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may improve with age Atopic Individuals: Strong correlation with eczema, asthma, or allergic rhinitis Patients with Dry Skin: Worse in cold, dry climates Genetic Predisposition: Often autosomal dominant in inheritance Clinical Features Rough chicken skin texture Sandpaper-like papules on extensor surfaces Red or brown hyperpigmentation (especially in Fitzpatrick IIIVI) May be asymptomatic or pruritic Treatment: Why Compounding