A Case for Reframing ‘Skin of Color’

The term that transformed dermatology is now blurring the very distinctions it was meant to sharpen.

By
Kerri Miller
March 20, 2026
2 min

MDSpire News

Objective:

To examine the evolution and implications of the term 'skin of color' (SOC) in dermatology and propose a more precise framework for its use.

Approach:

Key Findings:

The Fitzpatrick scale inadequately represents darker skin types.
SOC is often used as a catch-all term that can obscure clinically meaningful differences.
A more granular approach is needed to enhance individualized care in dermatology.

Interpretation:

While SOC has advanced equity in dermatology, its broad application can lead to imprecision in clinical settings, necessitating a more detailed understanding of its components.

Limitations:

The proposed tools for measuring SOC components are underused due to integration challenges.
Refining the term SOC may create tension regarding its visibility and importance in dermatology.