Dermatology Book

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Skin of Color

Aka: Skin of Color, Ethnic Skin, Skin Color, Dermatologic Conditions in Skin of Color, Skin Conditions in Black Patients, Skin Conditions in African American Patients, Skin Conditions in Asian Patients, Skin Conditions in Native American Patients, Skin Conditions in Middle Eastern Patients, Skin Conditions in Hispanic Patients
  1. See Also
    1. Skin Cancer in Skin of Color
    2. Hair Disorders in Black Patients
  2. 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
  3. 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
  4. Approach: Conditions more common in Skin of Color
    1. See Hair Disorders in Black Patients
    2. Dermatosis Papulosa Nigra
    3. Pseudofolliculitis Barbae
    4. Acne Keloidalis Nuchae
    5. Keloids
  5. References
    1. Kundu (2013) Am Fam Physician 87(12): 850-6 [PubMed]
    2. Kundu (2013) Am Fam Physician 87(12): 859-65 [PubMed]
    3. Gloster (2006) Acad Dermatol 55(5): 741-60 [PubMed]
    4. Taylor (2002) J Am Acad Dermatol 46: S41-S62 [PubMed]

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