Follicular and Scarring Disorders in Skin of Color: Presentation and Management

The document reviews the presentation and management of follicular and scarring disorders in skin of color, highlighting conditions such as acne keloidalis, central centrifugal cicatricial alopecia, dissecting cellulitis of the scalp, pseudofolliculitis barbae, traction alopecia, and keloids. These disorders are often linked to hair grooming practices and are more prevalent in individuals of African, Asian, and Hispanic descent. The review emphasizes patient education and behavior modifications to prevent and manage these conditions. Treatments include intralesional corticosteroids, surgical excision, and laser therapy, but risks such as dyspigmentation and keloid scarring exist. The document also notes the unique challenges presented by ethnic skin and hair and the need for clinicians to be knowledgeable about these differences. It includes studies, case reports, and randomized controlled studies with participants primarily of color from January 1950 to January 2014. The document concludes that more research is needed for effective management and underscores the importance of patient education and understanding cultural practices in providing care. No conflicts of interest were reported for this review.