Surg Cosmet Dermatol. 2011;3(3):193-196
Introduction: Evaluating the response of various skin types to ultraviolet radiation expo-
sure is very important in dermatology. The Fitzpatrick system is the most frequently used
classification technique. It is straightforward and practical, assesses photodamage and skin
cancer risks, and helps in defining light-based treatments. Nevertheless, there seem to be
limitations to its use in non-Caucasians.
Objective: To compare the subjective phototype evaluation method to the Fitzpatrick
classification in Caucasian and Asian (East and Southeast Asian, in particular) skin types.
Methods: Caucasian and Asian women (n = 42) were classified using 3 evaluation meth-
ods (clinical, Fitzpatrick and Modified Fitzpatrick). The data were collected through ques-
tionnaires and analyzed using non-parametric methods. A 5% significance level was
adopted.
Results: There were no statistically significant differences within each group between the
clinical evaluation, Fitzpatrick classification and the Modified Fitzpatrick classification
(Caucasian cr2 = 0.375, p = 0.93 and Asians cr2 = 3.5, p = 0.182).
Conclusion: The three methods evaluate phototypes equally, yet studies with larger pop-
ulation samples are still necessary.
Keywords: SKIN, SKIN PIGMENTATION, PHOTOBIOLOGY