Practical Approaches to Medical and Cosmetic Dermatology in Skin of Color Patients

The document from 2011 emphasizes the unique dermatological needs of patients with skin of color, highlighting the differences in melanin activity and distribution that contribute to a propensity for certain skin conditions such as dyschromias, keloids, and specific types of alopecia. It discusses the importance of tailored treatments to minimize the risk of pigment changes and scarring, and the need for increased education and screening, especially for skin cancers. The document reviews various treatments for pigmentary disorders, including hydroquinone, chemical peels, topical retinoids, and cosmeceuticals, and notes the effectiveness of combination therapies. It also addresses the management of conditions like pseudofolliculitis barbae, hirsutism, traction alopecia, and central centrifugal cicatricial alopecia, stressing the need for increased medical education and research. The review calls for advancements in treatment and increased awareness among both patients and clinicians to improve management of dermatologic conditions in skin of color populations.