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Keratosis pilaris results from the buildup of keratin â a hard protein that protects skin from harmful substances and infection. The keratin forms a scaly plug that blocks the opening of the hair follicle. Usually many plugs form, causing patches of rough, bumpy skin. No one knows exactly why keratin builds up. But it may occur in association with genetic diseases or with other skin conditions, such as atopic dermatitis.
Keratosis pilaris runs in families and is inherited from your parents. If one parent has the condition, there's a one in two chance that any children they have will also inherit it. Keratosis pilaris occurs when too much keratin builds up in the skin's hair follicles. Keratin is a protein found in the tough outer layer of skin, which causes the surface of the skin to thicken (hence the name keratosis). The excess keratin blocks the hair follicles with plugs of hard, rough skin.