Keratosis Pilaris

Keratosis Pilaris itching

Last Updated December 20th, 2021

 

Keratosis Pilaris – The “chicken skin” syndrome

Keratosis Pilaris is a relatively mild skin condition in which tiny bump-like structures appear on the skin.  It is also called as follicular keratosis, lichen plaris, and even “chicken skin” syndrome. The small goosebumps spread across the skin make it look like sandpaper. The areas most commonly affected by this condition are upper arms, thighs, and sometimes the buttocks. It is also observed in the upper back region. It is rarely observed on the face. Keratosis Pilaris is a very common skin condition, most widely found amongst teenagers and adults. There are no serious complications to this condition. It usually disappears with age.

Most of the time, the bumps in the skin are in a dormant state. Sometimes, due to dryness, they can itch and become red and swollen. Certain other skin conditions, such as atopic dermatitis, also cause keratosis pilaris. As seasons change and air becomes devoid of humidity, keratosis pilaris tends to increase. On dark- skinned people, keratosis pilaris may resemble dark spots. It looks pinkish amongst fair-skinned people. It does not require any serious medical intervention unless the itching the swelling worsens.

 

What gives rise to these tiny skin bumps?

Keratosis Pilaris itchingKeratosis pilaris is a result of excessive keratin production from the skin. Keratin is a type of skin protein whose main function is to protect our epithelial cells from damage.  Epithelial cells form the lining of different organs in our body. Epithelial cells form a protective layer on our skin too. Thus keratin is a crucial substance in maintaining the structure of our skin. When our body produces an excess amount of keratin, it settles on the outermost layer of the skin creating these tiny bumps on the skin. This process is termed as hyperkeratinization.

The excess build-up of keratin may also block the opening of hair follicles. This leads to the formation of hard “plugs” surrounding a hair follicle, which results in “ingrown hair”.  The keratin deposits in the pores of the hair follicles and doesn’t provide enough space for the hair to grow outwards. So when you pull out an ingrown hair, it is usually in a coiled structure.

Though there are no exact known reasons behind why our skin undergoes hyperkeratinization, genetic predisposition could be one factor involved here. In many studies, keratosis pilaris is considered as an autosomal dominant inherited disorder (50% chances of acquiring from parents).

Usually ,if a direct blood relative has this tendency, then most of the other family members might also have keratosis pilaris to some extent. It is frequently seen associated with eczema, atopic dermatitis, rhinitis, asthma, and ichthyosis vulgaris. People with dry skin tend to develop this condition more. Pregnancy and childbirth also cause this condition to worsen.

 

Visible signs of keratosis pilaris

Keratosis pilaris makes the skin appear dry and like sandpaper. It occurs in patches where the bumps might be either red, white, or of skin colour. They usually resemble goosebumps, but are more permanent in nature comparatively. If the season becomes drier, they might begin to itch and swell up. It is non-contagious in nature, and not caused by a lack of personal hygiene. The number of bumps may vary anywhere between 10 to hundreds.

As mentioned earlier, ingrown hair may also be found in the areas most commonly affected by keratosis pilaris. The bumps have a pinpoint structure and make the skin look irregular. During humid conditions, the keratosis pilaris get suppressed. As temperatures drop, these start appearing again on the skin. When a skin sample having keratosis pilaris is observed under the microscope (histopathology), it usually shows the following three attributes:

  • Hyperkeratosis of the outer skin layer which makes it thick.
  • Increased number of granular cells.
  • In-grown hair with plug-like structures.

Based on the colour of the skin bumps, keratosis pilaris is further divided into three categories:

  • Keratosis pilaris rubra – Red coloured skin bumps.
  • Keratosis pilaris alba – skin bumps with no redness.
  • Keratosis pilaris rubra faceii – red skin bumps on the face.

 

Diagnosis and treatment

Since the symptoms of this condition are quite typical and straightforward, the diagnosis of keratosis pilaris is a relatively simple procedure. Mostly family physicians or paediatricians are able to detect the condition just by physically examining the bumps. If the person has a family history and/ or has dry skin, then the diagnosis becomes even much simpler. No other invasive procedure or blood tests are required to confirm the diagnosis.

