Department of Dermatology, Royal London Hospital, Royal London Hospital Barts Health NHS Trust, London, UK.
Blizard Institute, Queen Mary University of London, London, UK.
Clin Exp Dermatol. 2022 Feb;47(2):259-263. doi: 10.1111/ced.14994. Epub 2021 Nov 28.
Acne and rosacea are common inflammatory skin conditions present in numerous racial and ethnic groups. There are distinct differences in clinical presentation, exacerbating factors, potential triggers and consequences of both conditions in individuals with skin of colour (SOC), classified as Fitzpatrick skin types III-VI. For example, acne can be complicated by the development of postinflammatory hyperpigmentation and keloid scarring in SOC, and this can influence treatment choice. Although rosacea is reported less frequently in SOC, this may be the result of delayed diagnosis or late presentation due to the difficulty in discerning the classic features of erythema in darker skin tones. In such cases, additional clues in the medical history and clinical examination may assist in making the diagnosis. This review aims to summarize nuances in both the diagnosis and management of these two common skin conditions in patients with SOC to support clinicians in providing an individualized treatment approach.
痤疮和酒渣鼻是常见的炎症性皮肤疾病，存在于众多种族和民族群体中。在肤色较深的个体（SOC）中，这两种疾病的临床表现、加重因素、潜在诱因和后果存在明显差异，SOC 被归类为 Fitzpatrick 皮肤类型 III-VI。例如，痤疮在 SOC 中可能会并发炎症后色素沉着过度和瘢痕疙瘩形成，这会影响治疗选择。尽管 SOC 中报告的酒渣鼻较少，但这可能是由于诊断延迟或晚期表现所致，因为在较深肤色中较难辨别红斑的典型特征。在这种情况下，病史和临床检查中的其他线索可能有助于做出诊断。本综述旨在总结 SOC 患者中这两种常见皮肤疾病的诊断和治疗中的细微差别，以支持临床医生提供个体化的治疗方法。
