During a well-child visit to the pediatrician, the mother of a 10-year-old girl asked about a rash of tiny papules that had slowly developed on both upper arms earlier in the year. It was almost like you could see where every hair follicle was and the little girl said it reminded her of gooseflesh. The skin felt rougher to the touch than it used to. It wasn’t itchy or bothersome. The girl’s mother was curious if it was hereditary because she remembered having something similar when she was young. It looked a little better now that the warm weather was here and they had been making sure to moisturize the area more often.
Is it lichen spinulosus, miliaria rubra, juvenile pityriasis rubra pilaris, or keratosis pilaris?
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