Expert Question and Answer. Common skin problems in people of color

The skin is the largest organ of the human body. In fact, it is about 15% of the human body weight. It not only covers your whole body, controls your temperature, helps to detect hot and cold, but it is also one of the first lines of defense against harmful UV radiation, infection and disease. It’s a protective barrier that keeps you healthy.

That is why taking care of it is not only the appearance. Like any other organ, the skin can cause problems. Most skin diseases can affect anyone, regardless of skin color or ethnicity. However, some skin diseases are more likely to occur or manifest differently in people of color. This is often due to genetics and, in some cases, specific cultural practices and routines. “Colored people” traditionally include a wide range of people, including African, Asian, Native American, Middle Eastern, and Hispanic individuals.

Valerie Harvey, MD, MPH, President of the Skin of Color Society. Here he shares his thoughts on common skin diseases of dark-skinned populations and how to treat them.

What are the most common skin diseases that affect people of color?

Studies have shown that there are many skin conditions that are more common or unique to people with fair skin. These include hair disorders such as alopecia areata և central centrifugal cicatricial alopecia և pigment disorders (post-inflammatory hyperpigmentation և melasma). Keloid frequency varies by race և Ethnicity և It has been shown to be higher in Hispanic blacks and lowest in non-Hispanic whites.

Can you describe post-inflammatory hyperpigmentation?

Post-inflammatory hyperpigmentation (PIH) is a discoloration that remains after an underlying skin rash or blister that has healed. General conditions such as: eczema, acneև: psoriasis: all can lead to PIH.

Although PIH can occur in all skin tones, it is especially problematic և more pronounced in people with darker skin. The distribution of dark spots follows the underlying condition of the skin. Hyperpigmentation shades can range from light brown to dark brown to blue to gray.

What are the best treatments for PIH?

PIH is difficult to treat. Current treatment options include topical preparations; [Editor’s note: “Topical” means that these treatments go on the skin.] which are available without a prescription or with prescription drugs, chemical peels և laser treatments.

What causes PIH?

Whether there is no known cause for PIH or why some people are more prone to developing it, steps can be taken to avoid prolonging the condition. Avoiding sunburn is a remedy as it can aggravate the symptoms և prolong the healing process.

What can be done to prevent PIH?

treatment of the underlying condition sun protection cream, and defense are possible preventive measures. Studies show that sunburn can worsen some forms of hyperpigmentation. Therefore, wearing a wide range of sunscreen is a very important part of the treatment. Sunscreen must be “broad-spectrum” and have an SPF of at least 30. [Editor’s note: Sun protection also includes protective clothing, hats, staying in the shade, and staying inside during peak sun exposure hours.]

Can you describe the skin condition that causes disproportionate hair loss in people of color? Which hair / scalp conditions are more prone to people of color?

Central centrifugal scarring (CCCA) is the most common form of scarlet fever in black women. It is estimated to occur in about 16% of African American women.

Affected individuals may experience tenderness, itching, and headache. It includes the crown / apex of the scalp կենտրոն centrifuges over time. The condition ends with scars և permanent hair loss, which is very worrying for women suffering from this disease.

Treatment options include topical intravenous corticosteroids, oral antibiotics, [medications that work on the immune system]արկման camouflage technique.

Are there any preventative measures women can take to avoid CCCA?

Unfortunately, there are no definitive recommendations on how to prevent CCCA from occurring because of its etiology. [cause] is unknown.

How about Alopecia areata?

Apart from CCCA, alopecia areata is another type hair loss live by women of color. Traumatic alopecia is characterized by hair loss along the frontal hairline. It results from recurrent injuries caused by different hair care practices that occur over a period of time. If not treated in time, or if the hair care routine is not changed, hair loss և scars appear. Treatment includes the use of protective hair, [medications]վիր Surgical hair restoration.

Can you share the most common misconceptions about skin diseases that can affect people of color?

One: common misconception is that individuals with colored skin are immune to the development of skin cancer. Although the risk of skin cancer is lower in racial-ethnic minority groups, they are more likely than their white counterparts in the more advanced stages of skin cancer.

What should all people of color know when it comes to skin care?

Educational awareness about the importance of skin health is extremely important. It is advisable to consult a dermatologist certified in time when routine home remedies fail to resolve the symptoms. Getting treatment on time is very important, as delaying the diagnosis can lead to an increase in the disease. [worsened disease] and in this case melanomamortality has increased [higher death rate].

What can be done to combat health inequalities in dermatology?

One of the most important issues that needs to be addressed in reducing dermatological inequalities is the diversity of the workforce. Unfortunately, Hispanic dermatologists make up a disproportionately low proportion of the dermatology workforce and are poorly represented at the academy. Workforce diversity is vital to innovation, public confidence, and access to dermatology.

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