GP Quiz 6 - Case 1.
This teenager is embarrassed by her rough red cheeks. Moisturizers and anti-acne preparations have not helped.
What is this condition?
This is facial keratosis pilaris, which is given various names depending on the appearance and subsequent atrophy. These include keratosis pilaris atrophicans faciei, ulerythema oophyrogenes (when eyebrows are affected), and atrophoderma vermiculata (when honeycomb scarring arises).
What other areas should be examined?
The upper arms and thighs are the most common sites to be affected by keratosis pilaris. Horny keratinous plugs surround vellous hairs in these areas. There may be surrounding erythema.
Is there any useful treatment?
There appears to be no very successful treatment. Various keratolytic regimes have been recommended but are generally disappointing. Topical tretinoin or oral isotretinoin are occasionally helpful but may also aggravate keratosis pilaris.
This quiz was originally published by ADIS International in June 1998


