Keratosis Pilaris: Causes, Symptoms & Effective Treatments for Chicken Skin

December 3, 2024

Dr. Shraddha Pitalia

3 min read

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A young boy with keratosis pilaris on hand

Have you ever noticed small, rough bumps appearing on your arms, thighs, or cheeks? These tiny raised little spots often resemble goosebumps or “chicken skin,” and while they are harmless, they can make you feel self-conscious. If you’ve been dealing with these stubborn bumps and wondering how to get rid of them, you’re not alone. These skin imperfections are commonly caused by a condition known as keratosis pilaris (KP), which affects many individuals of all ages. But don’t worry; there are effective ways to manage and treat it. If you are tired of wondering how to smooth your skin and eliminate those annoying bumps, keep reading. This blog will discuss what exactly is keratosis pilaris, its symptoms, causes, treatment options, and helpful tips.

What is Keratosis pilaris?

Keratosis pilaris, also called KP or chicken skin, is a skin condition that leads to the development of small, rough bumps on the skin in specific areas like the upper arms, thighs, cheeks, and sometimes the buttocks. These bumps are caused by an excess buildup of keratin, a protective protein in the skin. In those with keratosis pilaris, keratin clogs the hair follicles, resulting in these noticeable bumps. It is most frequently observed in individuals with dry skin or those who have other skin issues like eczema, melanoma, and atopic dermatitis.

Keratosis Pilaris causes?

The exact cause of keratosis pilaris is not fully known, but some factors contribute to its development. Let’s explore the potential causes of keratosis pilaris:

  • Excess Keratin Production: Keratosis pilaris is caused when there is an overproduction of keratin, which can clog hair follicles and result in small, raised bumps. This buildup of keratin is the main reason behind the characteristic chicken skin appearance.
  • Genetic Predisposition: It often runs in families. If someone in your family has a history of KP or keto pilaris, you may be more likely to develop it as well.
  • Dry Skin: Individuals with dry or sensitive skin are at a higher risk of experiencing keratosis pilaris. When the skin does not retain moisture, it can worsen the condition, leading to blocked hair follicles due to hardened keratin.
  • Hormonal Changes: Fluctuations in hormones, such as those that occur during puberty or pregnancy, can also contribute to the onset of keratosis pilaris. These hormonal fluctuations can boost keratin production, resulting in clogged hair follicles.
  • Other Skin Conditions: Certain skin issues, like eczema, can increase the chances of developing keratosis pilaris. People with eczema often have a compromised skin barrier, making them more vulnerable to flare-ups of keratosis pilaris.

Types of Keratosis Pilaris

Keratosis pilaris or keto pilaris can present in different forms, depending on the appearance and location of the bumps. The main types include:

  • Keratosis Pilaris Rubra: This type is marked by red, inflamed bumps, typically found on the arms, legs, and scalp.
  • Keratosis Pilaris Alba: Characterized by rough, non-irritated bumps, this form of Keto pilaris lacks inflammation but still creates a noticeable texture on the skin.
  • Keratosis Pilaris Rubra Facelli: A reddish rash, with or without bumps, appears on the cheeks, indicating keratosis pilaris on the face.

Keratosis Pilaris Symptoms

If you suspect you have chicken skin or small bumps on your skin, it is important to understand its symptoms. This is what you should be on the lookout for.

  • Small, Sand-like Bumps: These small bumps on the skin are typically the size of a grain of sand, often appearing on the arms, legs, or other areas.
  • Rough Texture: The skin feels rough, resembling sandpaper, due to the keratin buildup in the hair follicles.
  • Varied Bump Colors: The color of the bumps can range from your natural skin tone to white, pink, red, brown, or even black, depending on your complexion.
  • Redness Around Bumps: Inflammation or redness may surround the bumps, making them more noticeable.
  • Inflamed Bumps: The bumps may become swollen or inflamed, causing irritation.
  • Itchiness: Some individuals may experience itching or discomfort in the affected areas.
  • Trapped Hair: A small, coiled hair may be embedded in the bump, adding to the irritation.
  • Dry Skin: The skin may appear excessively dry, further aggravating the condition.
  • Seasonal flare-ups: Keto pilaris symptoms can become more pronounced in colder months due to dry air.
  • Skin Discoloration: Scratching or picking at the bumps may lead to hyperpigmentation (dark spots) or hypopigmentation (light spots) as the skin heals.

Understanding the specific types and symptoms of keto pilaris is the first step in managing and treating this common skin condition.

How to get rid of keratosis pilaris: Effective treatment options

Keratosis pilaris is a chronic skin concern that has no cure, but several effective treatments help alleviate its symptoms and improve the appearance of your chicken skin. The bad news is that many individuals do not even recognise this condition; they approach a dermatologist to treat these small bumps.

Gentle Exfoliation

Exfoliation plays a crucial role in managing chicken skin. By eliminating dead skin cells and preventing clogged pores, you can reduce the appearance of bumps on your skin. Consider using chemical exfoliating creams and scrubs that contain ingredients that dissolve dead skin cells and improve skin texture.

  • Salicylic Acid: This beta-hydroxy acid (BHA) penetrates the pores to break down keratin buildup and reduce inflammation.
  • Glycolic Acid: An alpha-hydroxy acid (AHA) that aids in removing dead skin cells and enhancing skin texture.
  • Lactic Acid: A milder exfoliant that not only hydrates but also smooths the skin while helping to diminish the appearance of keratosis pilaris.

