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Keratosis Pilaris

What Is Keratosis Pilaris?

Keratosis pilaris is a harmless rash of the skin that manifests as tiny, discolored bumps around the hair follicles on the cheeks, upper arms, thighs, and/or buttocks. Typically, these bumps resemble small pimples and can create a rough feel to the affected area. Some say this skin condition also resembles the look of goosebumps. Although there is no direct cure for keratosis pilaris, there is treatment available to reduce its appearance. Usually, those with dry skin, those who live in a dry climate or swim often, commonly suffer from this skin condition. People of all ages can suffer from keratosis pilaris, but it is common in children and young adults. Keratosis pilaris is also common in those who also suffer from eczema. At Snyder Dermatology in Austin, TX, our board-certified dermatologists can assist with diagnosing this condition and helping to minimize the symptoms and its appearance.

What Causes Keratosis Pilaris?

The cause of keratosis pilaris is due to the build-up of fibrous proteins called keratin. Keratin is produced near the hair shaft, just under the skin. The bumps formulated on the skin are irritated hair follicles. This irritation of the swollen hair glands results in the production of small, numerous bumps on the surface of the skin.  Keratosis pilaris is not contagious and is thought to be an inherited skin condition. It is commonly seen among those who also suffer from eczema, dry skin, hay fever, or asthma.

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Board-Certified Dermatologists

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Snyder Dermatology is the premier practice for medical and cosmetic dermatology in Austin, TX. Centrally located, our dynamic team of board certified dermatologists focus on providing patients with the most advanced medical care and treatment options. Our practice is distinguished by our compassion, our desire to fully understand our patients’ needs, and our commitment to being good stewards in the communities where we live and work.

Symptoms of Keratosis Pilaris?

Keratosis pilaris, often referred to as “chicken skin,” is characterized by small, rough, flesh-colored or red bumps on the skin. These bumps typically appear on the upper arms, thighs, buttocks, and sometimes the cheeks. The affected areas may feel dry and occasionally itchy, and the skin can have a sandpaper-like texture. The condition is generally more noticeable in colder months when the skin tends to be drier. While keratosis pilaris is harmless and usually painless, the bumps can sometimes cause mild irritation or inflammation and can be a cosmetic concern for those affected.

How to Treat Keratosis Pilaris

Occasionally, our physicians can prescribe a 7- to 10-day course of a medium potency, emollient-based topical steroid cream to be applied once or twice a day for the red bumps in the area. Once the inflammation has ceased, rough bumps may be treated with a routine of a preparation of either 2-3% salicylic acid or 20-40% urea cream.  Intermittent dosing of topical retinoids (e.g., weekly or biweekly) seems quite effective and well tolerated, but the response is usually only partial. After initial clearing with stronger medications, patients may then be placed on a milder maintenance program.  There are several practical home remedies that can assist in improving keratosis pilaris. Such practices include daily moisturizing of the affected area or gentle exfoliation.

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Even though keratosis pilaris is not painful, its appearance on the skin can be embarrassing. Don’t let this condition control your self-confidence; there are many treatments available to help improve and lessen its appearance. Our exceptionally skilled staff can help diagnose keratosis pilaris and lead you on the road to smoother skin.

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