The rough granularity on both sides of the cheeks of small children may be caused by eczema, follicular keratosis and other diseases. 1. eczema: eczema is a chronic inflammatory skin disease, lesions can be seen blisters, papular changes, with eczema babies will also appear on both sides of the cheeks rough granularity of the performance, while the lesions can be accompanied by itching. 2. Follicular keratosis: follicular keratosis is a hereditary keratosis abnormal skin disease, occurring in sebaceous gland-rich areas, lesions can be seen at the needle tip to pea-sized hard pimples, with the disease of the child can appear on both sides of the cheeks of the rough granularity of the performance. In addition to the above factors, other diseases can also lead to the symptoms of roughness and granularity on both sides of the cheeks of the child, if the symptoms continue to be unrelieved, you should consult a doctor in time to avoid delaying the condition.