The Efficacy of the Fitzpatrick Scale in Clinical Practice

Authors

Dana Olsen, University of North Texas Health Science CenterFollow
Cecilia Nguyen, University of North Texas Health Science CenterFollow
Marshall Hall, Medical City Fort WorthFollow
Michael Carletti, University of North Texas Health Science CenterFollow
Stephen E. Weis, Medical City Fort WorthFollow

Keywords

artificial intelligence; Fitzpatrick scale; photodermatology; phototyping; skin of color; subjective classification

Disciplines

Dermatology

Abstract

Many skin diseases can manifest differently depending on the pigment of one’s skin. The Fitzpatrick scale is a classification of phototypes (I-VI) that categorizes patients' skin based on its ability to tan and burn. Even though it is a simple questionnaire, the Fitzpatrick scale has numerous criticisms due to its dependence on patients’ self-perception, variability in how questions are asked, limited range, and the underestimation of the risk of skin cancers. Alternatives to the Fitzpatrick scale include the melanin index, pigment protection factor, a visual color scale, and using artificial intelligence along with existing or new scales. Having a more accurate and precise tool to measure skin tone is imperative for research, education, and the patient care of individuals with diverse skin tones.

Recommended Citation

Olsen, Dana; Nguyen, Cecilia; Hall, Marshall; Carletti, Michael; and Weis, Stephen E. (2026) "The Efficacy of the Fitzpatrick Scale in Clinical Practice," HCA Healthcare Journal of Medicine: Vol. 7: Iss. 1, Article 2.
DOI: 10.36518/2689-0216.2207
Available at: https://scholarlycommons.hcahealthcare.com/hcahealthcarejournal/vol7/iss1/2