Keratosis Pilaris (cont.)

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Who gets keratosis pilaris?

Anyone can get KP. Although it is commonly a skin condition of children and adolescents, it is also seen in many adults. KP is estimated to affect between 50% of all adolescents and approximately 40% of adults. Females may be more frequently affected than males. Age of onset is often within the first 10 years of life and may worsen during puberty. However, KP may begin at any age. A large percentage of patients have other people in their family with the same condition. It has been commonly been seen in twins. KP is also seen in atopic dermatitis patients and patients with very dry skin.

What is the prognosis of patients with keratosis pilaris?

Overall, KP tends to be a chronic skin condition periodically becoming worse or better. KP is a benign, noncontagious, self-limited skin condition that tends to be mild. KP frequently improves with age in many patients. Many patients note improvement of their symptoms in the summer months and seasonal flares in colder winter months. More widespread, atypical cases of KP may be cosmetically distressing.

Will I eventually outgrow keratosis pilaris?

KP usually improves with increasing age. KP may even spontaneously clear completely after puberty. However, more frequently the condition is chronic with periodic exacerbations and improvements. Many adults still have the skin condition into their 40s and 50s.

Does keratosis pilaris affect the entire body?

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Although possible, it is fairly rare to have KP all over the body. The lesions in keratosis pilaris most characteristically involve the back of the upper arms. Other common locations include the thighs and buttocks and occasionally the face. It does not affect the eyes, mouth, palms, or soles.

Reviewed by William C. Shiel Jr., MD, FACP, FACR on 6/4/2012

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