Acne in skin of color: Practical approaches to treatment

  title={Acne in skin of color: Practical approaches to treatment},
  author={Sejal K. Shah and Andrew F. Alexis},
  journal={Journal of Dermatological Treatment},
  pages={206 - 211}
Abstract Acne vulgaris, one of the most commonly encountered conditions in dermatology, affects individuals in all racial and ethnic groups, yet clinical presentation varies among different skin types. Acne, particularly when it is severe, may significantly impact an individual's quality of life and psychological well-being. Potential sequelae, such as postinflammatory hyperpigmentation and keloid scarring, occur more frequently in individuals with skin of color and may be long lasting or… 

Dermatology: how to manage acne in skin of colour

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The Pathogenesis and Management of Acne-Induced Post-inflammatory Hyperpigmentation

What is known about acne-related pigmentation is discussed, much of which is extrapolated from general study of nonspecific pigment deposition, with the aim of increasing awareness and education of acne- related pigmentary sequelae.

Pediatric and Adolescent Acne

The principles of acne treatment are the same within age groups and skin types, but creating age-appropriate treatment plans and managing the sequelae of acne, hyperpigmentation and scarring can be the most challenging in skin of color patients.

Acne on pigmented skin

In order to improve tolerability and compliance of topical anti-acne therapy in patients with pigmented skin, it is helpful to begin the treatment with the lowest concentration of the drug, to use a cream or an aqueous gel as vehicle, to apply the drug every other day, with gradual increase to daily use, and to apply frequently a moisturizer.

Updates in the understanding and treatments of skin & hair disorders in women of color☆☆☆

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Take specific considerations into account when treating acne in patients with skin of colour

The early promise shown by lasers and phototherapies as adjunctive therapy for acne requires validation, especially in patients with skin of colour.

Post-inflammatory Pigment Alteration

Post-inflammatory hyperpigmentation is seen much more frequently than post-inflammatory hypopigmentation; however, it is important to keep in mind that in addition to acne itself, various acne treatments can cause hyper- or hypopIGmentation as a result of irritation.

Optimizing the use of topical retinoids in Asian acne patients

Optimizing use of topical retinoids may improve adherence and, in turn, therapeutic outcomes and patient satisfaction, and presents tips for utilizing these important agents in daily practise.



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Clinicians must find a balance between aggressive early intervention to target inflammatory acne lesions, and gentle treatments to increase tolerability and avoid skin irritation in patients of color.

Acne vulgaris in skin of color.

This article reviews data derived from a survey of skin of color patients with acne vulgaris seen at the Skin of Color Center, Department of Dermatology, St. Luke's-Roosevelt Hospital, in New York City, to help clinicians in their diagnosis and treatment of acne vulgarIS.

Utilizing combination therapy for ethnic skin.

There was a trend toward better resolution of hyperpigmentation in the subjects receiving the clindamycin-BPO topical gel in combination with RAM gel 0.04%, and the pigmentary changes in subjects of color with acne who were enrolled in a community-based trial comparing 3 different topical therapeutic regimens.

Acne scarring: a classification system and review of treatment options.

A descriptive, simple, universally applicable acne scar classification system that includes 3 scar types: icepick, rolling, and boxcar is proposed that enables the physician to more precisely identify scar subtypes.

The treatment of melasma: a review of clinical trials.

A study of the spectrum of skin disease occurring in a black population in south‐east London

A wide spectrum of skin disease is demonstrated and includes disorders more common in black skin, disorders unique toblack skin, those which present a greater cosmetic disability, and normal findings which have been mistaken for pathological disease.

Fractional photothermolysis for the treatment of acne scars: a report of 27 Korean patients.

The 1550-nm erbium-doped FP is associated with significant patient-reported improvement in the appearance of acne scars, with minimal downtime.

Topical treatments for melasma and postinflammatory hyperpigmentation.

Topical applications are the mainstay of treatment and include phenols, retinoids, corticosteroids, and their combinations.

Combination azelaic acid therapy for acne vulgaris.

  • G. Webster
  • Biology
    Journal of the American Academy of Dermatology
  • 2000
Topical azelaic acid cream helps both to normalize keratinization and to reduce the proliferation of Propionibacterium acnes, and has proven to be effective against both noninflammatory and inflammatory lesions.

Topical tretinoin (retinoic acid) therapy for hyperpigmented lesions caused by inflammation of the skin in black patients.

Topical application of tretinoin significantly lightens post-inflammatory hyperpigmentation and, to a clinically minimal but statistically significant degree, lightens normal skin in black persons.