A Review of Acne in Ethnic Skin

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Davis reports no relevant conflicts of interest. This article has been cited by other articles in PMC. Abstract Acne vulgaris is one of the most common conditions for which all patients, including those with skin of color Fitzpatrick skin types IV—VI , seek dermatological care. The multifactorial pathogenesis of acne appears to be the same in ethnic patients as in Caucasians. However, there is controversy over whether certain skin biology characteristics, such as sebum production, differ in ethnic patients.

Clinically, acne lesions can appear the same as those seen in Caucasians; however, histologically, all types of acne lesions in African Americans can be associated with intense inflammation including comedones, which can also have some degree of inflammation. It is the sequelae of the disease that are the distinguishing characteristics of acne in skin of color, namely postinflammatory hyperpigmentation and keloidal or hypertrophic scarring.

Although the medical and surgical treatment options are the same, it is these features that should be kept in mind when designing a treatment regimen for acne in skin of color. Acne vulgaris is one of the most common conditions for which patients seek dermatological care and is estimated to affect between 40 and 50 million individuals in the United States. Although subsequent visits from the same patient were included in the results, acne was the most common reason for visits for both African American Multiple other epidemiological studies dating back to have consistently found acne to be one of the most common dermatoses among black patients.

Acne is also included among common dermatological diseases found in Native Americans as well as Arab Americans. Its high prevalence among dermatological conditions has also been well documented in studies of various international ethnic communities, such as black populations in London, adolescents in Hong Kong or Peru, and the Bantu population in South Africa. This article reviews the pathogenesis, clinical manifestations, and treatment of acne vulgaris in ethnic skin.