Keratosis Pilaris

What Is Keratosis Pilaris?

 

Keratosis pilaris is a common, harmless skin condition that causes small, hard bumps that may make your skin feel like sandpaper. You may have heard it called “chicken skin.”

The bumps are often light-colored. They usually appear on your upper arms, thighs, and buttocks, sometimes with redness or swelling. They can also show up on your face, but that's less common.

Many children and teens get it, and it usually disappears as they get older.

Symptoms of Keratosis Pilaris

Signs of keratosis pilaris include:

  • Very rough, dry skin 

  • Itchy goosebumps that match your skin tone (these might look like pimples or a rash)

  • More noticeable during winter or in dry conditions

Except for some possible itching, keratosis pilaris doesn't hurt and doesn't get worse. 

 

Causes of Keratosis Pilaris

Keratosis pilaris is caused by a buildup of keratin, the protein that protects skin from infections and other harmful things. The buildup forms a plug that blocks the opening of a hair follicle, but doctors don't know what triggers the buildup.

If you have dry skin, you're more likely to have keratosis pilaris. It's usually worse in the winter months, when there's less moisture in the air, and then may clear up in the summer.

It often affects people with certain skin conditions, including eczema (also called atopic dermatitis).

Diagnosis of Keratosis Pilaris

Your doctor can diagnose keratosis pilaris by looking at your skin. You don't need to be tested for it.

Keratosis Pilaris Treatment

There's no cure for keratosis pilaris. But moisturizing lotions or creams may help your skin look and feel better. A variety of these are available over the counter, but you'll need a prescription for stronger versions.

Two types of products that go directly on the affected skin often improve keratosis pilaris. You'll need to use them daily for several weeks before you'll see a change. 

Topical exfoliants remove dead skin cells from the surface of your skin. These include creams that contain alpha-hydroxy acid, lactic acid, salicylic acid, or urea.

The acids may cause redness or a slight burning, so they aren't recommended for young children.

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Topical retinoids, related to vitamin A, help prevent hair follicles from getting plugged. These include products with the ingredients tretinoin (Atralin, Avita, Renova, and Retin-A) and tazarotene (Avage, Tazorac). But topical retinoids may irritate your skin or cause redness or peeling.

Women who are pregnant, nursing, or may become pregnant should avoid topical retinoids.

Laser treatment -- aiming a laser onto the skin -- is sometimes used to treat severe redness and inflammation. It isn't a cure, but it may provide some relief when creams and lotions aren't enough. You might need several sessions for this treatment to work.

Home remedies for keratosis pilaris

Keep your skin moist to lessen its effects.

Some simple things can help keep your skin comfortable:

  • Don't scratch at the bumps or rub your skin roughly.

  • Use warm water rather than hot for bathing and showering.

  • Limit your time in the water.

  • Try soap that has added oil or fat.

  • Use thick moisturizers generously on the skin.

  • Add moisture to the air in your home with a humidifier.

  • Don’t wear tight clothes (friction can irritate your skin).

WebMD Medical Reference Reviewed by Brunilda Nazario, MD on July 28, 2020

Sources

SOURCES:

Cleveland Clinic: “Keratosis Pilaris.”

American Academy of Dermatology: “Keratosis PIlaris: Signs and Symptoms.”

Mayo Clinic: "Keratosis Pilaris."
 
Johns Hopkins Medicine: "Keratosis Pilaris."
 

University of Rochester Medical Center: "Keratosis Pilaris."

American Osteopathic College of Dermatology, Dermatologic Disease Database: "Keratosis Pilaris."

Park, J. Annals of Dermatology, published online Aug. 6, 2011.

March of Dimes: "Isotretinoin and other retinoids during pregnancy."

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