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Treatment of hyperpigmentation component in chronic radiodermatitis with alexandrite epilation laser

lichen amyloid is an example of a disease of high prevalence in Asians. Furthermore, the use of traditional healing practices such as coining and cupping in this latter group may also be associated with specific cutaneous disorders. Finally, the cultural practice of skin bleaching is a significant problem in many individuals with skin of colour. Skin of colour also poses unique challenges in relation to dermatological therapeutics. If these are not appreciated, significant adverse reactions may occur. While superficial chemical peels and lasers may be associated with adverse reactions in this cohort, in experienced hands they can be used as adjunctive therapies for managing conditions such as pseudofolliculitis barbae. Disparities in access to healthcare may also have an impact on disease presentation in skin of colour. For example, although skin cancers are uncommon in this cohort, data from the U.S.A. demonstrate that individuals of African, Asian, Latin-American and American-Indian descent frequently present with advanced stage cutaneous malignant melanoma. Although this may reflect an aggressive tumour biology, the impact of accessibility to health services and a lack of awareness of melanoma risk in this cohort cannot be ignored. These issues are and will increasingly be addressed by skin of colour specialists. The emergence of the subspeciality of skin of colour, primarily in North America, is a significant and important milestone in dermatology. Here in the U.K., the presence of a wide variety of racial and ethnic groups, and the admixture of recent and second-generation immigrants, provide us with a unique perspective on this issue. The challenge for U.K. dermatology is using this unique resource to develop novel insights into skin of colour.