When should I consider referring a patient with keratosis pilaris to a dermatologist?

Consider referring a patient with keratosis pilaris to a dermatologist if:

• There is diagnostic uncertainty about the skin condition.
• The keratosis pilaris is severe, persistent, or causing significant psychological distress or impact on quality of life despite optimal primary care management.
• The patient has associated complications or atypical features that require specialist assessment.

Although specific UK guidelines for keratosis pilaris referral are not detailed in the provided context, referral principles for common dermatological conditions such as acne and atopic eczema suggest referral when diagnosis is uncertain, treatment fails, or there is significant psychosocial impact NICE CG57,NICE NG198.