Dry Skin (Xeroderma, Xerosis)

Dry skin on the leg

An example of dry skin, with flaking and peeling of the upper layer of the epidermis.

Credit: DermNet NZ

What is dry skin?

Dry skin is characterized by a lack of moisture in its outer layer, making it feel parched or tight. This can lead to small to large fissures or cracks in the skin, which may itch or occasionally cause a burning sensation.

What causes dry skin?

Dry skin can arise from various factors and can affect individuals differently. Some common causes include:

  • Aging, as the oil glands become less active over time

  • Genetic differences that influence the skin's water and fat content

  • Environmental factors such as low humidity in winters, arid regions, or prolonged exposure to heaters

  • Over-cleansing, using excessively hot water during baths or showers

  • Harsh soaps, detergents, and solvents

  • Application of skin-drying agents like alcohol or chlorine

  • Continuous rubbing from certain types of clothing

  • Medical conditions like thyroid disease, kidney ailments, menopause, or malnutrition

  • Medications, including topical and oral retinoids or EGF inhibitors

What are the symptoms of dry skin?

The symptoms of dry skin vary in severity. Commonly, dry skin appears rough, scaly, and has a lackluster appearance. In more severe cases, the skin may become cracked, reddened, or irritated. While any part of the body can be affected, areas frequently exposed to the environment are more susceptible.

How do I treat dry skin?

Moisturizers serve as the primary treatment for dry skin. The choice of moisturizer often depends on factors such as the severity of dryness, skin type, personal preferences, and budget constraints. Numerous moisturizers are available, ranging from over-the-counter products to prescription formulations. Some may be more suitable for certain skin types than others. In cases of intense dryness, topical keratolytics like urea and ammonium lactate can be beneficial. For extreme inflammation, topical steroids might be considered.

How do I prevent dry skin?

Prevention strategies for dry skin include:

  • Limiting bath or shower duration and frequency

  • Opting for lukewarm water instead of hot water during showers or baths

  • Using humidifiers in dry climates or during winters

  • Replacing harsh soaps with gentler, moisturizing cleansing products

  • Applying a moisturizer promptly after bathing or showering

Severe dry skin

Severe dry skin can lead to a cracked and fissured appearance.

Credit: DermNet NZ

Dry skin that has led to eczema (dermatitis)

In cases of longstanding dry skin the skin barrier breakdown can lead to eczema (dermatitis).

Credit: DermNet NZ

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