Caring For Strawberry Skin (Keratosis Pilaris)

Those small, rough bumps that often appear on the upper arms, buttocks, thighs or cheeks have an unusual nickname — strawberry skin. The medical term is keratosis pilaris (KP), a harmless but common skin condition that can cause your skin to feel dry and bumpy.

Daniel Hekman, MD, an Indianapolis family physician with Franciscan Health, explained what causes these bumps and what you can do to manage KP. Dr. Hekman, who has a special interest in skin care, sees patients at Franciscan Physician Network Franklin Township Family Medicine.

Key Takeaways: Strawberry Skin

• Keratosis pilaris is common and harmless. Often called “strawberry skin,” this condition causes small, rough bumps that can feel dry and bumpy but aren’t dangerous.
• Gentle, consistent care helps improve skin texture. Daily moisturizing, mild exfoliation and avoiding harsh soaps can make skin smoother and less irritated over time.
• Your doctor can help if home care isn’t enough. Franciscan Health providers can recommend cleansers, creams, ointments and treatments to help manage persistent symptoms.

What Causes Keratosis Pilaris?

With KP, your skin develops bumps that resemble goosebumps. These bumps occur when keratin, a natural skin protein, clogs your hair follicles. The bumps can appear anywhere on your body where you have hair follicles.

Who Gets KP?

Doctors don’t know why keratin builds up in people with KP, but genetics often play a role. KP is especially common in:

• Children and teens (it usually fades with age)
• Individuals with asthma, hay fever or higher body weight
• People with dry skin or eczema
• Those with a family history of KP

“KP is one of those conditions that tends to run in families,” Dr. Hekman added. “If your parent or sibling has it, there’s a good chance you might, too.”

How Can I Tell If It's Keratosis Pilaris Or Something Else?

Because KP can look similar to other conditions, such as acne, eczema or even a rash, it helps to know the differences.

• Keratosis pilaris bumps are small, rough and sandpapery. They can be the color of your skin or white, red or brown. These bumps are usually not painful, although they can feel dry or itchy. KP typically appears on the upper arms, thighs, buttocks and cheeks.
• Acne causes pimples, blackheads or whiteheads that often contain pus. It most commonly appears on the face, chest or back.
• Eczema causes red, inflamed patches that can blister, ooze or cause intense itching.

“If the bumps don’t hurt or pop like pimples and don’t seem infected, KP is likely the cause,” Dr. Hekman said.

Is Keratosis Pilaris Only A Cosmetic Concern?

Dr. Hekman explains that while KP is primarily a cosmetic concern, it can cause itchiness or dryness, especially during the winter months. “Some people feel self-conscious about KP because of its appearance,” he said. “We want patients to know that while we can’t cure it, we can make it look and feel much better.”

What Are The Best Ways To Manage Keratosis Pilaris At Home?

Good daily skin care can make a big difference. Dr. Hekman recommended these steps:

• Moisturize regularly. Apply a thick, fragrance-free cream or ointment after bathing. Look for ingredients such as urea or lactic acid to help soften and smooth skin.
• Exfoliate gently. Use a mild exfoliating lotion or cleanser containing alpha hydroxy acids (AHAs), such as glycolic, lactic or salicylic acid, to help unclog pores.
• Avoid harsh soaps and hot water. Both can dry out skin and worsen KP. Choose gentle, fragrance-free cleansers and use lukewarm water.
• Use a humidifier while you sleep, especially in winter, to help prevent skin from drying out.

Some over-the-counter products work better than others in managing KP. In his practice, Dr. Hekman recommends:

• CeraVe^® SA Lotion for Rough & Bumpy Skin (contains salicylic and lactic acid)
• First Aid Beauty KP Bump Eraser Body Scrub (contains glycolic and lactic acid)

When Should I See A Doctor About Keratosis Pilaris?

For most people, KP is harmless and doesn’t require medical treatment. However, if at-home care isn’t helping or your skin becomes red, itchy or inflamed, talk to your doctor or a dermatologist. Prescription-strength creams, such as retinoids or stronger exfoliating agents, can help manage more persistent cases.

In some cases, laser treatments or chemical peels may reduce redness and improve skin texture.

“Even though KP isn’t serious, it’s always worth checking in with your doctor if you’re unsure,” Dr. Hekman said. “We can help identify what’s going on and tailor a plan that fits your skin type.”

Live Comfortably With Keratosis Pilaris

Keratosis pilaris may not completely go away, but with consistent care, its appearance often improves over time. “The key is patience,” Dr. Hekman said. “Your skin renews itself gradually, so gentle care every day goes a long way.”

If you have questions about your skin or want to explore treatment options, talk with your Franciscan Health primary care provider. Together, you can find ways to help your skin feel smoother and healthier.

Don’t wait — find a Franciscan Health doctor and request an appointment today.