II. Definition: Skin of Color

  1. Patients with richly pigmented skin (Fitzpatrick Skin Types 3-6)
  2. Typically in ethnic backgrounds from Africa, Asia, Middle East, Central and South America, as well as native americans

III. Approach: Common skin conditions

  1. See Skin Cancer in Skin of Color
  2. Postinflammatory Hyperpigmentation
  3. Acne
    1. Skin of Color is more susceptible to scarring, Keloids and Postinflammatory Hyperpigmentation
    2. Many skin and hair products (e.g. cocoa butter, olive oil) used more commonly in Skin of Color communities exacerbate acne
    3. Start acne topical medications at less irritating, lower concentrations and increase slowly to reduce Postinflammatory Hyperpigmentation
      1. Retin A 0.025% cream every other day (instead of 0.05% gel daily)
      2. Benzoyl Peroxide 2.5% (instead of 5-10%)
      3. Azelaic Acid (Azelex, Finacea) may be indicated if Postinflammatory Hyperpigmentation is already present

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