atopic dermatitis; hyperpigmentation; skin pigmentation; skin of color; Fitzpatrick scale; genetic skin diseases; eczema


Dermatology | Integumentary System | Internal Medicine | Primary Care | Skin and Connective Tissue Diseases


Atopic dermatitis is a chronic inflammatory skin disorder classically affecting flexural areas of the body. It is present in children and adults, including those with darker skin pigmentation. Chronic lesions are hyperpigmented plaques that are dry, cracked, and/or scaly often with lichenification. Differential diagnoses include psoriasis, seborrheic dermatitis, ichthyosis, and pityriasis rosea. This article will showcase clinical images with varying presentations of chronic atopic dermatitis in a range of age groups and skin colors according to the Fitzpatrick scale.