Keratosis pilaris in older adults

Keratosis pilaris produces small, rough bumps centred on hair follicles, often on the upper arms or thighs. With age, skin can become drier and less tolerant of strong exfoliation, so a familiar texture may become more noticeable. A new eruption should not automatically be labelled keratosis pilaris: eczema, folliculitis, medication reactions, and other lesions can resemble it.

Tell the clinician when the bumps began, whether they itch or hurt, and which medicines or skin products are involved. Ingrown hairs can add isolated tender bumps, particularly after shaving.

Use a mild cleanser, short warm showers, and a plain emollient after washing. If the skin tolerates it, a low-irritation lotion containing urea or lactic acid may soften roughness. Add only one active product at a time and pause it if burning, cracking, or marked redness develops.

A dermatologist may consider topical retinoids, a chemical peel, or laser hair removal when follicle irritation is linked to unwanted hair. Treatment selection should account for thin or fragile skin, wound healing, other medicines, and a history of dark marks or raised scars.

Have new, asymmetric, bleeding, crusted, rapidly growing, or persistently painful bumps examined. Seek prompt care for spreading warmth, pus, significant swelling, or fever. Arrange a routine review if itch disrupts sleep, skin breaks down, or a moisturising routine has not improved the texture.

Ask whether the appearance fits keratosis pilaris, which products are suitable for your skin barrier, and whether a current medicine could be contributing to dryness or rash. Ask how to monitor a changing spot and whether a procedure is appropriate for your healing and pigment history.