Rosacea has been reported less frequently among individuals with skin of color than in those with white skin, but rosacea is not a rare disease in this population. In fact, rosacea might be underreported and underdiagnosed in populations with skin of color because of the difficulty of discerning erythema and telangiectasia in dark skin. The susceptibility of persons with highly pigmented skin to dermatologic conditions like rosacea, whose triggers include sun exposure, is probably underestimated. Many people with skin of color who have rosacea might experience delayed diagnosis, leading to inappropriate or inadequate treatment; greater morbidity; and uncontrolled, progressive disease with disfiguring manifestations, including phymatous rosacea. In this article, we review the epidemiology of rosacea in skin of color and highlight variations in the clinical presentation of rosacea across the diverse spectrum of patient populations affected. We present strategies to aid in the timely diagnosis and effective treatment of rosacea in patients with skin of color, with an aim of promoting increased awareness of rosacea in these patients and reducing disparities in the management of their disease.

据报道，有色皮肤的人酒渣鼻的发病率低于有白皮肤的人，但酒渣鼻在这一人群中并不是罕见的疾病。实际上，由于难以分辨深色皮肤中的红斑和毛细血管扩张，在有色皮肤的人群中酒渣鼻可能未得到充分报道和诊断不足。皮肤色素沉着的人对酒渣鼻等皮肤病的易感性可能被低估了，而酒渣鼻的诱因包括阳光暴晒。许多患有酒渣鼻的有色皮肤的人可能会延迟诊断，导致治疗不当或不充分。发病率更高；以及带有毁容性表现的不受控制的进行性疾病，包括植物性酒渣鼻。在本文中，我们回顾了有色皮肤中酒渣鼻的流行病学，并重点介绍了酒渣鼻的临床表现在受影响的不同人群中的变化。我们提出了一些策略，可帮助有色皮肤患者及时诊断和有效治疗酒渣鼻，以期提高这些患者对酒渣鼻的认识，并减少疾病管理中的差异。