Keratosis pilaris rubra: a common but underrecognized condition.
BACKGROUND
Keratosis pilaris is a common skin disorder of childhood that often improves with age. Less common variants of keratosis pilaris include keratosis pilaris atrophicans and atrophodermia vermiculata.


METHODS
In this case series from dermatology practices in the United States, Canada, Israel, and Australia, the clinical characteristics of 27 patients with keratosis pilaris rubra are described. Marked erythema with follicular prominence was noted in all patients, most commonly affecting the lateral aspects of the cheeks and the proximal arms and legs, with both more marked erythema and widespread extent of disease than in keratosis pilaris. The mean age at onset was 5 years (range, birth to 12 years). Sixty-three percent of patients were male. No patients had atrophy or scarring from their lesions. Various treatments were used, with minimal or no improvement in most cases.


CONCLUSIONS
Keratosis pilaris rubra is a variant of keratosis pilaris, with more prominent erythema and with more widespread areas of skin involvement in some cases, but without the atrophy or hyperpigmentation noted in certain keratosis pilaris variants. It seems to be a relatively common but uncommonly reported condition.
Marqueling
Ann L
AL
Department of Dermatology, University of California, San Francisco 94143-0316, USA.
Gilliam
Amy E
AE
Prendiville
Julie
J
Zvulunov
Alex
A
Antaya
Richard J
RJ
Sugarman
Jeffrey
J
Pang
Mei-Lin
ML
Lee
Phillip
P
Eichenfield
Lawrence
L
Metz
Brandie
B
Goldberg
Gerald N
GN
Phillips
Roderic J
RJ
Frieden
Ilona J
IJ
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004890:Erythema / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007642:Keratosis / Q000175:diagnosis*; D008297:Male; D011379:Prognosis