Keratosis Pilaris

Keratosis pilaris is a common condition caused by a build-up of keratin, a normal skin protein, within hair follicles. This leads to blockage of the follicle opening and the appearance of small, rough bumps on the skin.

The condition is harmless and does not represent infection or poor hygiene.

Keratosis pilaris occurs when excess keratin blocks hair follicles. It is more common in people with:

• Dry or sensitive skin

• Eczema or a history of eczema

• A family history of keratosis pilaris

The condition often becomes more noticeable in colder or drier weather.

Keratosis pilaris may cause:

• Fine, rough bumps on the skin

• Dryness or mild redness

• Occasional itch, particularly in drier conditions

The bumps are usually painless. Squeezing or picking is not recommended, as this may increase irritation or lead to scarring.

Medical review may be helpful to:

• Confirm the diagnosis

• Exclude other skin conditions

• Discuss appropriate skincare and treatment options

• Address associated eczema or sensitive skin

Diagnosis is usually made clinically during a skin examination. Keratosis pilaris is often identified incidentally when the skin is examined for other concerns. Further tests are not usually required.

There is no cure for keratosis pilaris, but symptoms often improve gradually with age, particularly after adolescence.

Management focuses on long-term skin care, which may include:

• Regular moisturising

• Use of topical preparations containing ingredients such as urea, salicylic acid, lactic acid, or glycolic acid

• Gentle skin care routines that avoid irritation

In selected cases, additional treatments may be considered following specialist assessment. Long-term improvement usually relies on consistent maintenance rather than short-term treatment.

Dermatologists are trained to diagnose common benign skin conditions and provide realistic, evidence-based guidance. Specialist review helps ensure appropriate diagnosis, avoids unnecessary treatments, and supports long-term skin care strategies.

At Ready Dermatology, North Shore Health Hub, St Leonards, our dermatologist supports patients with keratosis pilaris by confirming the diagnosis, addressing associated skin conditions, and guiding practical, long-term skin care to improve comfort and texture over time.