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- National Institutes of Health: Sebaceous Cysts
- Mayo Clinic: Folliculitis
- Mayo Clinic: Keratosis pilaris
The information contained on this site is for informational purposes only, and should not be used as a substitute for the advice of a professional health care provider. Please check with the appropriate physician regarding health questions and concerns. Although we strive to deliver accurate and up-to-date information, no guarantee to that effect is made.
Hard Bumps on a Child's Skin
You know you worry about every little thing when it comes to your child. And usually you are making a mountain out of a mole hill. However, if you find a hard bump on your child's skin, you should take the child to the doctor for a diagnosis and possible treatment.
Conditions
Those hard bumps on your child's skin might be a skin cyst. According to the National Institutes of Health, a skin cyst is a pocket filled with tissue1. Hard bumps on your child's skin might also be keratoacanthoma, which causes benign tumors filled with keratin, the protein that forms nails and hair2. Additional possibilities include cherry angiomas, dermatofibromas, folliculitis and keratosis pilaris345.
Symptoms
Keratin Levels
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Most of the conditions that cause hard bumps on children's skin do not have any other symptoms. Some of these conditions might cause mild symptoms such as itching at the site; one condition that can cause itching is keratoacanthoma2. Folliculitis, which is an infection of the follicles, can cause pus-filled blistering, pain and inflammation3.
Diagnosis
Lipomas are fat-filled lumps that are usually not painful; a doctor usually can diagnose a lipoma without any kind of testing. Doctors also usually can visually identify cysts, keratosis pilaris and folliculitis34. Conditions such as keratoacanthoma, neurofibroma and squamous cell cancer might require a diagnostic biopsy2. Your doctor can diagnose neurofibromas with an X-ray, MRI or ultrasound.
Contracting the Hard Bumps
Little Bumps on the Ears
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Conditions such as keratoacanthoma can be caused by exposure to sunlight and X-ray2. The condition keratosis pilaris is the result of a buildup of keratin, although the reason for the buildup is unclear4. Causes of folliculitis include covering the skin, excessive perspiration, inflammatory skin condtiions and abrasions3. Dermatofibromas, cherry angiomas and neurofibroma all have unknown causes5.
Treatment
Cysts, folliculitis, and lipoma might go away without any treatment3. Neurofibroma and keratoacanthoma might require removal of the affected area2. Burning, cryotherapy, laser surgery and traditional surgery are possible treatments for cherry angiomas and neurofibroma. With keratosis pilaris, your doctor might prescribe topical corticosteroids and retinoids4. Liposuction or surgery are possible treatments for lipomas.
Related Articles
References
- National Institutes of Health: Sebaceous Cysts
- Skin Sight: Keratoacanthoma
- Mayo Clinic: Folliculitis
- Mayo Clinic: Keratosis pilaris
- Merck: Dermatofibromas
- Thomas M, Khopkar US. Keratosis pilaris revisited: Is it more than just a follicular keratosis?. Int J Trichology. 2012;4(4):255-8. doi:10.4103/0974-7753.111215
- Wang JF, Orlow SJ. Keratosis pilaris and its subtypes: Associations, new molecular and pharmacologic etiologies, and therapeutic options. Am J Clin Dermatol. 2018;19(5):733-57. doi:10.1007/s40257-018-0368-3
- Gruber R, Sugarman JL, Crumrine D, et al. Sebaceous gland, hair shaft, and epidermal barrier abnormalities in keratosis pilaris with and without filaggrin deficiency. Am J Pathol. 2015;185(4):1012-21. doi:10.1016/j.ajpath.2014.12.012
- 郑刘F,杨Y, Y,梁YH,曾庆红k .突变and expression of ABCA12 in keratosis pilaris and nevus comedonicus. Mol Med Rep. 2018;18(3):3153-8. doi:10.3892/mmr.2018.9342
- Pennycook K, McCready T. Keratosis pilaris. In: StatPearls. Updated September 13, 2019.
- Sonthalia S, Bhatia J, Thomas M. Dermoscopy of keratosis pilaris. Indian Dermatol Online J. 2019;10(5):613-4. doi:10.4103/idoj.IDOJ_279_18
- Peter Rout D, Nair A, Gupta A, Kumar P. Epidermolytic hyperkeratosis: clinical update. Clin Cosmet Investig Dermatol. 2019;12:333-44. doi:10.2147/CCID.S166849
- Kootiratrakarn T, Kampirapap K, Chunhasewee C. Epidermal permeability barrier in the treatment of keratosis pilaris. Dermatol Res Pract. 2015;2015:205012. doi:10.1155/2015/205012
- Schwitulla J, Brasch J, Löffler H, Schnuch A, Geier J, Uter W. Skin irritability to sodium lauryl sulfate is associated with increased positive patch test reactions. Br J Dermatol. 2014;171(1):115-23. doi:10.1111/bjd.12893
- Ciliberto H, Farshidi A, Berk D, Bayliss S. Photopneumatic therapy for the treatment of keratosis pilaris. J Drug Dermatol. 2013 Jul;12(7):804-6.
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Writer Bio
克里斯tine DiMaria began writing in 2001. She has written for Blue Mountain and various online publications. DiMaria is pursuing an Associate of Arts in health-care administration from the University of Phoenix.