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Eczema of legs on Black skin with erythema and lichenification

Atopic dermatitis on legs of a person with Black skin showing erythema and lichenification

Erythematous scaly patches of atopic dermatitis, some with lichenification. Erythema results from vascular congestion and inflammation. Pigments in skin of color may cause this congestion to appear as colors other than red such as gray, brown or purple. If you look only for redness you may miss the diagnosis or underestimate disease severity.