Many patients come to us with concerns of rough and bumpy skin on the backs of the upper arms and thighs. This condition was called Keratosis Pilaris (KP), commonly referred to as “gooseflesh” or “chicken skin.” It occurs due to retention of keratin at the follicular opening and is commonly seen in individuals with dry skin or underlying eczema. Although we don’t fully understand the cause, it is thought to have a genetic component as there is often a family history of the condition. KP tends to be more prominent in winter months, this is likely due to reduced humidity in the air.
KP can be clinically diagnosed by your dermatology provider. General treatment measures focus on exfoliating the skin and opening clogged hair follicles. Topical keratolytics or prescription vitamin A topical therapies are commonly recommended. Look for moisturizing creams which contain urea, salicylic acid, lactic acid or alphahydroxy acids. It is important to protect the skin barrier and prevent excessive dryness. Avoidance of harsh soaps in favor of gentle, moisturizing cleansers is preferred.
It is important to understand KP is a chronic condition and therefore continued maintenance treatment may be necessary to prevent the recurrence of rough and bumpy skin.
Recommend Products for Keratosis Pilaris:
If these pro tips are not enough to help restore your rough and bumpy skin, schedule an appointment with one of our board-certified providers.
About the Author: Lori Arndt, PA-C, is a dermatology physician assistant at DermDirect in Eau Claire, Wisconsin.
