Keratosis pilaris
    Symptoms and causes

    Overview

    Keratosis pilaris (ker-uh-TOE-sis pih-LAIR-is) is a harmless skin condition that causes dry, rough patches and tiny bumps, often on the upper arms, thighs, cheeks or buttocks. The bumps usually don't hurt or itch.

    Keratosis pilaris is often considered a common variant of skin. It can't be cured or prevented. But you can treat it with moisturizers and prescription creams to help improve how the skin looks. The condition usually disappears by age 30.

    Keratosis pilaris on an arm

    Keratosis pilaris

    Keratosis pilaris causes small bumps to appear on the upper arms, legs or buttocks. They usually don't hurt or itch.

    Symptoms

    Keratosis pilaris can occur at any age, but it's more common in young children. Symptoms include:

    • Painless tiny bumps on the upper arms, thighs, cheeks or buttocks
    • Dry, rough skin in the areas with bumps
    • Worsening when seasonal changes cause low humidity and dry skin
    • Sandpaper-like bumps resembling goose flesh

    When to see a doctor

    Treatment for keratosis pilaris usually isn't needed. But if you're concerned about your or your child's skin, consult your health care provider or a specialist in skin conditions (dermatologist).

    Causes

    Keratosis pilaris is caused by the buildup of keratin — a hard protein that protects skin from harmful substances and infection. The keratin blocks the opening of hair follicles, causing patches of rough, bumpy skin.

    It's not clear why keratin builds up in people with keratosis pilaris. It might happen along with a genetic disease or skin conditions such as atopic dermatitis. Dry skin tends to make keratosis pilaris worse.

    Keratin plug

    Keratin plug

    Keratosis pilaris develops when keratin forms a scaly plug that blocks the opening of the hair follicle. Usually plugs form in many hair follicles, causing patches of rough, bumpy skin.

    Risk factors

    Keratosis pilaris is very common. It tends to run in families.

    1. AskMayoExpert. Keratosis pilaris. Mayo Clinic; 2022.
    2. Keratosis pilaris. American Osteopathic College of Dermatology. http://www.aocd.org/skin/dermatologic_diseases/keratosis_pilaris.html. Accessed Oct. 2, 2020.
    3. Keratosis pilaris. Merck Manual Professional Version. https://www.merckmanuals.com/professional/dermatologic-disorders/cornification-disorders/keratosis-pilaris. Accessed Oct. 2, 2020.
    4. Keratosis pilaris. American Academy of Dermatology. https://www.aad.org/public/diseases/a-z/keratosis-pilaris-overview. Accessed Oct. 2, 2020.
    5. Dermatologists' top 10 tips for relieving dry skin. American Academy of Dermatology. https://www.aad.org/dermatology-a-to-z/health-and-beauty/general-skin-care/dry-skin-tips. Accessed Oct. 2, 2020.

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