Papules are thought to arise from excessive accumulation of keratin at the follicular orifice. No increased mortality or morbidity is associated with this condition. Often patients are bothered by the cosmetic appearance of skin and rough gooseflesh texture. Females may be more frequently affected than males. However, keratosis pilaris may start at any age and is common in young children.
Patients often complain of rough texture, gooseflesh, and overall cosmetic appearance of their skin.
Eruption is usually asymptomatic except for occasional pruritus. Small 1-2 mm folliculocentric keratotic papules are noted. Often there is a small, coiled hair beneath the papule. Commonly involved areas include posterolateral upper arms, anterior thighs, and facial cheeks. Symptoms generally tend to worsen in winter and improve in summer.