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The Efficacy of the Fitzpatrick Scale in Clinical Practice
Dana Olsen1, Cecilia Nguyen1, Marshall Hall1,2
1University of North Texas Health Science Center, Fort Worth, Texas.
Abstract:
Description Many skin diseases can manifest differently depending on the pigment of one's skin. The Fitzpatrick scale is a classification of phototypes (I-VI) that categorizes patients' skin based on its ability to tan and burn. Even though it is a simple questionnaire, the Fitzpatrick scale has numerous criticisms due to its dependence on patients' self-perception, variability in how questions are asked, limited range, and the underestimation of the risk of skin cancers. Alternatives to the Fitzpatrick scale include the melanin index, pigment protection factor, a visual color scale, and using artificial intelligence along with existing or new scales. Having a more accurate and precise tool to measure skin tone is imperative for research, education, and the patient care of individuals with diverse skin tones.
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