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Keratosis Pilaris

Keratosis pilaris (KP), often nicknamed chicken skin, is a common yet frustrating skin condition that leaves many people searching for answers and relief. While this condition is not harmful, its rough, bumpy texture can impact comfort and confidence. 

At Âé¶¹´«Ã½, our board-certified experts specialize in diagnosing and treating conditions like keratosis pilaris, offering personalized care and proven solutions to help you achieve smoother, healthier skin.

What Is Keratosis Pilaris?

Keratosis pilaris is a common skin condition that typically occurs on the upper arms, thighs, cheeks, or buttocks. It’s caused by a buildup of keratin, which clogs hair follicles and creates a sandpaper-like texture. This condition can affect individuals of any age, and since it is hereditary, there is no method of prevention.

Often called chicken skin, the condition gets its nickname from the way affected areas resemble plucked poultry—bumpy and slightly red or flesh-toned. This condition worsens in dry or winter weather but can persist year-round. Although it may improve over time, many individuals benefit from expert care to effectively manage their symptoms.

Keratosis Pilaris Symptoms

Keratosis pilaris are usually easy to spot, especially if you're familiar with common skin texture issues. It often appears as clusters of small, rough bumps that may be flesh-toned, red, or slightly inflamed. These are sometimes mistaken for acne or a rash, but are typically painless and not contagious.

That said, can keratosis pilaris be itchy? In some cases, yes. While not everyone experiences itchiness, the dryness that often comes with the condition can cause mild irritation. It’s also important to ask: What can be mistaken for keratosis pilaris? Similar skin conditions like eczema may present with red bumps, so a proper diagnosis is essential. Understanding the symptoms and causes of keratosis pilaris can help guide treatment and self-care. 

Common keratosis pilaris symptoms may include:

  • Small, rough bumps that resemble goosebumps or sandpaper
  • Dry or flaky patches of skin surrounding the bumps
  • Blotchy or uneven in tone
  • Bumps that are most noticeable on the upper arms, thighs, cheeks, or buttocks
  • Bumps that don’t respond to typical acne or rash treatments

Causes of Keratosis Pilaris

The most common cause of chicken skin is a buildup of keratin, a natural protein that helps protect the skin from infection and environmental damage. While the exact reason for this buildup isn’t fully understood, it’s believed to be related to genetic factors, meaning the condition often runs in families.

In addition to genetics, several factors may trigger or worsen keratosis pilaris symptoms, including:

  • Having fair or dry skin
  • Existing conditions like eczema, diabetes, or obesity
  • Keratosis pilaris vitamin A deficiency, which may contribute to skin dryness and keratin buildup
  • Seasonal changes—especially during cold, dry months
  • Hormonal changes, such as during puberty or pregnancy
  • Genetic predisposition

It’s also worth noting the common misconception about the keratosis pilaris gluten relationship. While some people with gluten intolerance develop a rash that looks like chicken skin, this is typically dermatitis herpetiformis, not keratosis pilaris. There is no proven link between gluten intolerance and keratosis pilaris.

Preventing Keratosis Pilaris

While keratosis pilaris can’t always be completely prevented, several lifestyle habits can help minimize flare-ups and keep your skin feeling smooth. Simple changes in your daily routine can make a big difference in managing the condition. These tips can help prevent irritation and improve the texture of your skin. The following are some ways to prevent chicken skin. 

  • Use lukewarm water instead of hot water when showering to avoid drying out the skin.
  • Gently exfoliate with mild products containing salicylic acid or lactic acid to prevent keratin buildup.
  • Moisturize regularly to keep the skin hydrated and prevent dryness.
  • Avoid tight clothing that can cause friction and irritation on the affected areas.
  • Refrain from scratching the bumps, as this can exacerbate keratosis pilaris symptoms.
  • Keep your skin cool and avoid excessive heat, which can exacerbate flare-ups.
  • Use a gentle, non-drying soap to avoid irritating the skin during cleaning.
  • Apply topical retinoids (as recommended by a dermatologist) to promote cell turnover and smooth skin texture.
  • Pay attention to dietary factors—nutrient-rich foods and adequate hydration may support overall skin health.

When to See a Dermatologist?

