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Expert Q&A:
What should I do about red bumps on my 11-month-old's face and arms?

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Answered by Anthony Mancini M.D.


Dr. Mancini received his undergraduate and medical educations at the University of Arizona, and trained in pediatrics, pediatric dermatology, and dermatology at Stanford University. He is currently Associate Professor of Pediatrics and Dermatology at Northwestern University's Feinberg School of Medicine and Head of the Division of Dermatology at Children's Memorial Hospital in Chicago, Illinois.



Dr. Mancini has served as a member of the AAP Executive Committee, Section of Dermatology since 2001. He is a member of the AAP Super CME Planning Group and the AAP Pedia Link Pediatric Dermatology Project Team, and is Secretary-Treasurer of the Society for Pediatric Dermatology. His teaching accomplishments include the Faculty Excellence in Education Award from the Department of Pediatrics at Northwestern, which he has received for the last eight years. Dr. Mancini is a peer reviewer and/or sits on the editorial board for several academic journals, and has published over 75 peer-reviewed articles, abstracts, and book chapters. He is co-author of Hurwitz Clinical Pediatric Dermatology, 3rd edition, and is an associate editor for the comprehensive dermatology textbook Dermatology. His special interests include infectious skin diseases and exanthems of childhood, vascular malformations and hemangiomas, and neonatal skin maturation and skin disorders.



Dr. Mancini is a Fellow of the American Academy of Pediatrics and the American Academy of Dermatology. He and his wife, Nicola, a neonatal intensive care nurse, have three children (Mallory, Christopher, and Mackenzie) and reside in Evanston, Illinois.

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Question


What should I do about red bumps on my 11-month-old's face and arms?

Answer


What you describe sounds like a condition called keratosis pilaris. This common condition often runs in families, and causes rough bumps (often with the feel of sandpaper) and sometimes redness on the cheeks, upper outer arms, and the tops of the thighs. Keratosis pilaris is a very difficult condition to treat. Moisturizers are the most important part of therapy, and those that contain "alpha-hydroxy acids" may be most beneficial. For some younger babies, though, these creams can be irritating, so use them sparingly after first trying the treatment on a small area. If there is significant redness, topical steroid creams may also be helpful. Keratosis pilaris tends to be chronic, but there is some good news in that the lesions on the face tend to fade by the school-age years in many children.
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