Awosika Olabola, Burgess Cheryl M, Grimes Pearl E
*Department of Dermatology, The George Washington Medical Faculty Associates, Washington, DC; †Department of Dermatology, The George Washington University School of Medicine and Health Sciences, Washington, DC; ‡Department of Dermatology, Georgetown University School of Medicine, Washington, DC; §Division of Dermatology, University of California, Los Angeles, California.
Dermatol Surg. 2017 Nov;43 Suppl 2:S140-S150. doi: 10.1097/DSS.0000000000001376.
Men of color include a diverse population encompassing individuals with Fitzpatrick skin Types IV through VI. Yet, there is a paucity of data describing the cosmetic concerns of this population.
To review the basic science of advantages and disadvantages of skin of color and pathophysiology, incidence, and treatment of disorders of cosmetic concern in men of color.
A MEDLINE search was performed for publications on sex and racial differences in basic science of skin, common disorders in men of color, and evidence-based treatments.
There are intrinsic differences in skin and hair of darker-complexioned men, particularly in Hispanics, African Americans, Asians, and Afro-Caribbeans. Advantages of darker skin include increased photoprotection, slowed aging, and a lower incidence of skin cancer. However, the increased content of melanin is associated with myriad dyschromias including melasma and postinflammatory hyperpigmentation (PIH). Additional common skin conditions of concern in men of color include pseudofolliculitis barbae, acne keloidalis nuchae, and keloids.
A skin color conscious approach should be administered in caring for the cosmetic concerns of men of color that is cognizant of differences in biology of the skin and hair, associated PIH of disorders, and cultural/social practices among this population.
有色人种男性包括一个多样化的群体，涵盖了 Fitzpatrick 皮肤类型 IV 至 VI 的个体。然而，描述该群体美容问题的数据却很匮乏。
回顾有色人种男性皮肤的优缺点、病理生理学、美容相关疾病的发病率及治疗的基础科学知识。
对 MEDLINE 进行检索，查找关于皮肤基础科学中的性别和种族差异、有色人种男性常见疾病以及循证治疗的相关出版物。
肤色较深的男性，尤其是西班牙裔、非裔美国人、亚洲人和非裔加勒比人，其皮肤和头发存在内在差异。深色皮肤的优点包括增强的光保护作用、延缓衰老以及较低的皮肤癌发病率。然而，黑色素含量增加与多种色素沉着异常有关，包括黄褐斑和炎症后色素沉着（PIH）。有色人种男性其他常见的皮肤问题还包括须部假性毛囊炎、项部瘢痕疙瘩性痤疮和瘢痕疙瘩。
在关注有色人种男性的美容问题时，应采用一种考虑肤色的方法，该方法要认识到皮肤和头发生物学的差异、相关疾病的 PIH 以及该群体中的文化/社会习俗。
