Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jun 28;3(3):135-138.
doi: 10.36518/2689-0216.1483. eCollection 2022.

Presentations of Cutaneous Disease in Various Skin Pigmentations: An Introduction

Affiliations

Presentations of Cutaneous Disease in Various Skin Pigmentations: An Introduction

Christian J Scheufele et al. HCA Healthc J Med. .

Abstract

Description Dermatological disease has historically been dependent on photography as a primary modality for education. Previously, photographs used for medical education were representative of the regional patient populations at that time; however, they have not proportionally reflected the rapidly changing demographics in the United States. Education on the diagnosis of cutaneous disease has, therefore, primarily relied on photographs of lighter skin tones. There is a need for a better representation of darker skin tones in dermatologic medical education. This article introduces a clinical series that highlights dermatological diseases in various skin pigmentations, which are commonly seen in the primary care office. The goal is to improve the diagnostic accuracy of primary care clinicians and to compare how certain cutaneous diseases may vary in appearance depending on the individuals' Fitzpatrick skin type.

Keywords: cutaneous disease; dark skin; demographics; demographics in dermatology; demographics in medicine; dermatology; ethnicity; light skin; primary care; race; skin; skin disease; skin of color; skin tones.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest The authors declare they have no conflicts of interest.

Figures

Figure 1
Figure 1
United States population percentages based on reported race to the U.S. Census Bureau from 1900 to 2020 and projected change in reported “non-white” race in 2050.
Figure 2
Figure 2
A representation of the Fitzpatrick phototyping scale.

References

    1. Callahan D. Managed care and the goals of medicine. J Am Geriatr Soc. 1998;46(3):385–388. doi: 10.1111/j.1532-5415.1998.tb01060.x. - DOI - PubMed
    1. Lowell BA, Froelich CW, Federman DG, Kirsner RS. Dermatology in primary care: prevalence and patient disposition. J Am Acad Dermatol. 2001;45(2):250–255. doi: 10.1067/mjd.2001.114598. - DOI - PubMed
    1. Ferreira IG, Weber MB, Bonamigo RR. History of dermatology: the study of skin diseases over the centuries. An Bras Dermatol. 2021;96(3):332–345. doi: 10.1016/j.abd.2020.09.006. - DOI - PMC - PubMed
    1. Ebede T, Papier A. Disparities in dermatology educational resources. J Am Acad Dermatol. 2006;55(4):687–690. doi: 10.1016/j.jaad.2005.10.068. - DOI - PubMed
    1. Jensen E, Jones N, Rabe M, et al. The chance that two people chosen at random are of different race or ethnicity groups has increased since 2010. Census.gov. Aug 12, 2021. [Accessed January 24, 2022]. https://www.census.gov/library/stories/2021/08/2020-united-states-popula... .

LinkOut - more resources