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American Academy of Dermatology: Acne and Rosacea Got You Seeing Red? Patients with Skin of Color Advised to Seek Proper Diagnosis, Treatment to Prevent Common Side Effects
Date:7/30/2008

for these acne patients, as the irritation the skin experiences from acne lesions can leave their mark in the form of long-lasting skin discoloration.

Topical retinoids, which Dr. Callender considers the mainstay of treatment in acne patients of color, have been shown effective in clearing acne lesions while also reducing the occurrence of post-inflammatory hyperpigmentation. Tretinoin, tazarotene and adapalene are three commonly prescribed topical retinoids that Dr. Callender recommends for her patients. She explained that combining one of these topical retinoids with other effective acne medications -- such as a benzoyl peroxide and oral antibiotic combinations -- can enhance results.

"One combination topical retinoid containing tretinoin and clindamycin works great for darker-skinned acne patients because clindamycin reduces the inflammation of acne lesions," said Dr. Callender. "Your dermatologist can determine the best treatment regimen based on your skin type and severity of acne."

In addition, chemical peels and microdermabrasion can be used for acne and resulting pigmentation problems. For example, Dr. Callender noted that chemical peels containing salicylic acid penetrate into the follicle where acne starts and unclogs the follicle -- leading to an improvement in acne. Dr. Callender cautioned that these procedures should only be performed by a dermatologist or another qualified physician since these procedures could actually harm the skin if performed improperly.

Fractional laser resurfacing also has been found to be safe for treating acne scars in patients of color. However, Dr. Callender recommended that microdermabrasion and chemical peels should be tried before fractional laser resurfacing for treating superficial acne scars.

Rosacea: Proper Diagnosis is Important First Step

Rosacea, the chronic skin disease characterized by redness, flushing and prominent blood vessels of the face, is thought to be more common
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SOURCE American Academy of Dermatology
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