Why Is Rosacea Is So Often Misdiagnosed on Black Skin?

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Why Is Rosacea Is So Often Misdiagnosed on Black Skin?
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It's famously tricky to diagnose, but we need to talk more about rosacea in women of color.

All products featured on Allure are independently selected by our editors. However, when you buy something through our retail links, we may earn an affiliate commission.. Flare-ups of rosacea, a skin condition that causes chronic inflammation, can be a source of discomfort and self-consciousness for many, but fake news has kept it flying relatively under the radar.

Be it erythematotelangiectatic rosacea or papulopustular rosacea , the exact cause of it is still unknown. But as, M.D., a board-certified dermatologist based in Los Angeles, explains, the symptoms are universal regardless of skin color or ethnicity. "Rosacea is basically an inflammatory condition that most commonly presents on the face," Elbuluk says. "It consists of tiny broken blood vessels, most prominently on the cheeks and nose area.

But that's where the similarities end and darker skin tones face a new set of challenges. The signs of rosacea are far more nuanced in Black skin because the obvious telltale redness does not present the same way. "Melanin in the skin tends to mask the redness, which we medically call erythema," Elbuluk says. "That's really the reason rosacea gets missed [on Black skin] so often, as it's a more subtle presentation.

, M.D., a board-certified dermatologist in New York, the inflammation is there, "it can present as a violet, purple, or a dusky brown hue" instead.Likewise, as New York City board-certified dermatologist, M.D., explains, some types of rosacea can look remarkably similar to other skin conditions, especially acne.

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