Skin of Color Center, Mount Sinai St. Luke's and Mount Sinai West, Icahn School of Medicine at Mount Sinai, New York, New York.
Callender Dermatology and Cosmetic Center, Glenn Dale, Maryland.
J Am Acad Dermatol. 2019 Jun;80(6):1722-1729.e7. doi: 10.1016/j.jaad.2018.08.049. Epub 2018 Sep 19.
Rosacea has been reported less frequently among individuals with skin of color than in those with white skin, but rosacea is not a rare disease in this population. In fact, rosacea might be underreported and underdiagnosed in populations with skin of color because of the difficulty of discerning erythema and telangiectasia in dark skin. The susceptibility of persons with highly pigmented skin to dermatologic conditions like rosacea, whose triggers include sun exposure, is probably underestimated. Many people with skin of color who have rosacea might experience delayed diagnosis, leading to inappropriate or inadequate treatment; greater morbidity; and uncontrolled, progressive disease with disfiguring manifestations, including phymatous rosacea. In this article, we review the epidemiology of rosacea in skin of color and highlight variations in the clinical presentation of rosacea across the diverse spectrum of patient populations affected. We present strategies to aid in the timely diagnosis and effective treatment of rosacea in patients with skin of color, with an aim of promoting increased awareness of rosacea in these patients and reducing disparities in the management of their disease.
酒渣鼻在肤色较深的人群中比在肤色较白的人群中报道得较少，但在该人群中，酒渣鼻并非罕见疾病。事实上，由于在深色皮肤中难以辨别红斑和毛细血管扩张，酒渣鼻在肤色较深的人群中可能报告和诊断不足。由于包括阳光照射在内的诱因，色素沉着过度的人群更容易出现像酒渣鼻这样的皮肤病，其易感性可能被低估了。许多患有酒渣鼻的有色人种患者可能会出现诊断延迟，导致治疗不当或不充分；发病率更高；以及未经控制、进行性疾病，表现为毁容，包括酒渣鼻样肿。本文综述了色素沉着皮肤中酒渣鼻的流行病学，并强调了不同患者人群中酒渣鼻临床表现的差异。我们提出了一些策略，以帮助及时诊断和有效治疗肤色患者的酒渣鼻，旨在提高这些患者对酒渣鼻的认识，并减少他们疾病管理方面的差异。
