Fast Five Quiz: Treatment of Acne in Skin of Color

William D. James, MD


July 24, 2020

According to part one of a two-part article from Northwestern University, Dermatologic Conditions in Skin of Color: Part I. Special Considerations for Common Skin Disorders, persons with skin of color have increased potential for postinflammatory hyperpigmentation, scarring, and keloids. To prevent treatment-induced postinflammatory hyperpigmentation, therapies that cause irritation or inflammation should be avoided.

When prescribing a retinoid, physicians should start at lower concentrations and titrate up as tolerated. It is best to begin with infrequent dosing. For example, twice-weekly dosing could be initiated versus every other day. More tolerable formulations, such as creams instead of gels, should be considered. Because benzoyl peroxide can be drying and irritating, the use of lower concentrations (< 5%) can limit irritation and subsequent postinflammatory hyperpigmentation.

Learn more about acne vulgaris treatment and management.


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