2016, Number 1
Med Cutan Iber Lat Am 2016; 44 (1)
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ABSTRACTPeople with dark skin phototypes constitute an important volume of the total amount of patients served in dermatology consultations nowadays, both in Latin America and in the rest of the world. However, most of the existing dermatologic literature refers only to diseases in Caucasian skin. Skin with dark phototypes has structural and functional characteristics that differ from Caucasian skin and determine a peculiar dermatological semiology, so many common universal dermatoses may have atypical clinical expressions in these patients. In addition, different cutaneous lesions exist that can be considered physiological in dark skin, as well as diverse dermatoses that are typical of dark phototypes. It is important to be aware of this in order to avoid diagnostic mistakes and unnecessary explorations and treatments. Dermatoses in dark skin may suppose a real diagnostic challenge for dermatologists, so it is important to be acquainted with them.