Racial/Ethnic Variations in Acne: Implications for Treatment and Skin Care Recommendations for Acne Patients With Skin of Color

July 2021 | Volume 20 | Issue 7 | Original Article | 716 | Copyright © July 2021


Published online June 29, 2021

Andrew F. Alexis MD MPH,a Heather Woolery-Lloyd MD FAAD,b Kiyanna Williams MD FAAD,c Anneke Andriessen PhD,d Valerie D Callender MD FAAD,e Sewon Kang MD FAAD,f David Rodriquez MD,g Jerry Tan MD FRCPCh

aWeill Cornell Medical College, New York, NY
bSkin of Color Division, Dr Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami, Miller School of Medicine, Miami, FL
cSkin of Color Section, Department of Dermatology, Cleveland Clinic, Cleveland, OH
dRadboud UMC, Nijmegen and Andriessen Consultants, Malden, The Netherlands
eHoward University College of Medicine, Washington DC; Callender Dermatology & Cosmetic Center, Glenn Dale, MD
fDepartment of Dermatology, Johns Hopkins School of Medicine, Baltimore, MD
gDermatology Associates & Research/ Dadeland Dermatology Group, Department of Dermatology & Cutaneous Surgery at the University of Miami, Miami, FL
hRoyal College of Physicians and Surgeons of Canada, Schulich School of Medicine and Dentistry, Department of Medicine, Western University, Windsor, ON, Canada



For effective acne treatment in SOC, thoughtful selection of a topical regimen is paramount. Choosing the appropriate active agent, concentration, vehicle, dosing regimen, and adjunctive skincare can help to maximize benefit while minimizing skin irritation.10 Various topical treatments are safe and effective in acne patients with Fitzpatrick skin type IV–VI, such as benzoyl peroxide (BPO) 2.5–5.5%, retinoids, dapsone, azelaic acid, and fixed combination products such as clindamycin-benzoyl peroxide, clindamycin-tretinoin, and adapalene-benzoyl peroxide (Table 2).

Statement 2: Dry skin is a common concern among patients with SOC and may be more visible or stigmatizing in richly pigmented skin.