Dermatologic conditions in skin of color: Part II. disorders occurring predominantly in skin of color

Roopal V. Kundu, Stavonnie Patterson

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Several skin conditions are more common in persons with skin of color, including dermatosis papulosa nigra, pseudofolliculitis barbae, acne keloidalis nuchae, and keloids. Dermatosis papulosa nigra is a common benign condition characterized by skin lesions that do not require treatment, although several options are available for removal to address cosmetic concerns. Pseudofolliculitis barbae occurs as a result of hair removal. Altering shaving techniques helps prevent lesions from recurring. In acne keloidalis nuchae, keloidal lesions are found on the occipital scalp and posterior neck. Early treatment with steroids, antibiotics, and retinoids prevents progression. A key part of the management of keloids is prevention. First-line medical therapy includes intralesional steroid injections. The distinct structure of the hair follicle in blacks results in hair care practices that can lead to common scalp disorders. For example, chemical relaxers decrease the strength of hair and may cause breakage. Better patient education, with early diagnosis and treatment, often leads to better outcomes.

Original languageEnglish (US)
Pages (from-to)859-865
Number of pages7
JournalAmerican Family Physician
Volume87
Issue number12
StatePublished - Jun 15 2013

ASJC Scopus subject areas

  • Family Practice

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