Papular eczema, characterized by small, firm, itchy bumps (papules), is more commonly observed in people with darker skin tones. It often appears on the arms, legs, and torso and may be accompanied by hyperpigmentation or hypopigmentation.

Eczema in dark-skinned patients can present differently than in individuals with lighter skin tones due to differences in pigmentation and inflammation. Key clinical features include:

1. Color Changes:

• Hyperpigmentation: Darker areas of skin where eczema has healed or is still active.
• Hypopigmentation: Lighter patches, particularly after inflammation resolves (post-inflammatory hypopigmentation).
• Erythema (redness) may appear more as a gray, purple, or brownish hue instead of the bright red often seen in lighter skin tones.

2. Lesion appearance:

• Papular lesions: Small, raised, itchy bumps are more common.
• Lichenification: Thickened, leathery skin with pronounced skin lines due to chronic scratching is frequent.