What should you know about infant keratosis pilaris?

The skin may have many small, skin-coloured or pink bumps with a sandpapery texture. In babies they can appear on the cheeks, upper arms, thighs or buttocks. Dryness can make the texture more noticeable, but the bumps are not the same as pus-filled spots or an infection. Explore the general condition page for more detail on [Keratosis Pilaris](/conditions/keratosis-pilaris/) and compare similar [Skin Bumps](/symptoms/skin-bumps/).

Use short lukewarm baths, a mild fragrance-free cleanser and pat the skin dry. Apply a plain emollient soon after bathing; [Emollient Therapy](/treatments/medical-dermatology/emollient-therapy/) explains this approach. Avoid scrubbing, picking, loofahs and adult exfoliating products. Do not start retinoids, chemical peels or hair-removal procedures on an infant’s skin unless a dermatologist specifically prescribes a plan; [Topical Retinoids](/treatments/medical-dermatology/topical-retinoids/) and [Chemical Peel](/treatments/aesthetic-procedures/chemical-peel/) are not routine infant care.

Arrange medical advice if the bumps rapidly spread, become painful, warm, crusted or ooze, or if your baby seems unwell. A review is also sensible when itching disrupts sleep, the rash involves the eyes or mouth, or you are unsure whether the spots are keratosis pilaris rather than another rash. Do not treat suspected [Ingrown Hairs](/symptoms/ingrown-hairs/) at home by digging into the skin.

Ask whether the distribution and texture fit keratosis pilaris, which moisturiser suits your baby’s age, and whether any redness suggests eczema or irritation. Bring a list of products used on the area and mention any recent change in bathing, clothing or detergent.