Acne and Rosacea in Skin of Colour.

Acne and rosacea are common inflammatory skin conditions present in numerous racial and ethnic groups. There are distinct differences in clinical presentation, exacerbating factors, potential triggers and consequences of both conditions in individuals with skin of colour (SOC, Fitzpatrick skin type III-VI). For example, acne can be complicated by the development of post-inflammatory hyperpigmentation and keloids scarring in SOC, this can influence treatment choice. Although rosacea is reported less frequently in skin of colour, this may be due to a delayed diagnosis or late presentation due to the difficulty in discerning the classical feature of erythema in darker skin tones. In such cases, additional clues in the history and examination may assist in making the diagnosis. This review aims to summarise nuances in the both diagnosis and management of two these common skin conditions in patients with skin of colour to support clinicians in providing an individualised treatment approach.