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Published in: American Journal of Clinical Dermatology 1/2014

01-02-2014 | Therapy in Practice

Acne in Patients with Skin of Color: Practical Management

Authors: Natalie C. Yin, Amy J. McMichael

Published in: American Journal of Clinical Dermatology | Issue 1/2014

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Abstract

Acne vulgaris is a prevalent and non-discriminatory condition affecting individuals of all races and ethnicities. As people with skin of color make up a rapidly expanding segment of the US population, dermatologic care must evolve accordingly to address their distinct concerns. Patients with skin of color with acne can be particularly challenging, given their potential for cosmetically disturbing complications, including post-inflammatory hyperpigmentation and keloid development. A variety of treatments have been shown to be effective in preventing or treating these complications. Topical retinoids are considered first-line therapy for acne in patients of color; topical alternatives include azelaic acid, dapsone, and antimicrobials. Hydroquinone may be used in combating post-inflammatory hyperpigmentation, specifically. For more severe acne, oral agents, including oral antibiotics or isotretinoin, may be used. Most recently, various lasers and phototherapies have been suggested for their safety and efficacy in patients with skin of color with acne. Ultimately, recognizing the clinical and histologic differences, as well as the variations in treatment regimens for darker skin types will allow for better care and patient satisfaction.
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Metadata
Title
Acne in Patients with Skin of Color: Practical Management
Authors
Natalie C. Yin
Amy J. McMichael
Publication date
01-02-2014
Publisher
Springer International Publishing
Published in
American Journal of Clinical Dermatology / Issue 1/2014
Print ISSN: 1175-0561
Electronic ISSN: 1179-1888
DOI
https://doi.org/10.1007/s40257-013-0049-1

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