What should you know about stubborn keratosis pilaris?

Keratosis pilaris forms when keratin plugs collect around hair follicles. It commonly feels rough and appears as small skin-coloured or red bumps on the upper arms, thighs, cheeks, or buttocks. Dry weather, friction, and harsh scrubbing can make texture more noticeable. It is not the same as pus-filled folliculitis, although both can affect hair follicles.

Use a gentle cleanser and apply an emollient soon after bathing. Products containing an appropriate keratolytic ingredient can loosen surface build-up; introduce them gradually if your skin stings or becomes dry. Avoid rough gloves, aggressive scrubs, and picking. A dermatologist may consider topical retinoids, a chemical peel, or another treatment when home care has not helped. Laser hair removal may be discussed if shaving-related irritation adds to the bumps.

Book an assessment if bumps are painful, itchy enough to disturb sleep, filled with pus, rapidly changing, or spreading beyond the usual areas. Review is also useful when the diagnosis is uncertain or products cause burning, cracking, or persistent redness. A clinician can check for folliculitis, eczema, or another cause of skin bumps.

Ask which moisturiser and exfoliating ingredient suit your skin, how often to apply them, and whether a retinoid or procedure is reasonable. Mention any eczema, sensitive skin, shaving irritation, or previous dark marks before starting treatment.