TY - CHAP M1 - Book, Section TI - Chapter 9. Racial Considerations: Skin of Color A1 - Reddy, Kavitha K. A1 - Lenzy, Yolanda M. A1 - Brown, Katherine L. A1 - Gilchrest, Barbara A. A2 - Goldsmith, Lowell A. A2 - Katz, Stephen I. A2 - Gilchrest, Barbara A. A2 - Paller, Amy S. A2 - Leffell, David J. A2 - Wolff, Klaus PY - 2012 T2 - Fitzpatrick's Dermatology in General Medicine, 8e AB - |PrintSkin of Color at a GlanceRace and ethnicity are closely related but distinct factors that may influence skin disease prevalence or presentation.The Fitzpatrick skin phototype classification was developed to convey risk of photodamage in white skin and is often less useful in describing skin of color.The complex polygenic basis for variation in human skin, hair, and eye color has been partially elucidated.The structure and function of skin of color is similar or identical to that of white (Caucasian) skin, other than differences related to pigmentation.Differences in the character of hair among whites, Asians, and Africans relate to shape of the hair follicle and thickness of the cuticle layer.African hair displays low tensile strength and easy breakage. This fragility may be compounded by chemical or heat application, apparently predisposing to several types of alopecia.Postinflammatory hyper- or hypopigmentation is often prominent and long lasting in skin of color; preventive and therapeutic measures should be considered in the plan of care. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=56022171 ER -