Fitzpatrick Skin Type

Aka: Fitzpatrick Skin Type, Skin Phenotype

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II. Types

  1. Skin Phenotype 1
    1. White skin (very fair) with red or blond hair, blue eyes, and Freckles
    2. Always burns and never tans
    3. Higher risk for Melanoma
  2. Skin Phenotype 2
    1. White skin (fair) with red or blond hair; blue, hazel or green eyes
    2. Usually burns, but sometimes tans with difficulty
    3. Higher risk for Melanoma
  3. Skin Phenotype 3
    1. Creamy white skin, with any eye or hair color
    2. Sometimes mildly burns, but gradually tans
    3. Higher risk for Dermatosis Papulosa Nigra and Postinflammatory Hyperpigmentation
  4. Skin Phenotype 4
    1. Brown skin (mediterranean or caucasian)
    2. Rarely burns and always tans
    3. Higher risk for Dermatosis Papulosa Nigra and Postinflammatory Hyperpigmentation
  5. Skin Phenotype 5
    1. Dark brown skin or Mid-Eastern skin (moderately pigmented skin)
    2. Very rarely burns, and tans very easily
    3. Higher risk for Dermatosis Papulosa Nigra and Postinflammatory Hyperpigmentation
    4. Higher risk for Acne Keloidalis Nuchae, Keloids and pseuofolliculitis barbae
  6. Skin Phenotype 6
    1. Black to darkly pigmented skin
    2. Never burns, and tans very easily
    3. Higher risk for Dermatosis Papulosa Nigra and Postinflammatory Hyperpigmentation
    4. Higher risk for Acne Keloidalis Nuchae, Keloids and pseuofolliculitis barbae

III. References

  1. Honigsmann in Bolognia (2008) Dermatology, Mosby, p. 2060
  2. Frazier (2023) Am Fam Physician 107(1): 26-34 [PubMed]

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