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Keratosis pilaris on kids may cause dry and rough patches and tiny bumps on the skin. Although not harmful, these skin lesions may cause itching. The condition can often be seen on the face, neck, legs, thigh, and buttocks.
Keratosis pilaris is a common skin condition, and the affected skin may have a chicken skin-like appearance and is often called “chicken skin.” Seek pediatric attention if you suspect keratosis pilaris in your child.
Read on to know the causes, symptoms, and treatment of keratosis pilaris on children.
What Does Keratosis Pilaris Look Like?
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In this condition, the skin looks like when you have goosebumps. The tiny bumps may appear whitish red or brownish-black based on the color of your skin. The skin would feel dry and rough like sandpaper or chicken skin.
Causes Of Keratosis Pilaris In Children
Keratosis pilaris is caused due to the blockage of the skin pores due to the excess production of keratin. The clogged pores block the growth of hair follicles, resulting in small bumps on the skin. Although the exact cause of keratin build-up is unknown, it is believed to be hereditary (1).
Who Is At A Risk Of Developing Keratosis Pilaris?
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This condition is found in people of all ages. However, most people get this condition before two years of age or during their teenage years (2). The condition is also known to affect 50 to 80% of adolescence (3).
Sometimes, it is also seen as a secondary condition in children with eczema or atopic dermatitis (4). Children with the following factors could also be at a higher risk of developing keratosis pilaris (3).
- A family history of the condition
- Asthma
- Dry skin
- Obesity
Symptoms Of Keratosis Pilaris
The symptoms of the condition could differ in different children. Here are some common symptoms of keratosis pilaris.
- Small, hard bumps on the upper arms, things, buttocks, and sometimes, cheeks
- Bumps with pale, dry skin scales on top
- Bumps within the hair from the follicle
As these symptoms may also resemble other skin conditions, consult your healthcare provider for the exact diagnosis.
Diagnosis Of Keratosis Pilaris In Children
Your child’s doctor would do a physical examination to identify keratosis pilaris. They may also ask about your family and child’s medical history.
In some rare cases, a small sample of the skin may be sent for examination if the physical examination fails to prove the diagnosis.
Complications Of Keratosis Pilaris In Children
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Keratosis pilaris is a non-contagious and harmless skin condition that may not cause any severe health issues or complications in children. However, it may cause the skin to become dry and flaky. Also, older children and teenagers may feel self-conscious and embarrassed due to the tiny bumps. Most medical practitioners consider the condition as more of a cosmetic problem than a health condition.
Treatment For Keratosis Pilaris
Although there is no permanent treatment for keratosis pilaris, the symptoms can be managed. In most children, keratosis pilaris goes away on its own with age. However, if the symptoms recur often or if the condition affects your child’s self-image, it is best to take your child to your pediatrician.
Your doctor may prescribe creams and lotions containing alpha hydroxy acid, salicylic acid, lactic acid, urea, or tretinoin, which might reduce the bumps. Moisturizing the affected areas regularly by applying moisturizer may also help prevent it (4).
Home Care Treatments For Keratosis Pilaris
As keratosis pilaris can be a long-term condition, you can use certain home care treatments after consultation with your child’s doctor.
- Short and warm baths might help unclog or loosen the pores of the skin. Do not let your children take longer baths, as they may strip the body’s natural oils.
- While giving a bath, gently exfoliate your child’s skin using a soft loofah or a slightly rough washcloth to remove the dead skin cells. Avoid over-scrubbing the skin as it might aggravate your child’s condition. Even natural sugar can be a mild exfoliant.
- Make it a habit to moisturize your child’s skin often to prevent it from becoming dry.
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- If your teenager has started waxing or shaving, ask them to take a break from waxing until the symptoms subside, as waxing can cause a flare-up.
- Ensure your children do not wear tight clothes as it might cause friction and irritate the skin.
- Using a dehumidifier can help keep your child’s skin from drying. Also, instruct your children to drink a sufficient amount of water every day.
- Omega-3 fatty acids are said to be skin-friendly. Make sure you include these healthy fats in your child’s diet.
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Frequently Asked Questions
1. At what age does keratosis pilaris disappear?
If a child develops keratosis pilaris in childhood, its symptoms will usually resolve by adolescence. However, occasional flare-ups may occur during puberty. On the other hand, if the condition develops during the teenage years, it will clear up when they reach their 20s (2).
2. Does diet affect keratosis pilaris in children?
Although scientific studies do not show the relationship between keratosis and diet, patients may be suggested to follow a gluten-free diet and consume more sources of essential fatty acids, such as fish and nuts, for relief from the condition (5).
Keratosis pilaris in kids occurs due to keratin build-up in skin pores. The otherwise harmless condition causes pale, scaly, and itchy bumps to appear on the skin. It usually does not require treatment and may fade away with age. However, it may be a cosmetic problem that can cause low self-esteem in children and adolescents. Make sure you explain the condition to your child and help them establish a skin-care routine to keep it under control, especially in cold and dry weather conditions. Check with a dermatologist about suitable topical preparations or home remedies for managing the symptoms.
Key Pointers
- Dry skin and tiny red or brownish-black bumps on the skin are signs of keratosis pilaris in children.
- It could be seen as an additional condition in children with eczema.
- To diagnose keratosis pilaris, a doctor would perform a physical examination and refer to the child’s medical and family history.
- There is no treatment for keratosis pilaris, but the medications aim to reduce the symptoms.
- Constant moisturizing, gentle skin exfoliation, and warm water baths may temporarily relieve the symptoms.
References:
2. Keratosis Pilaris: Who Gets and Causes; American Academy of Dermatology Association
3. Keratosis Pilaris; Cleveland Clinic
4. Keratosis Pilaris (KP); Stanford Children’s Health
5. Gluten Causes Keratosis Pilaris(a.k.a. “chicken skin”): Fact or Myth?; Celiac Community Foundation Of Northern California
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