Consult with a dermatologist to determine the appropriate strength and frequency of use.

Topical Treatments

Dermatologist-recommended topical treatments can be very effective for managing these small bumps on the skin. These treatments usually contain active ingredients that address the buildup of keratin and enhance skin texture:

  • Topical Retinoids: Retinoic acid such as tretinoin can promote skin cell turnover and help reduce the formation of keto pilaris.
  • Steroid Creams: Low-potency corticosteroid creams can alleviate inflammation and irritation linked to keratosis pilaris, providing relief to the skin.
  • Urea Creams: Urea works to soften and break down keratin, making it a useful option for treating keratosis pilaris bumps.

Topical retinoids can irritate your skin and cause side effects. Always consult a dermatologist before using them.

Moisturisers

For individuals with dry skin, our dermatologist at Evenly Clinic recommends thick, hydrating moisturising creams that contain ingredients like ceramides, urea, lactic acid, shea butter, and hyaluronic acid.

Laser Treatments

Laser treatments, such as laser hair removal, fractional CO2, and Q-switched lasers, provide effective options for managing keto pilaris and related pigmentation issues. It focuses on hair follicles, which helps reduce keratin buildup and prevents the formation of bumps. The fractional CO2 laser works by exfoliating the skin and stimulating collagen production, leading to improved texture and reduced roughness while also addressing pigmentation problems like dark spots. The Q-switched laser is particularly effective for breaking down excess melanin, helping to reduce pigmentation around the bumps. Together, these treatments help to smooth the skin, minimise bumps, and correct discoloration, offering long-lasting results for those dealing with keto pilaris.

Chemical Peels

Chemical peels made of glycolic acid, kojic acid, salicylic acid, and lactic acid help to improve the appearance of keratosis pilaris by exfoliating the skin deeply, making a smooth skin. These chemical peels not only remove the dead skin cells but also encourage collagen production.

None of the treatment solutions is considered the best keratosis pilaris treatment, as consistent application or sessions are required to sustain the results.

Diet suggestions to manage keto pilaris

A balanced diet can help manage those bumps on the skin by providing essential nutrients that promote skin health, reduce inflammation, and enhance skin texture. Here are some dietary recommendations to help minimise the appearance of keratosis pilaris:

  • Vitamin A-rich foods: Vitamin A is vital for skin cell turnover and may help in reducing the buildup of keratin in hair follicles. Incorporate foods such as carrots, sweet potatoes, spinach, and kale into your meals.
  • Omega-3 Fatty Acids: With anti-inflammatory properties, omega-3 fatty acids can help calm irritated skin. Good sources of omega-3 include fatty fish like salmon, walnuts, chia seeds, and flaxseeds.
  • Vitamin D: Insufficient vitamin D levels can lead to skin issues, making it important to maintain adequate levels. Spend time outdoors in the sunlight and include foods like fortified dairy products, eggs, and mushrooms in your diet, or consider taking a supplement if necessary.
  • Vitamin E: Vitamin E is beneficial for skin health as it protects cells from oxidative damage. Foods high in vitamin E include nuts (such as almonds and sunflower seeds), avocados, and leafy green vegetables.
  • Zinc: Zinc helps in healing and reduces skin inflammation. Incorporate foods like pumpkin seeds, chickpeas, lentils, and lean meats into your diet.
  • Antioxidant-rich Fruits and Vegetables: Antioxidants help alleviate oxidative stress, which can worsen skin conditions. Blueberries, strawberries, oranges, and leafy greens are excellent sources of antioxidants.

Prevention and Postcare Tips for Keratosis Pilaris

  • Use the above-mentioned moisturisers to keep your skin hydrated and prevent dryness.
  • Avoid scratching and picking up the bumps, as it can irritate or lead to scaring.
  • Try to limit high-sugar and processed foods, which can increase inflammation.
  • Avoid taking hot showers that strip natural oils of skin and opt for Luke instead.
  • Use gentle scrubs for exfoliation that remove keratin. Prefer products with salicylic acid for smoother skin.
  • Avoid wearing tight clothing and opt for loose-fitting options.

Keratosis pilaris can be challenging to manage. There is no permanent cure for this skin concern, but several treatment options can help reduce the appearance of chicken skin. With a combination of consistent exfoliation, moisturizing, and targeted treatments, you can achieve the flawless skin you have always wanted.

If you are struggling with chicken skin or need personalized advice on managing your skin condition, don’t hesitate to reach out to us today. Our dermatologists are committed to helping you reach your skincare objectives.

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Frequently Asked Questions

It occurs when keratin, a protective skin protein, clogs hair follicles, resulting in rough patches.

No, it is not contagious. This condition is genetic and cannot be transmitted from one person to another.

There is no complete cure for keratosis pilaris, but various treatments can help manage and improve its appearance.

Yes, chemical peels that contain glycolic or lactic acid can effectively exfoliate the skin and improve its texture.

Yes, hot showers can strip moisture from the skin. It is better to use warm water and apply moisturiser immediately after bathing.

Yes, keratosis pilaris often starts in childhood and may become more prominent during the teenage.

We hope this information is helpful. If you have any skin and hair-related questions or would like to discuss personalized solutions, please reach out to us at 7337899030. Our team of experts is dedicated to providing personalized care that meets your unique needs. Take the first step towards a healthier, more confident you by scheduling a consultation with us today. Your journey to vibrant skin and stronger hair begins here.

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