Universal classification of skin type

Abstract

Thomas Fitzpatrick [1] proposed a classification of skin type based on the efficiency of melanogenesis in response to ultraviolet exposure. This classification is based on a personal history of sunburning and/or suntanning following 45-60 min of exposure to midday sun. This Fitzpatrick skin classification (Table 3.1) has been universally adopted in all aspects of dermatology and cutaneous surgery to predict post-treatment pigmentary changes. My experience in treating hundreds of patients of both sexes of various races on various medications suggests that the Fitzpatrick classification is not an accurate predictor of pigmentary response to laser, surgical (dermabrasion) or chemical injury to the skin. In fact, I do not believe that the Fitzpatrick classification was ever meant to fulfill this purpose. © Springer-Verlag 2008.