Pityriasis Rosea may have inverse distribution - more on face, neck, axillae and extremities, than on the trunk. Lesions are often patches of small papules with scattered follicular papules on extremeties and may not appear erythematous. Non-specific confluent follicular eruptions involving the head and upper chest are very common in AA children. There is usually no fever or pharyngitis and throat cultures are negative for strep. The rash resolves spontaneously after several days.
Diphenhydramine helps if there is pruritis.
Acne less common and severe in Blacks but causes more permanent hyperpigmented macules. Men who shave closely develop ingrown hair in beards. This also causes significant facial hyperpigmentation. Suggestions and Comments are welcome.