What are the histologic findings characteristic of keratosis pilaris (KP)?

Updated: Aug 12, 2019
  • Author: Ally N Alai, MD, FAAD; Chief Editor: Dirk M Elston, MD  more...
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Answer

Microscopic examination (histopathology) of keratosis pilaris (KP) lesions shows the triad of epidermal hyperkeratosis, hypergranulosis, and plugging of individual hair follicles. The upper dermis may have mild superficial perivascular lymphocytic inflammatory changes.

The individual papules in keratosis pilaris are thought to arise from excessive accumulation of keratin at the follicular orifice. The overlying epidermis shows mild thickening and plugging of the small follicular orifice.


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