Under extreme conditions, when the spread of the bumps is too large and aggravated, then skin biopsy may be performed. But such a procedure is conducted rarely. Keratosis pilaris does not cause any serious medical complications, and most of the times it doesn’t need any treatment. If the affected person wants to get rid of the bumpy-textured skin, he/she may adopt any one of these simple remedies:

  • Avoid using soap-based cleansing products as these tend to dry out the skin more.
  • Special moistures and creams which contain salicylic acid, lactic acid, or urea are beneficial in keeping skin moist.
  • Creams containing corticosteroids may also be used but only when prescribed by the doctor.
  • Gentle exfoliation done regularly will also help get rid of the excess keratin build-up.
  • Topical retinoid creams (creams containing Vitamin A) can help in reducing in-grown hair.
  • A procedure called as microdermabrasion has also shown results in clearing the skin. This is a cosmetic procedure which involves the use of tiny exfoliating crystals to smoothen out the irregularities of the skin.

 

How to prevent keratosis pilaris?

There are no known ways to prevent the onset of keratosis pilaris. The only viable options are to keep your skin well moisturized; more so in case you live in cold and dry conditions and have a similar family history.

 

Facts

  • It is a fairly common skin condition affecting nearly 30%- 50% of the entire adult population.
  • It is more widespread in teenagers, with 50% – 80% of all adolescents having this condition.

Facts

  • It affects females more than males and the young population more than old.
  • In extreme cases, laser therapy may also be used to get rid of the skin bumps.

Facts

  • Though they look similar, goosebumps and keratosis pilaris are two completely different entities.
  • Most people with keratosis pilaris have no idea it is a medically recognized skin condition.
  • It is non-contagious and medically harmless.

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Dos and Don'ts

Dos
  • Thick moisturizers such as Vaseline and Cetaphil are good for skin.
  • If you live in a dry area or your skin tends to dry out more, use a portable air humidifier at home.
  • Topical treatments take at-least 7-10 days to show the result. Don’t get impatient with the healing process.
  • Use a natural loofah to gently exfoliate your skin while bathing.
  • Natural home remedies such as oatmeal scrubs, olive oil, coconut oil, and yogurt are good for the affected skin.
Don'ts
  • Bathe in hot showers. Use lukewarm or cold water while bathing.
  • Use harsh soaps and body-wash which make the skin dry and itchy.
  • Wear tight fitting clothes as these increase friction.

 

 

 

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The Cabbage Soup Diet: The healthiest way to instant weight loss Cabbage soup diet rapid weight loss diet for those who want to shed those extra pounds in less…
liver cleanse detox
14 go-to foods that are best for a complete natural liver detox Liver cleanse can be achieved by just choosing or avoiding certain types of food. Liver itself is a detoxifying…
EEG
Electroencephalogram – EEG EEG or electroencephalogram is a diagnostic tool used to access the functioning of neurons and brain activity to…
LFT-test
Liver Function Test – LFT LFT or Liver Function Test is a blood test used to determine the levels of hepatic enzymes which…
free psa test
Free PSA Test The free PSA test is used to detect the level or percentage of free PSA in the body…
HSV-1_IGG
Herpes Simplex Virus I (HSV)-IgG Test Herpes simplex virus I(HSV)-IgG is an Immunoglobulin protein that acts as an antibody & stays in the blood…
AHBC Igm
Anti-Hepatitis B Core Antigen (AHBc) IgM Anti-hepatitis B core antigen (AHBC) IgM is an investigative procedure to detect the presence of IgM antibodies in…
sleep deprivation
Don’t let your sleep deficit grow into memory loss or heart attack Why is sleep important for us? How could sleep deprivation harm you? We bet you didn't know about…
Jack in the box fast food
Jack In the Box : The perils of surging fast food culture in the USA Jack in the Box - How a culture of fast-food can clog your arteries, weaken your heart, fatten…
Cottage cheese: What can you find in this healthy chunk of fresh milk cheese? Love cheese but scared of putting on extra pounds? With cottage cheese, you can get the best of…
Find all the instant ways to get rid of blackheads Blackheads - Not only are they aesthetically unappealing but if left untreated these can cause bacterial overgrowth on…
General adaptation syndrome: Understanding stress, one step at a time The struggle of the body to produce hormones during a stressful situation is the main theme of general…
Inversion Therapy: The anti-gravity way of healing chronic back pain Inversion therapy involves suspending a person upside dow using different types of equipment. This works by taking the…
sodium chloride
Halotherapy: How inhaling salt can work wonders for your body Halotherapy is quickly gaining popularity amongst those with respiratory diseases. It has shown promise in its treatment.
11 unbelievable health benefits of thyme you didn’t know! Thyme is a herb that has been used in alternative medicine.It is a well known seasoning in the…
Bubble Tea: Bubbling with nutrition or a hidden sugar mine? The tapioca pearls present in the tea looks like bubbles and hence the name bubble tea became popular.…
reflexology massage
Top reasons why you should go for a reflexology massage today Reflexology involves the application of pressure to your feet and hands to encourage self-healing. Could this be beneficial…