Keliasis

Keliasis is a rare dermatological condition characterized by the development of small, dome-shaped, flesh-colored or slightly pigmented papules on the skin. These lesions typically appear on the trunk, limbs, and sometimes the face, though they can occur in other areas as well. The term "keliasis" is derived from the Greek word *kélē*, meaning "tumor" or "swelling," reflecting the raised nature of these growths.

The exact cause of keliasis remains unclear, though it is generally considered a benign condition. It may be associated with certain genetic factors or systemic disorders, including conditions like neurofibromatosis, tuberous sclerosis, or other connective tissue diseases. Some cases have been linked to hormonal influences or chronic irritation, though no definitive link has been established. Keliasis is often diagnosed through clinical examination, with a biopsy occasionally performed to rule out malignant or infectious causes.

The papules in keliasis are usually asymptomatic, meaning they do not cause pain, itching, or discomfort. However, they may be cosmetically concerning for some individuals. Treatment is generally not required unless the lesions are bothersome, as they do not pose a serious health risk. Options for removal may include cryotherapy, surgical excision, or laser therapy, though recurrence is possible. In most cases, the condition remains stable over time, with no progression to more severe skin abnormalities.

Differential diagnosis includes other papular skin conditions such as seborrheic keratoses, verrucae (warts), or molluscum contagiosum. A thorough medical evaluation helps ensure an accurate diagnosis and appropriate management. While keliasis is uncommon, awareness of its characteristics aids in proper identification and patient reassurance.