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Dermatitis, Eczema, and Keloids in Skin of Color

Updated: Nov 5, 2025

Some skin conditions look or behave differently in darker skin tones, and understanding that helps us treat them safely.


What Skin Disease Is Common in African Americans?


Conditions like dermatitis, eczema, and keloids are more common in African Americans. These skin issues can present differently in darker skin tones, making it important to recognize how they may appear in order to treat them effectively and safely.


What Does Dermatitis Look Like on African American Skin?


On African American skin, the redness typically seen in dermatitis or eczema may be harder to detect. Instead, the condition may manifest as darker or lighter patches. This can sometimes delay diagnosis and treatment, so it's important to be aware of the subtler signs.


Dermatitis and Eczema


We recognize that redness from dermatitis or eczema can be harder to detect on darker skin, which sometimes delays diagnosis. Eczema can also lead to long-term pigment loss, making early treatment especially important.


Our approach focuses on calming inflammation quickly and restoring the skin barrier with intensive moisturization. Once the inflammation resolves, natural pigment may gradually return, although this process can be slow and variable for each patient.


Keloids


Keloids are more common in people with darker skin and often appear on the back of the neck, especially in areas prone to shaving irritation or ingrown hairs. At Binder Dermatology, we treat keloids using a combination of cortisone injections, acne medicines to reduce inflammation, and strategies to avoid repeated trauma to the area.


It is important to distinguish keloids from hypertrophic scars: hypertrophic scars stay within the wound line and usually flatten over time, while keloids grow beyond the original injury and require active treatment to stop their progression.


Restore Your Skin's Health with Expert Care from Dr. Susan Binder



If you're struggling with dermatitis, eczema, or keloids, don't wait for the condition to worsen. Dr. Susan Binder, a board-certified dermatologist with specialized expertise in treating skin of color, offers personalized solutions to help you manage and treat these common skin issues. From soothing inflammation to preventing long-term pigment changes, Dr. Binder provides the care and attention your skin deserves.


Book a consultation today to start your journey toward healthier, more vibrant skin.

 
 
 

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Featured Review of Susan Binder MD, Dermatologist by Elaine Gold on Google

68 East 86th St. 
New York, NY 10028
646.290.6393
Info@BinderDermatology.com

"Dr. Binder is an excellent dermatologist. She is smart, kind and a good listener. I have been seeing her for awhile and we always create a treatment plan considering my values and her expert eye. She is clearly topnotch cosmetically and for concerning skin conditions.I would definitely recommend her to friends and family."

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