Keratosis Pilaris

Keratosis Pilaris is often referred to as “Chicken bump” skin. It also goes under the names of Lichen Pilaris and follicular Pilaris. This skin condition is genetic, and forms rough, red bumps on the skin. These bumps are usually noticeable to the eye and can have a nutmeg brown appearance.  It usually manifests on the back and outer sides of the arms. It has also been known to appear on the buttocks, thighs, hands, and top of the legs. Essentially it can appear on any part of the body except places with glabrous skin. This condition is often mistaken for acne, when it really is not. It is caused by having the body produce too much keratin. The excess keratin will be entrapped in the pores by the hair follicles, which will cause hard plugs to form.

Many are astonished to realise that Keratosis Pilaris will effect 40 to 50% of the adult population. Or that 50 to 80% of adolescents have the condition. Woman are more likely to have Keratosis Pilaris, and is usually seen in the first decade of life. Conditions tend to improve over time. It can be present in any time of the year, however, most seen the condition flare up in the colder months when moisture levels in the air become lower.

There are different kinds of Keratosis Pilaris including the following:

• Keratosis Pilaris Ruba- This skin condition is marked by red bumps that are inflamed. Most commonly seen on the head, arms and legs.
• Keratosis Pilaris Alba- This skin condition has no irritation, however, the skin will still be red, rough and bumpy.
• Keratosis Pilaris Rubra Facelli- This skin condition is marked by red rashy cheeks.

If one feels they have Keratosis Pilaris, they should set up an appointment with their dermatologist. At the appointment, the dermatologist will exam the skin. For Keratosis Pilaris, there is not a skin test to determine if one has it. A treatment may or may not be prescribed. Keratosis Pilaris is not harmful to the body, however, many do not like how it looks on the skin. Lotions or creams may be prescribed to moisturise the skin. Often times these will include vitamin D, urea, lactic acid, glycolic acid, tretinoin, or salicylic acid. If redness is present and bothersome, a steroid cream might be offered to reduce the redness. A dermatologist may suggest the use of laser therapy as well. Multiple treatments of this therapy may be needed.

Vitamin A can also be prescribed to help relieve Keratosis Pilaris. Vitamin A will help to restore a smooth texture to the skin. Use only the amount prescribed as overusing might lead to peeling skin.

One may wish to ask the dermatologist about a chemical peel or optical light treatment. Light treatments will help to smooth the skin, creating a flatter effect. If light treatments or chemical peels are not an option, there is a gentler microdermabrasion option that may give some benefit. This will more than likely need to be done in a series of treatments.

A home treatment that could offer relief is taking a long, hot shower. After the shower, exfoliate the skin with a course washcloth or a stiff brush. This will help to unclog the pores, helping to reduce the appearance of Keratosis Pilaris.

Keratosis Pilaris is not contagious, but often times those with it will become self conscious with their skin. Realizing there are a few treatment options for home remedies and at the dermatologist’s office will help those suffering from Keratosis Pilaris cope. Note that treatments must often be done for several months before any effect is seen.