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.
Eczema of legs on Black skin with erythema and lichenification
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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.