Atopic Dermatitis in Skin of Colour: A Review

Abstract Atopic dermatitis (AD) is a chronic inflammatory skin condition characterised by intense pruritus, eczematous lesions, and a relapsing-remitting course. While extensively studied in lighter skin types, AD in skin of colour presents unique clinical, pathophysiological, and psychosocial challenges. Patients of Asian ethnicity often display atypical morphologies, including papular or follicular lesions, and more pronounced lichenification, complicating diagnosis and management. Hyperpigmentation and post-inflammatory changes are prominent in these patients, often persisting long after active inflammation subsides, contributing to significant psychosocial distress. Cultural practices, environmental factors, and access to care further impact disease severity and outcomes. This review aims to provide a comprehensive overview of the clinical presentation, diagnostic challenges, and therapeutic approaches for AD in skin of colour, emphasising the need for culturally sensitive care and tailored interventions to improve outcomes in this underserved population. Addressing knowledge gaps through targeted research and education is crucial for advancing equitable dermatologic care.