Keratosis Pilaris Atrophicans

Keratosis pilaris atrophicans faciei (KPAF), also commonly known as ulerythema ophryogenes, is a rare disorder characterized by erythematous small keratotic papules that resolve with atrophy and resultant focal alopecia. This uncommon condition always involves the face, especially the eyebrows. Similarities exist, both genetically and clinically, to other scarring alopecias with follicular hyperkeratosis including atrophoderma vermiculatum and keratosis follicularis spinulosa decalvans. Some have characterized these clinical entities under a single term known as keratosis pilaris atrophicans [1]. Currently treatment options produce generally unimpressive clinical outcomes.