Preface

Historically, mainstream dermatologic research, literature, and training had little focus on skin of color. In addition to the paucity of reliable information regarding the pathology, physiology, and reactivity of more darkly hued skin, there were misconceptions based on myth, folklore, and prejudice. Fortunately, by the end of the twentieth century, new interest and attention had turned to the burgeoning field of skin of color. This is most relevant as the demographics of patient populations are changing worldwide. For example, in the United States, it is estimated that black, Hispanic, and Asian Americans will comprise approximately 50% of the population by the year 2050.

Textbooks first by Johnson and then by Halder and Grimes served to create a foundation upon which an understanding of ethnic skin, pigmented skins, and darker skin types has been built. Efforts by the Skin of Color Society, the Dermatology section of the National Medical Association, and the American Academy of Dermatology have also aided in advancing understanding of skin of color.

The first edition of Dermatology for Skin of Color was published in 2009. It was a comprehensive textbook and photographic atlas written by dozens of nationally and internationally recognized experts in the field. The two editors involved in the edition, A. Paul Kelly and Susan C. Taylor, were extremely gratified by the favorable reception of the textbook. With the evolving knowledge of the field, this second edition is intended as both a textbook and as an up-to-date reference for all physicians, especially dermatologists, medical students, dermatology residents, and physician extenders. It contains chapters on structure, function, biology, and the myriad of diseases occurring in patients of color as well as cosmetic issues. In addition, Dermatology for Skin of Color provides a rich understanding of the cultural habits, practices, beliefs, and use of alternative medicine by patients of diverse backgrounds. It concludes with a section on comparative dermatology from Africa, Asia, and Latin America and a spectacular atlas of skin of color dermatology.

As our population grows increasingly multiracial, multicultural, and multiethnic, dermatologists will be challenged with the task of recognizing how darker skin differs from lighter skin, what is normal versus pathologic, which treatments have the highest efficacy and lowest morbidity, and how to interact with patients in a culturally competent manner. It is our hope that this book will serve as an invaluable tool to help dermatologists and the larger medical community meet those challenges.