At Âé¶¹´«Ã½, our team specializes in helping patients understand and manage skin texture concerns like chicken skin with expert care and long-term solutions. While chicken skin doesn't pose any health risks, you should consider seeing a dermatologist if:

  • The bumps are persistent and not improving with over-the-counter treatments
  • The condition is causing discomfort, redness, or itching
  • You’re unsure whether the bumps are actually keratosis pilaris or another skin issue
  • You’d like a personalized treatment plan or professional-grade options

How Is Keratosis Pilaris Diagnosed?

Keratosis pilaris is typically diagnosed through a by a dermatologist, who will assess the appearance of the skin and identify common symptoms like small, rough bumps. During your consultation, your dermatologist will review your medical history, address concerns or triggers, and recommend a personalized keratosis pilaris treatment plan.

Treatment for Keratosis Pilaris

While there is no permanent cure for this condition, effective keratosis pilaris treatments can help manage the condition and improve the skin’s appearance. For mild cases, is often sufficient, including gentle exfoliation with containing salicylic acid or lactic acid and regular hydration to keep the skin soft. Using mild soaps and lukewarm water may also help avoid irritation. However, scratching or popping the bumps is discouraged, as it can worsen the condition. Common prescription treatment options for this condition may include:

  • Medicated Creams or Lotions with 12 Percent Ammonium Lactate: These formulations aim to soften the affected skin, helping to reduce the prominence of the bumps and improving overall skin texture.
  • Moisturizers with Urea: Urea-containing moisturizers are used to hydrate the skin and assist in loosening and removing dead skin cells. This can contribute to a smoother appearance of the affected areas.
  • Topical Corticosteroids: Topical corticosteroids may be prescribed for short-term and temporary relief of symptoms, such as itchiness and inflammation. These medications help to reduce redness and discomfort associated with keratosis pilaris.
  • Topical Retinoids: Topical retinoids, derived from vitamin A, work by increasing cell turnover. By promoting the shedding of dead skin cells, they help prevent the plugging of hair follicles, reducing the formation of bumps. It's important to note that these medications may cause skin sensitivity and should be used under the guidance of a healthcare professional.

For more persistent cases, professional keratosis pilaris treatment options include topical retinoids, chemical peels, laser therapy, and dermabrasion. These treatments help reduce keratin buildup and smooth rough skin. If you're wondering how to get rid of keratosis pilaris for good, a dermatologist can recommend a personalized keratosis pilaris treatment plan.

Treat Keratosis Pilaris With Âé¶¹´«Ã½

If you're dealing with keratosis pilaris or have concerns about your skin, Âé¶¹´«Ã½ is here to help. Our experienced dermatologists can provide personalized keratosis pilaris treatment plans to effectively manage your condition.

Schedule a consultation with one of our specialists today, explore our skincare resources, and discover featured products for keratosis pilaris to support your skin’s health. Take the next step toward smoother, healthier skin with Âé¶¹´«Ã½.

Keratosis Pilaris FAQs

No, this condition is not contagious. It’s a common, harmless skin condition caused by a buildup of keratin that blocks hair follicles. You can’t catch it from someone else or spread it through skin contact. It's often inherited and tends to run in families.

Keratosis pilaris is usually not painful, but it can sometimes feel itchy or irritated, especially if the skin is dry. The bumps are harmless and typically don’t cause discomfort, although scratching or aggressive exfoliation may lead to redness or sensitivity. Using gentle moisturizers can help relieve any itchiness.

Yes, this condition often improves with age and may go away on its own over time, especially in adulthood. Many people see a natural reduction in symptoms by their 30s. However, the condition can be persistent and may come and go, especially in dry or cold weather. Regular skincare can help manage it.

Keratosis pilaris cannot be completely cured, but can be managed effectively with consistent skincare. Keratosis pilaris treatments, such as exfoliating acids, moisturizing creams, and gentle skincare routines, can help reduce the appearance and texture of the bumps. While it may fade over time, especially with age, flare-ups can still occur, particularly in dry weather.

Keratosis pilaris appears as small, rough bumps on the skin, often described as "chicken skin." These bumps are typically flesh-colored, red, or white and usually appear on the upper arms, thighs, cheeks, or buttocks. The skin may feel dry or sandpaper-like in the affected areas.

There’s no direct scientific evidence linking gluten intolerance to KP, but some people with celiac disease or gluten sensitivity report improvement in their skin after eliminating gluten. In rare cases, chicken skin may be associated with nutritional deficiencies (like vitamin A), which can be linked to malabsorption in celiac disease. However, for most people, gluten is not a known trigger.