Rosacea in Darker Skin Tones
Rosacea can affect all skin types but is often underdiagnosed in people with darker skin tones.
Why it's underdiagnosed
The main reason for underdiagnosis is that redness is harder to see against a darker skin tone. The redness may appear as a subtle, dusky, or violaceous discolouration rather than a bright red. As a result, patients and even doctors may overlook the diagnosis, mistaking for acne or sensitivity.
What it looks like and how to treat safely
I have a lot of experience in treating patients with pigmented skin types and can usually make the diagnosis without difficulty. Other clues are a history of flushing, bumps and spots, skin sensitivity and a burning or stinging sensation. Treatment is similar to lighter skin (e.g., topical ivermectin, azelaic acid, oral lymecycline), but extra care must be taken with procedures like laser and IPL which have higher risks in pigmented skin types.
How can I help
I see patients in person in central London. An in person consultation allows me to examine the skin directly including features that are difficult to capture in a photograph such as 3-dimensional changes and textural change. This is the better option where the diagnosis is uncertain, where previous treatment has not been effective, or where a procedure is being considered. For more straightforward conditions such as acne and rosacea a remote consultation with clear photographs can be a good option.
Related articles
