Conditions · Texture & Scarring

Keratosis Pilaris

Keratin plugs the follicular opening, producing rough papules on the upper arms, thighs and cheeks. Extremely common and entirely benign.

Mechanism

What is actually happening

Excess keratin accumulates in the follicle, forming a plug. The surrounding redness is inflammation around the plugged follicle rather than infection.

The distinction

How it is told apart

Frequently mistaken for acne or for a rash. It is neither, and treating it with acne actives or scrubbing generally makes the redness worse without addressing the plug.

Assessment

What is established first

Distribution, degree of associated redness, dryness and barrier status, and whether atopic tendency is present.

Approach

What is typically done

Keratolytic and barrier-supporting topicals address the plug. Where redness is the main complaint, the vascular component may be addressed separately.

When treatment waits

When it is deferred

Physical scrubbing inflames the follicle without removing the plug and is a common reason the appearance worsens.

Frequently asked

What is keratosis pilaris?

Keratin plugs the follicular opening, producing rough papules on the upper arms, thighs and cheeks. Extremely common and entirely benign.

How is keratosis pilaris told apart from similar conditions?

Frequently mistaken for acne or for a rash. It is neither, and treating it with acne actives or scrubbing generally makes the redness worse without addressing the plug.

What is assessed before treating keratosis pilaris?

Distribution, degree of associated redness, dryness and barrier status, and whether atopic tendency is present.

When is treatment deferred?

Physical scrubbing inflames the follicle without removing the plug and is a common reason the appearance worsens.

Have this assessed

Every assessment is carried out personally by Dr Sin Yong, Medical Director. 9 Scotts Road, #12-01 Pacific Plaza.

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