Eczema on Black and Brown Skin: What You Should Know and Symptoms, Diagnosis, and Treatment
Eczema, or atopic dermatitis, is a chronic skin condition that affects people across all skin types and ethnicities. However, when you search for images or information online, the majority of resources typically show what eczema looks like on lighter skin. This creates a significant knowledge gap for individuals with darker skin tones. To help bridge this gap, here’s an in-depth look at how eczema manifests on black and brown skin, along with key treatment insights.
How Eczema Appears on Darker Skin
In light skin, eczema typically appears as red, dry, itchy patches. But on darker skin-ranging from brown to dark brown and black tones-this redness might not be easily visible. Instead, the affected areas can appear gray, purple, or dark brown, making it harder to identify early signs.
Unique forms of eczema are also more commonly observed in darker skin. For instance, small, itchy bumps (known as papular eczema) often appear on the torso, arms, or legs. In some cases, bumps may form around hair follicles and resemble goosebumps.
Those with black or brown skin are more likely to experience pronounced skin dryness and dark circles around the eyes. Continuous scratching or rubbing can lead to thickened, hardened skin (lichenification), and in more advanced stages, raised bumps known as prurigo nodularis may develop.
Pigmentary Changes After Healing
Another key point to be aware of is the skin discoloration that can occur after eczema heals. This is more common in darker skin tones and includes:
- Hypopigmentation - lighter patches of skin.
- Hyperpigmentation - darker patches.
Sometimes, individuals find these changes more frustrating than the eczema itself. Although these pigment shifts can be temporary, it may take several months for the skin tone to return to normal.
How Eczema is Diagnosed
Diagnosing eczema doesn’t rely on skin color. A healthcare provider typically asks:
- Where the rash appears.
- Whether it’s itchy.
- When symptoms started.
- If there’s a family history of eczema or allergies.
They will also examine the skin closely. It's crucial not to delay bringing up concerns with a doctor just because of how it looks on darker skin.
Treatment Options for Eczema
Treatment depends on the severity and type of eczema. Common strategies include:
- Moisturizers (especially thick emollients).
- Topical corticosteroids to reduce inflammation.
- Non-steroidal anti-inflammatory creams.
- Oral medications or light therapy in more severe cases.
Daily skin care is just as important:
- Use fragrance-free moisturizers regularly.
- Avoid scratchy fabrics and harsh soaps.
- Try not to scratch, even when itching is intense.
Speak to a pharmacist to find a moisturizer suitable for sensitive skin, preferably without fragrances or potential irritants.
Final Thought
Understanding how eczema presents on all skin types is essential to proper care. If you or a loved one has darker skin and experiences eczema symptoms, early diagnosis and tailored treatment can make a meaningful difference.
For additional information and helpful visuals, organizations such as blackandbrownskin.co.uk provide excellent resources like the Mind the Gap project. These platforms aim to improve awareness and education about dermatological conditions in underrepresented communities.
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📌 Stay informed. Stay healthy.
Source & Further information:
Primary care dermatologysociety:
DermNet :
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