An Introduction to Skin Disease in Melanin-Rich Skin

The document discussed the unique characteristics and challenges in diagnosing and treating skin diseases in melanin-rich skin, particularly among individuals of foreign background in Sweden. It highlighted that hyperreactive melanocytes and fibroblasts in black skin contribute to common variations and increased risks for conditions like dyschromia, hypertrophic scarring, and keloids. The high melanin content can mask erythema, complicating assessments, and the curved hair follicles increase the risk for follicular conditions such as pseudofolliculitis barbae. Additionally, preferred hairstyles and hair shaft characteristics elevate the risk for traction alopecia. The document also emphasized the global prevalence of skin bleaching and the associated dermatological and systemic complications from ingredients like potent corticosteroids, hydroquinone, and mercury.