Keratosis pilaris is a common skin condition in which a protein in the skin called keratin forms hard plugs within hair follicles.
Symptoms may include:
- Small bumps that look like "goose bumps" on the back of the upper arms and thighs
- Bumps feel like very rough sandpaper
- Skin-colored bumps are the size of a grain of sand
- Slight pinkness may be seen around some bumps
- Bumps may appear on the face and be mistaken for acne
Exams and Tests
The health care provider can usually diagnose this condition by looking at your skin. Tests are usually not needed.
Treatment may include:
- Moisturizing lotions to soothe the skin and help it look better
- Skin creams that contain urea, lactic acid, glycolic acid, salicylic acid, tretinoin, or vitamin D
- Steroid creams to reduce redness
Improvement often takes months, and the bumps are likely to come back.
Keratosis pilaris may fade slowly with age.
When to Contact a Medical Professional
Call your provider if the bumps are bothersome and do not get better with lotions you buy without a prescription.
Correnti CM, Grossberg AL. Keratosis pilaris and variants. In: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, eds. Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 5th ed. Philadelphia, PA: Elsevier; 2018:chap 124.
Patterson JW. Diseases of cutaneous appendages. In: Patterson JW, ed. Weedon's Skin Pathology. 5th ed. Philadelphia, PA: Elsevier; 2020:chap 16.
Last reviewed on: 9/30/2019
Reviewed by: Michael Lehrer, MD, Clinical Associate Professor, Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.