![]() Since keratosis pilaris often runs in families, a genetic component is likely. There may be a connection between keratosis pilaris and atopic dermatitis (eczema), as these conditions sometimes occur together. A link to vitamin A deficiency also has been noted. The condition is more prevalent during the winter since the low humidity of the air dries the skin, and it usually improves or clears during the summer due to the higher humidity. The cause of keratosis pilaris is unknown. Diagnosis can be easily made by examination of the affected skin testing is not necessary. In adults, it is more likely to be found on the backs of the upper arms, the thighs, and the buttocks. In children and teens, keratosis pilaris is often located on the cheeks and may be confused with acne. The bumps are not inflamed and do not itch. Although it may appear on different parts of the body, the condition is easy to recognize because of its characteristic skin-colored bumps (sometimes surrounded by a light pinkish ring), which give the skin a rough appearance. Up to 40% of the adult population has some degree of keratosis pilaris, and during the teenage years, the percentage is even higher. Keratosis pilaris, which often goes by the colloquial name “chicken skin,” is a very common, harmless skin condition that can begin in childhood and continue into the adult years. Facial Keratosis Pilaris Is Often Confused with Acne Keratosis pilaris usually disappears eventually without treatment. The condition has a connection to vitamin A deficiency, so supplementation with small amounts of vitamin A may help. The use of topical moisturizers, salicylic acid, lactic acid, urea, vitamin D, or tretinoin may be of benefit, but the plugs usually reappear when treatment is discontinued. Keratosis pilaris is not a serious condition it requires no treatment, unless the patient is bothered by the skin’s appearance. Often there is a coiled, ingrown hair inside the bump. The bumps are hair follicles that are plugged by keratin, a protein found in skin cells. Often referred to colloquially as “chicken skin,” keratosis pilaris usually appears on the backs of the upper arms, the thighs, the buttocks, or the face as a rough patch of bumpy skin that does not itch. Keratosis pilaris is a common, easily recognized, benign skin disorder that is characterized by patches of tiny, hard bumps resembling small pimples on the skin’s surface.
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