Gray/purple erythematous patches with lichenification on extensor surface of upper extremity. Also note follicular lesions on left of photo. Lichenification and follicular eczema are more common in Black patients. The increased blood flow of erythema does not always appear red or pink in dark skin as you can see here.
Eczema of arm on Black skin with erythematous patches
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This resource provides information to help patients recognize and manage eczema and find treatment. It also helps physicians differentiate eczema on skin of color from other skin diseases.