Many dermatological conditions predominantly affect individuals of African descent, presenting unique challenges in diagnosis and treatment. In this discussion, we will explore conditions such as hyperpigmentation, keloids, discoid lupus, acne keloidalis nuchae, pseudofolliculitis barbae, cutaneous sarcoidosis, and scarring alopecia. Additionally, some skin disorders manifest differently in darker skin tones, often leading to under recognition, delayed diagnosis, or misdiagnosis. We will also review several of these conditions, including atopic dermatitis, psoriasis, seborrheic dermatitis, and skin cancer, highlighting the importance of early detection and tailored dermatologic care.

Buchi Neita, MCMSc, PA-C is a certified physician assistant with Epiphany Dermatology. She brings over 15 years of experience to manage the dermatologic needs of patients of all ages and skin types, with special interests in acne, eczema, psoriasis, and disorders affecting skin of color. She is also passionate about lifestyle medicine, preventative healthcare, and integrative/holistic approaches to managing skin disease. Her formal educational training includes a Bachelor of Science in Biology from the University of California, Riverside and a Master of Clinical Medical Sciences in Physician Assistant Studies from Barry University in Miami, FL.