The Caucasian Skin through the Eyes of a Nigerian Dermatologist

Abstract

It was interesting to note the similarities and differences between African and Caucasian skin first-hand in
Brazil. The diversity of patients seen in Brazil was striking as they presented with all parts of the spectrum of
Fitzpatrick's skin type I to VI.
In the Caucasian skin, the incidence and prevalence of skin cancers was significantly high with most patients
having a history of one or more skin cancers. At least sixty percent of patients seen with clinical suspicion of a
skin malignancy on dermoscopy were confirmed positive for skin cancer after histology was done. In
comparison, lesions on the skin that would probably be waved off as benign in black skin may warrant further
scrutiny in Caucasians.
Other commonly seen conditions were rosacea, acne vulgaris, atopic dermatitis, scalp disorders, psoriasis,
and seborrheic keratosis amongst others. Skin infections were less commonly encountered than patients
seen here in Nigeria. Aesthetic procedures including surgery were also requested more often than with
Nigerian patients.
In conclusion, these differences are important to note even though Caucasian patients are a minority here in
Nigeria. Dermoscopy is a valuable tool for dermatologists. The world is increasingly being made global;
particularly with the use of technology so all dermatologists must embrace the diversity of skin types.