Acne in African Americans


Acne presents a special challenge for Afro-Americans. More black people have acne, acne leaves more post acne signs in darker skin types and black patients are less likely than white patients to visit a dermatologist. 

Here are some facts: 

Acne is more prevalent in African American:
(37%) than in Asian (30%), Caucasian (24%), or Continental Indian (23%) and Hispanic (23%)


The risk of post-acne dark spots and scars is significantly higher in afro Americans:

Hyperpigmentation (dark spots) after acne appears in 65% Afro-Americans vs 25% of Caucasians.  
Hypopigmentation (white spots) after acne appears in 15% Afro-Americans vs 2% of Caucasians.  
Atrophic scars (depressed scars) after acne appear in 28% Afro-Americans vs 2% of Caucasians.  
Hypertrophic scars (keloids) after acne appear in 6% Afro-Americans vs 1% of Caucasians. 

More info: 
https://www.mdacne.com/article/best-acne-treatment-for-black-skin​

References:
Comparison of the epidemiology of acne vulgaris among Caucasian, Asian, Continental Indian and African American women.
Racial disparities in the management of acne: evidence from the National Ambulatory Medical Care Survey, 2005-2014.

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