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Keratosis pilaris guide

Keratosis pilaris treatment online in Virginia and West Virginia

This guide is for classic, benign keratosis pilaris - fine rough bumps on the upper arms, thighs, buttocks, or cheeks - not for a painful, pus-filled, or spreading rash, or a rash that does not clearly fit keratosis pilaris.

Start online

Start a $59 online review for Keratosis pilaris.

Keratosis pilaris is a very common, harmless build-up of keratin at hair follicles that causes fine, rough, painless bumps - often described as "chicken skin" - on the upper outer arms, thighs, buttocks, or cheeks. It is often drier or more noticeable in cold weather. It is a good online-photo condition when the appearance is typical; painful, pus-filled, or spreading bumps suggest infection and should be seen in person.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Quick facts

  • You must be physically in Virginia and West Virginia at the time of request
  • Starts at $59
  • No insurance needed
  • No app download
  • Physician review around the clock
  • Non-controlled prescriptions can be sent to your pharmacy when appropriate
  • A work or school note can be included when medically appropriate
  • Response windows: 24/7, every day

Common symptoms

  • Fine, rough, painless bumps at hair follicles
  • On the upper outer arms, thighs, buttocks, or cheeks
  • Skin-colored or slightly red
  • Rougher or worse in cold, dry weather

May fit online care

  • Adults 18 and older
  • Typical rough, painless follicular bumps
  • No pain, pus, spreading redness, or fever
  • Able to send a clear photo

Look for another care setting

  • Painful, pus-filled, or draining bumps, or spreading redness
  • Fever or a rapidly changing/blistering rash
  • A single changing, growing, or bleeding spot or an irregular mole

What to have ready

  • A clear, well-lit photo of the affected skin
  • How long it has been there
  • Any treatment already tried and current skin-care products

What happens next

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Is keratosis pilaris harmful?

No - it is completely harmless and very common. Treatment is cosmetic, to smooth the skin and reduce roughness.

Can it be cured?

It usually cannot be fully cured, but keratolytic creams (urea, ammonium lactate, or salicylic acid) and regular moisturizing reduce the roughness, and it often improves with age and in humid weather.

How long until it improves?

Improvement is gradual, usually over several weeks to months of consistent moisturizing and keratolytic use.