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Keratosis Pilaris (Chicken Skin)

Keratosis pilaris is a common, harmless skin condition characterized by small, rough bumps on the skin. This condition is also known as “chicken skin” due to the goosebumps like appearance in the affected area.

These bumps can typically appear on the upper arm, thighs, cheeks and buttocks. The buildup of keratin blocking the hair follicles is the main reason for the development of keratosis pilaris. Dry and low-humidity weather can make keratosis pilaris worse. This is why it is a common skin condition in Arizona.

Symptoms of Keratosis Pilaris

People with keratosis pilaris will have small, rough, raised bumps on the skin. The bumps can be flesh colored, white or red and they often cluster together. The skin in the affected area feels rough to touch and often described to have a sandpaper like texture. The skin around the bumps can appear dry or slightly red. The symptoms can worsen in cooler or drier weather. Sometimes these bumps can be mistaken for acne.

What causes Keratosis Pilaris?

Keratosis pilaris is primarily caused by excessive accumulation of keratin, a protein found in your skin. Although researchers do not fully understand the pathophysiology of this condition, multiple factors can contribute to the development of keratosis pilaris.

  • Genetics: keratosis pilaris has a genetic factor that makes you predisposed to this condition if someone in your family has it. The cause of keratosis pilaris is not fully understood. However, research shows that some gene mutations are linked to this condition. These mutations can run in families.
  • Dry skin: If your skin is dry, it can worsen the keratosis pilaris condition as dry skin makes it easier for keratin to accumulate near hair follicles.
  • Hormonal changes: Hormonal shifts that occur during puberty and pregnancy can influence the onset or severity of keratosis pilaris (2).
  • Side effects of medications: Keratosis pilaris can be developed as a side effect of some medications such as cancer drugs, retinoids, and diuretics (3).
  • Other health conditions: Some skin conditions such as eczema can make you more prone to keratosis pilaris. Some studies have shown that obesity can increase the risk of developing keratosis pilaris (4).

Effective Keratosis Pilaris Treatment Options

Typically keratosis pilaris cannot be completely cured. But effective treatments are available to reduce the severity of the disease and to smooth the skin. Most of these treatments focus on reducing the keratin buildup and increase skin hydration.

Before choosing a treatment plan, consult with a dermatologist to help understand your skin type and the best treatment option for you. Some of the common keratosis pilaris treatments include:

  • Keratolytics: Keratolytics are a common treatment for keratosis pilaris, a skin condition characterized by rough, small bumps typically on the arms, thighs, or cheeks. These agents work by softening and breaking down the keratin plugs that block hair follicles, leading to smoother skin. Ingredients such as salicylic acid, lactic acid, and urea help exfoliate the top layer of the skin, promoting cell turnover and reducing the buildup of keratin. Regular use of keratolytics can improve the appearance and texture of affected areas, although consistent application is essential for noticeable results.
  • Exfoliation: mild physical exfoliation with scrubs can help with removing keratin buildup. However, try to avoid rubbing too hard or using harsh chemical scrubs as they can irritate the skin and make the symptoms worse.
  • Moisturizers: Try a hydrating moisturizer to keep the skin smooth and to reduce the dryness. Products with hyaluronic acid and glycerin can help with strengthening the skin while hydrating. Products containing petrolatum and shea butter can act as barriers to lock in the moisture in the skin. Make it a habit to daily use a moisturizer, especially if you live in an area with low humidity or dry weather.
  • Medicated lotions: Moisturizers and lotions which contain ingredients such as lactic acid, glycolic acid, and salicylic acid can help to gently exfoliate the skin and reduce keratin buildup.
  • Retinoids: Retinoids can increase the cell turnover and help with keratosis pilaris. You can try over-the-counter retinoids and if they do not help, a dermatologist can prescribe a stronger retinoid.
  • Laser therapy: This can be used as the last line of defense for the treatment of keratosis pilaris. Laser therapy can reduce redness and smooth skin texture. But it will not be suitable for some skin types.
Keratosis pilaris is a chronic skin condition and it will be hard to completely get rid of it. The effectiveness of the treatment depends on many factors such as the severity of keratosis pilaris, consistency of treatment, and environmental factors such as consistent exposure to low humidity. With proper treatment regimen keratosis pilaris can be controlled. Depending on the severity of the keratosis pilaris it will take weeks to see an improvement.
As the effectiveness of the treatments depends on multiple factors it is better to consult with a dermatologist to pick the most effective treatment option for you.
Typically keratosis pilaris would not go away on their own. You can control the condition by hydrating the skin and gently exfoliating.
It would be helpful to keep your skin well moisturized and gently exfoliated to manage keratosis pilaris. Also, using the treatments consistently would help manage the keratosis pilaris.

Keratosis Pilaris Treatment in Ahwatukee, Mesa, and Phoenix, Arizona

Find expert keratosis pilaris treatment in Arizona at Saguaro Dermatology. The staff is committed to giving you top-quality care. They offer helpful resources and use advanced technology to treat many skin disorders. Our dermatologists are experienced in treating keratosis pilaris and you will be able to receive the best care customized to your skin type, affected area, and the severity of the skin condition.

Final Word on Keratosis Pilaris

Keratosis pilaris is a common, harmless skin condition where there is excessive buildup of keratin near the hair follicles leading to a bumpy skin in affected areas. Although the exact reasons for the keratin build up is not well understood, dry weather and low humidity can
worsen this condition. As Arizona has dry weather for the most part of the year, keratosis pilaris is common among people who live in Arizona. Although it is a harmless condition, it can affect the way you feel about your appearance. There are multiple over the counter and prescription treatments available for keratosis pilaris. Consult a qualified dermatologist to choose the best treatment option for you.

1. Liu F, Yang Y, Zheng Y, Liang YH, Zeng K. Mutation and expression of ABCA12 in keratosis pilaris and nevus comedonicus. Mol Med Rep. 2018 Sep;18(3):3153-3158. doi: 10.3892/mmr.2018.9342. Epub 2018 Jul 31. PMID: 30066947; PMCID: PMC6102636.
2. Jackson JB, Touma SC, Norton AB. Keratosis pilaris in pregnancy: an unrecognized dematosis of pregnancy?. W V Med J. 2004;100(1):26-28.
3. Leong WM, Aw CW. Nilotinib-Induced Keratosis Pilaris. Case Rep Dermatol. 2016;8(1):91-96. Published 2016 Apr 21. doi:10.1159/000445676
4. Boza JC, Trindade EN, Peruzzo J, Sachett L, Rech L, Cestari TF. Skin manifestations of obesity: a comparative study. J Eur Acad Dermatol Venereol. 2012;26(10):1220-1223. doi:10.1111/j.1468-3083.2011.04265.

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About Saguaro Dermatology

Our comprehensive dermatology clinic is dedicated to providing you with the highest quality of care, innovative practices, helpful resources and state-of-the-art technology to prevent and treat a multitude of skin disorders. Led by Carsten R. Hamann, MD, PhD, Dathan Hamann, MD, FAAD, Michael McBride, DO, Millard Thaler, MD, Mohs Surgeon and Jenna Wald, MD, Mohs Surgeon, our passionate team looks forward to serving you with respect and compassion.

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