When people talk about eczema, the first thing many of them mention is the unbearable itch—the hallmark symptom of this group of skin conditions. The next thing they might say is how common it is.
More than 31 million Americans have eczema, but Black people are disproportionately affected. In fact, one widely cited study found that Black kids were 1.7 times more likely to develop the condition than their white counterparts. Researchers believe this disparity may stem from a range of factors, including socioeconomic, environmental, and genetic circumstances. Eczema also presents differently on individuals with darker complexions than it does on lighter skin tones, which can lead to misdiagnosis or delayed diagnosis for people of color. For example, anyone with atopic dermatitis, the most common type of eczema, is likely to experience the condition’s telltale dry patches. However, the red discoloration found on lighter-skinned individuals often appears as brown, purple, or gray on people with more melanin. That can make it more difficult to get the condition recognized and treated early, exacerbating symptoms, including itchiness. Not only is this uncomfortable, but compulsive scratching can break down the skin barrier and cause abrasions, increasing the risk of serious infections such as staph and sepsis.
The condition can also take a profound toll on mental health and self-image. Research has found that people with the condition have an increased risk of depression and anxiety. Many adults report having avoided social interaction because of their eczema, while some studies suggest that the condition can have negative impacts on a person’s sex life. To make matters worse, so many of those suffering do so in silence.
To give voice to the lived experiences of Black women with these conditions, Allure spoke to several individuals with eczema. Here is how this diagnosis has—and hasn’t—impacted the way they live their lives, navigate the world, and advocate for both themselves and others.
Darchelle Burnett, 26
Bothell, Washington
Photo courtesy of Garrett King
Most people do their skin routine and move on with their day. But I have a skin routine I have to do all day long. When I’m working on Zoom as a DEI specialist, I have a slew of products in my drawer to help me feel better, like Vaseline balm sticks, sanitizing wipes, and hand cream. My flares are primarily on the right side of my face, so if it’s happening, any time I open my mouth to smile, everything hurts. With eczema you have what I call “visible mental health.” People can just look at you and tell if you’re having an off day. Your skin reflects everything that’s going on with you.
