ABSTRACT
This chapter discusses 12 common dermatological problems we encounter in children with brown skin (Fitzpatrick skin type V/FST 5) using 16 clinical photographs. These are discussed based on a clinical photograph and easy-to-read question-and-answer format. They are granuloma annulare, lichen planus, lichen sclerosus, mastocytoma, miliaria, papular urticaria, pityriasis lichenoides chronica, psoriasis, guttate psoriasis, tinea amiantacea, urticaria pigmentosa, and xanthogranuloma.
Erythema is inconspicuous and post-inflammatory hypopigmentation and hyperpigmentation are marked in coloured-skinned children. For example, PASI score in psoriasis is much lower in a darker-skinned child of the same severity due to 0 or 1 erythema score; genital lichen sclerosus presents early as darker-skinned children notice depigmentation early, mistaken for vitiligo, and seek early medical attention. Early initiation of treatment results in good prognosis in lichen sclerosus and morphoea in darker skin.
