ABSTRACT

The prevalence of acne in individuals with skin of color has, likewise, been investigated in several studies (6, 7). Thus, Halder et al. (1983) reported acne being present in 27.7% of the Black patients and 29.5% of the Caucasian patients. Additional studies of adult patients in the United Kingdom and Singapore have placed the prevalence of adult acne at 13.7% of the Black patients and 10.9% of the Indian and Asian patients (Child et al. 1999; Goh & Akarapanth 1994). It has also been shown that the presence of significant inflammation, resulting in the clinical appearance of nodulocystic acne, is more common in Caucasian and Hispanic patients than in their Black counterparts (Wilkins & Voorhees 1970). More recent evidence indicates that subclinical, microscopic inflammation may be more common in the latter group (Halder et al. 1996).