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Inflammatory Disorders

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Dermatoanthropology of Ethnic Skin and Hair

Abstract

Inflammatory skin conditions are common in all ages and races. These disorders can be disfiguring and cause great discomfort, leading to a negative impact on the patient’s quality of life. The most common inflammatory skin conditions include atopic dermatitis, psoriasis, and lichen planus. Atopic dermatitis is a pruritic disorder that usually starts in early infancy, though an adult-onset variant is recognized. It typically has an intermittent course with flares and remissions. Primary skin findings include xerosis, lichenification, and eczematous lesions. Psoriasis is a chronic, multifactorial disease that involves hyperproliferation of the keratinocytes in the epidermis. Psoriasis is characterized by red, scaly plaques most commonly on the elbows, knees, scalp, lumbosacral areas, and intergluteal clefts. In up to 30% of patients, the joints are also affected. Lichen planus is a cell-mediated immune response of unknown origin. Lesions initially develop on flexural surfaces of the limbs, with a generalized eruption developing after a week or more and maximal spreading within 2–16 weeks. If untreated, inflammatory conditions in patients with skin of color can lead to post-inflammatory hyperpigmentation, which can be very difficult to treat.

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Correspondence to Porcia Bradford Love .

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Love, P.B. (2017). Inflammatory Disorders. In: Vashi, N., Maibach, H. (eds) Dermatoanthropology of Ethnic Skin and Hair. Springer, Cham. https://doi.org/10.1007/978-3-319-53961-4_10

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  • DOI: https://doi.org/10.1007/978-3-319-53961-4_10

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