According to the National Health and Nutrition Examination Survey, people of color are at a greater risk of atopic dermatitis. Those with a family history of the condition, or those with other immune disorders, are more likely to develop it. The redness that is typical of ear eczema in lighter-skinned people may appear differently in darker skin tones. The color of the affected area may be dark brown, purple, or gray. After eczema has healed, darker-skinned people may also experience areas of hypo or hyperpigmentation at a higher rate than lighter-skinned people.