Unveiling the reality of Rosacea in skin of colour
In recent years, dermatology has faced scrutiny for its underrepresentation and misrepresentation of skin conditions in Black and other skin of colour populations. Despite efforts to rectify this, misdiagnosis persists, particularly evident in conditions like rosacea.
Rosacea, a chronic inflammatory skin condition, predominantly affects the face, presenting as redness, flushing, and acne-like bumps. Yet, it's frequently underdiagnosed in Black individuals and people of colour, highlighting a significant gap in healthcare.
Research indicates a lower prevalence of rosacea in darker skin types, but whether this reflects genuine differences or diagnostic disparities remains unclear. A 2018 study in the Journal of the American Academy of Dermatology suggests that up to 40 million people of colour may struggle with rosacea, emphasizing the magnitude of this issue.
Dr. Ginni Mansberg, co-founder of ESK Skincare, notes the challenge in diagnosing rosacea in skin of colour, where visible redness is less pronounced. Patients often experience delayed diagnosis and are more likely to present with pustules and pimples, feeling dismissed by healthcare providers.
Dr. Maryam Zamani underscores the importance of recognizing rosacea's varied presentations in different skin tones, advocating for inclusive representation in healthcare and treatment protocols.
Rosacea's management remains consistent across skin colours, emphasizing gentle skincare routines and non-irritating products. Ingredients like niacinamide and azelaic acid can mitigate redness and inflammation without exacerbating hyperpigmentation.
Lifestyle factors such as sunlight exposure and diet play a role in rosacea, prompting Dr. Mansberg to recommend trigger identification through diary tracking. Additionally, prescribed treatments like vitamin A derivatives and niacinamide can aid in symptom management.
Addressing rosacea misdiagnosis in people of color requires a paradigm shift in dermatological practice, prioritizing equitable representation, and tailored treatment approaches. By raising awareness and fostering inclusivity, healthcare professionals can ensure that all individuals receive accurate diagnosis and appropriate care for rosacea, irrespective of skin colour.
As Dr. Mansberg aptly summarizes, "Successfully treating rosacea is life-changing for sufferers. And our sisters and brothers of colour deserve that skin improvement, too."
In navigating rosacea treatment, education, and advocacy, the medical community can bridge healthcare disparities and promote holistic well-being for all individuals affected by this prevalent skin condition.