Skin of Colour

Question 1

Pseudofolliculitis Barbae

Answer 1

Papules and pustules after shaving

• Topical steroids, Benzoyl peroxide, Topical retinoids
• Change hair removal technique

Question 2

Acne Keloidalis Nuchae

Answer 2

Hair loss from tender papules and plaques on back of scalp

• Potent Topical steroids, Topical Antibiotics
• Avoid friction

Question 3

Actinic Prurigo

Answer 3

Sun exposed areas crust, hemorrhage, and pitted scars –> Conjunctivits and cheilitis
- Affects indigenous population

• Sun protection, calcineurin, topical corticosteroids, antimalarials, azathioprine, cyclosporine

Question 4

Melasma

Answer 4

Bilateral distribution on cheeks, forehead, and upper lip
- Risk Factors: Female, Sun Exposure, Hormone changes

• Hydroquinone

Question 5

Vitiligo

Answer 5

White depigmented patches of skin
- Autoimmune comorbidities

• No cure, can only stop progression with Topical Steroids and Calcineurin inhibitors

Question 6

Acanthosis Nigricans

Answer 6

Hyperpigmented patches
- Neck, Axilla, Groin

• Manage comorbidities (Metabolic disorders)
• Topical / oral retinoids, Vitamin D analogues, Laser treatment

Question 7

Traction Alopecia

Answer 7

Hair loss from prolonged tension on scalp hair

• Minoxidil, loosen hair style, Topical or oral intralesional steroid

Question 8

Central Centrifugal Cicatricial Alopecia

Answer 8

Permanent destruction of hair follicles

• Eliminate aggressive hair practices, Retinoids, Immunosuppressants, Topical or intralesional steroid