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You are here: Experts > Health/Fitness > Medical Specialists > Dermatology > Keratosis pilaris?
Expert: Michael S. Fisher, <B>Ph.D., M.D.</B> - 11/6/2009
Question
Dear Dr Fisher,
I am experiencing red ‘spot like’ bumps on my legs and buttocks. I have had these as long as I can remember. They are very numerous and never seem to resolve. They are mainly small and not too much of a worry for me.
However, over the past year or so some have been getting larger and look like acne (with a yellow head). Or sometimes the spots are just very large and red with no pus but look rather 'angry'. A few of these will happen each month recently. When these heal, they seem to leave a small scar which does not heal fully. A little indented and very red with hyper pigmentation. However, this hyper pigmentation does not seem to resolve – even after a year of having these inflamed like spots the area is still red. Because this is causing me to worry, is this a condition worth showing a dermatologist? I would, of course, not like any marks on my legs from these spots. Are there treatment options to help control this?
One final thing I should meantion which may be of interest, I have taken a course of Isotretinoin which was great for my acne but curiously it did nothing for this condition.
Thank you for your time, and any advice would be greatly appreciated.
Answer
These lesions you describe could be keratosis pilaris which is a genetic disease and is treated with exfoliants ie Salkera, Retin A or others. The lesions on your buttocks could be acne or keratosis pilaris. I recommend that you visit you local dermatologist to get a proper diagnosis.
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