Q: What is Follicular Keratosis and how to manage it?

Follicular keratosis (keratosis pilaris) is a common keratinization disorder of the hair follicles, often referred to as “chicken skin.” The severity of follicular keratosis varies: for some, it manifests as barely noticeable skin-colored bumps, while for others, it presents as pink or red bumps. These bumps most commonly appear on the neck, arms, legs, and cheeks. Follicular keratosis is closely linked to other skin conditions, such as atopic dermatitis or ichthyosis. This is understandable since its cause, like that of atopic dermatitis, is believed to be a mutation in the skin protein filaggrin.

Follicular keratosis usually first appears in childhood or early adolescence and can persist into adulthood. The condition often worsens in winter due to increased skin dryness and friction from tight or coarse fabrics. Many women also notice a worsening during pregnancy.

But there is good news! As you age, follicular keratosis typically gradually fades away.

How to Help?

First and foremost, use only gentle cleansing products and regularly moisturize your skin. The more severe the dryness, the more pronounced the bumps. The first line of therapy for follicular keratosis is keratolytics and emollients. That is, products that combine salicylic acid with a moisturizing agent are exactly what you need. Urea has shown good results as a moisturizer. Stay informed!