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Eczema of back on Black skin with lichenification and follicular accentuation plus hyperpigmentation

Atopic dermatitis on the back of a person with Black skin showing lichenification, follicular accentuation and hyperpigmentation


Higher rate of lesions on the trunk are observed in Black patients. Here we see extensive trunk involvement, lichenification, follicular accentuation and hyperpigmentation. Post-inflammatory hyperpigmentation and erythema may have similar shades in skin of color and may lead to an under appreciation of active erythema and hence disease severity. This also presents a challenge assessing body surface area.