Understanding Eczema + Psoriasis in Black Skin

Eczema + psoriasis are common skin conditions that can affect people of all skin tones, including those with black skin. Eczema or psoriasis on black skin can be particularly challenging to manage, as it may present differently than eczema on lighter skin tones. In this guide, we'll explore the causes, symptoms, and treatment options for black people experiencing eczema or psoriasis, so you can find relief and improve your skin health.

Black and other ethnic minorities can experience skin conditions differently from white people. Eczema + psoriasis are common skin conditions that affect people of all skin types, including black skin. However, skin conditions in black skin can present unique challenges due to the differences in skin structure and function. It is important to understand the causes, symptoms, and treatment options for eczema + psoriasis in black skin.

Eczema on Black Skin

Eczema on black skin can present differently than eczema on lighter skin tones, often appearing as dark patches or discoloration on the skin. Eczema on black skin can be caused by a variety of factors, including genetics, environmental triggers, and lifestyle factors. It can also be exacerbated by certain products or ingredients, such as harsh soaps or fragrances. If you suspect you have eczema, it's important to see a dermatologist or doctor for an accurate diagnosis and treatment plan.

Eczema is more likely to affect black children than those of other racial backgrounds. 20% of black children in America are living with eczema. This compares with 12% of white children (figures from the National Eczema Association). Interestingly, this isn’t the case for adults. 7% of black Americans have eczema, compared with 10% of white adults. Black people are more likely to develop a severe form of eczema than people of other ethnicities.

Diagnosis of eczema can be more difficult if you are black, as it can appear different on black skin from the pictures we usually see of white skin. A large majority of medical advice includes photos of eczema on white skin, making it more difficult to recognise on black skin. Eczema patches tend to be a darker brown, purple or grey on black skin, rather than the red/pink images we tend to see. These patches may be dry, scaly, itchy or swollen. Black people usually have more extensive dryness than white people. The skin around the patches can often go a lighter colour. This will fade with the patch once properly treated. The most common type of eczema for black skin is papular eczema, which looks like goosebumps.

Causes of Black Skin Eczema

Eczema on black skin can be caused by a variety of factors, including genetics, environmental triggers, and lifestyle factors. Some common triggers include stress, dry skin, exposure to irritants or allergens, and hormonal changes. Additionally, certain medical conditions like asthma and allergies can increase the risk of developing eczema. It's important to work with a dermatologist to identify the specific cause of your eczema in order to develop an effective treatment plan.

Symptoms of Eczema for Black Skin

The symptoms of eczema on black skin can vary from person to person, but some common signs include dry, itchy, and inflamed skin. The affected area may also appear scaly, rough, or cracked. In some cases, blisters or oozing may occur. It's important to seek medical attention if you experience these symptoms, as untreated eczema can lead to complications like skin infections.

Treatment of Black Skin Eczema

Treatment is similar across ethnicities. We would recommend a daily salt bath and remember to moisturise once or twice a day if you can with a thick cream, oil or lotion. We recommend E45 Eczema Repair Cream, designed to soothe and repair very dry skin. Black skin has a higher level of water loss than white skin. There are also lew ceramides (fatty acids) which help form the skin barrier. Moisturising twice a day should help tackle the increased proneness to dry skin.

There are several treatment options available for black skin eczema, including topical creams and ointments, oral medications, and light therapy. Your doctor may recommend a combination of these treatments depending on the severity of your symptoms. It's important to follow your doctor's instructions and continue treatment even if your symptoms improve, as eczema can flare up again if left untreated. Additionally, practising good skin care habits like moisturising regularly and avoiding harsh soaps can help manage symptoms and prevent flare-ups.

Prevention and Management of Eczema in Black Skin

While there is no known cure for eczema, there are steps you can take to prevent and manage symptoms. One of the most important things you can do is to keep your skin moisturised. Use a thick, fragrance-free moisturiser at least twice a day, and apply it immediately after bathing to lock in moisture. Avoid using harsh soaps and detergents, and opt for gentle, fragrance-free products instead. If you have allergies or sensitivities to certain foods or substances, try to avoid them as they can trigger eczema flare-ups. Finally, be sure to follow your doctor's treatment plan and attend regular check-ups to monitor your condition.

Psoriasis on Black Skin

Psoriasis affects 1.3% of black people, compared to 2.5% of white people. This can leave black psoriasis sufferers feeling isolated, as they may not know of other people of colour with psoriasis. Psoriasis is often more severe on black skin. Black skin has a higher melanin content than white people’s, so psoriasis appears differently, making diagnosis more difficult.

Research has shown that ethnic minority patients are 40% less likely to seek medical help for psoriasis, compared to white patients. Ethnic minorities also report a poorer quality of life because of their psoriasis. Regardless of your ethnic background, we always advise seeking a doctor’s advice. Once you have a diagnosis, you can begin a treatment programme. Being proactive will hugely help your mindset.

Symptoms of Psoriasis for Black Skin

Again, a black person with psoriasis may have the same difficulty as those with eczema in identifying the skin condition. The images we are typically shown of red, white and pink scales may not be relevant to black skin. Black skin is more likely to experience psoriasis as purple or grey scales. Another difficulty is that psoriasis on black skin can look like other skin conditions which are more common in black people. As psoriasis heals, it can leave skin discolouration on black skin, which usually fades within a year. Diagnosis is essential for black sufferers, as it is so often misdiagnosed or missed altogether. Be persistent with your doctor.

Treatment of Psoriasis on Black Skin

Treatment options are the same regardless of racial background. However, some people with darker skin need to take extra considerations. Black people should approach phototherapy with caution as it can make dark spots on black skin more noticeable. Speak to your doctor if you are concerned.

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