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Keratosis Pilaris
Question of the Week

By Vincent Iannelli, M.D., About.com

Updated October 28, 2004

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Q. My 4 yr old has what appears to be a type of acne on his cheeks. It's only on his cheeks and has been there for 2-3 years. Sometimes it clears up but it always comes back. Is this acne, or a food allergy or something else I should be concerned about? He has no other apparent symptoms and is a very healthy little boy. Trisha, Bartlett, Texas

A. That really isn't an age when kids get acne, so it is likely something else. It is more typical to have acne in the newborn period (neonatal acne) and then, later on, once puberty starts.

It is hard to tell without looking at the rash, but what you are describing could be keratosis pilaris. Does it look like this picture of keratosis pilaris on a child's cheek? Or this close up picture of keratosis pilaris?

Keratosis pilaris is a common rash that often occurs on a child's cheeks, upper arms, and thighs. It often is worse in the winter, when a child's skin will feel rough and dry with small red bumps.

Although treatment isn't always necessary, it may help to use a moisturizer like Eucerin Plus or LacHydrin. Even with proper treatment, you can expect it to come back at times.

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