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| Keratosis
Pilaris |
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 photo of (backside) of upper arm |
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The Keratosis
Pilaris Photograph(s) are © copyright
protected. Unauthorized use is prohibited.
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Keratosis
Pilaris
Keratosis pilaris is an extremely common
condition. It affects somewhere between 25
and 50% of all people to some degree. It presents
as small, rough, pink to red bumps. The most
common locations include the back of the arms,
thighs, and cheeks. It usually presents in
childhood. It may be associated with atopic
dermatitis. Keratosis pilaris may be exacerbated
by certain conditions such as pregnancy. Although
the clinical presentation (appearance and
location) of keratosis pilaris is strongly
suggestive of the diagnosis, in certain circumstances,
a skin biopsy may be required to differentiate
it from folliculitis or acne.
The cause of the keratosis pilaris is unknown.
There is a strong genetic basis and patients
with keratosis pilaris may see similar lesions
in other family members. Keratosis pilaris
is a chronic condition, meaning it will last
for a lifetime, although at many times its
appearance may be minimal. Because it is so
common, some dermatologists consider it to
be a normal skin variant. As you can imagine,
it can be extremely difficult to treat something
that is “normal.” Nevertheless,
topical treatment can be used to minimize
the appearance of keratosis pilaris. Dry skin
can worsen the condition.
In certain circumstances keratosis pilaris
can be very itchy and/or painful. In these
circumstances, there are many treatment options
available. These include over-the-counter
preparations (Glytone keratosis pilaris treatment
kit), prescription-strength topical medications,
microdermabrasion, ultraviolet light treatment,
and laser treatment. Dr. Crutchfield will
carefully evaluate your condition and recommend
the best treatment program for you.
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