once contributing factors are controlled.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la piel seca? La piel seca se refiere a la piel que se siente seca al tacto. La piel seca carece de humedad en la capa celular c\u00f3rnea&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7376","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7376","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7376"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7376\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7376"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7376"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7376"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}