What should you know about keratosis pilaris strawberry arms?

The nickname refers to tiny dots, a sandpaper-like texture, or darker plugs around hairs, commonly on the upper arms. The follicles may look red, brown, or close to your natural skin tone. Keratosis pilaris is not caused by poor hygiene and is not contagious. It can feel rough without being painful, although dryness, friction, shaving, or picking can make the area more irritated.

A clinician can distinguish these bumps from acne, folliculitis, or [Ingrown Hairs](/symptoms/ingrown-hairs/) when the appearance is unclear. See the broader explanation of [Keratosis Pilaris](/conditions/keratosis-pilaris/) for how this condition affects follicles.

Use a mild cleanser and warm rather than hot water, then apply a fragrance-free moisturiser while the skin is still slightly damp. Products containing urea, lactic acid, or salicylic acid may loosen built-up keratin; introduce one active product gradually and stop if burning or marked irritation develops. Avoid harsh scrubs, squeezing, and vigorous brushing, which can prolong redness.

If home care is not enough, a dermatologist may discuss [Emollient Therapy](/treatments/medical-dermatology/emollient-therapy/), [Topical Retinoids](/treatments/medical-dermatology/topical-retinoids/), or selected procedures such as a [Chemical Peel](/treatments/aesthetic-procedures/chemical-peel/). Treatment choices depend on your skin sensitivity and whether colour change is present.

Arrange a skin assessment if bumps become painful, warm, pus-filled, rapidly spreading, or intensely itchy, because those features may point to irritation or another condition. Seek prompt medical advice for facial or eye-area swelling, fever, or a rapidly worsening rash. A routine appointment is useful when the texture persists despite gentle care or affects your comfort and confidence.

Could these dots be keratosis pilaris rather than folliculitis or ingrown hairs? Which moisturising ingredient suits my skin? Should I avoid shaving or consider [Laser Hair Removal](/treatments/laser-and-energy/laser-hair-removal/)? How should I introduce a retinoid or peel safely?