What could cause persistent elbow patches that won't smooth with moisturizer?

[Edward.J]

I’ve been dealing with these persistent, rough patches of skin on my elbows for months now, and my regular moisturizer just isn’t making a dent. It doesn’t itch or look too red, but the texture is really bothersome and it just won’t smooth out. I’m wondering if this is something more than just dry skin that needs a different approach.

[Luke_M]

I had a patch like that on my elbow last year. I switch to a thick ointment at night and I tried a mild exfoliant every now and then. It slowly felt smoother.

[JasonTS]

I am starting to think it might be more than dry skin. It stayed rough and did not itch much and I kept hoping moisturizer would fix it but no luck yet. Some people mentioned eczema or keratosis pilaris but I am not sure.

[James.A]

Could this be something like eczema or keratosis pilaris rather than plain dry skin?

[RichardVM]

One night I forgot to moisturize and slept with a sleeve covering the elbow and when I woke it felt a touch softer I kept doing that for a week but I am not sure if that means anything