Research Techniques Made Simple: Cutaneous Colorimetry: A Reliable Technique for Objective Skin Color Measurement
Open accessAbstract
Skin color evaluation contributes to assessment of an individual's cutaneous phenotype. Skin color changes provide important clues to disease progression or treatment response. Skin color is also a predictor of skin cancer risk. Melanin pigment, blood flow, skin thickness, and photoaging contribute to skin color. Melanin, hemoglobin, bilirubin, and carotene are the primary chromophores of skin color. Their concentrations vary depending on the individual's phenotype, anatomic location, external insults of chemical irritants and UVR, and physiological changes. The evaluation and perception of skin color are often subjective. Objective quantification of skin color can be achieved with colorimetric devices such as tristimulus colorimeters. These devices compute the intensity of light reflected from skin and correlate with pigmentation and erythema. Cutaneous color and color changes can be quantified under color organization systems, such as the CIELAB color space, which is standardized by the Commission Internationale de l'Eclairage (CIE). The CIELAB expresses color's lightness, red/green intensity, and yellow/blue intensity, as L*, a*, and b* values, respectively. Additionally, skin color's full spectral characteristics and cutaneous physiology can be measured with spectrophotometers. This article outlines basic principles of the CIELAB color system and how to optimally use colorimetric devices as a skin research tool.
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Some colorimeters are able to assess skin color's full spectral characteristics and cutaneous physiology.
“Some colorimeters are able to not only assess skin color’s full spectral characteristics but also cutaneous (skin/fat layers) physiology (see Ly and colleagues19 guide to research techniques for colorimeters)19.”
From Response To: Investigating sources of inaccuracy in wearable optical heart rate sensors (2021) · cites this paper as [19]
Cites
The validity and practicality of sun-reactive skin types I through VI
Fitzpatrick, T. B. (1988) · Archives of Dermatology · doi:10.1001/archderm.1988.01670060015008 · Cited by 4,339 · see citing works
Topical retinoic acid (tretinoin) for melasma in black patients. A vehicle-controlled clinical trial
Kimbrough-Green, C. K. (1994) · Archives of Dermatology · doi:10.1001/archderm.130.6.727 · Cited by 418 · see citing works
Fullerton, A., Fischer, T. W., Lahti, A.-M., et al. (1996) · Contact Dermatitis · doi:10.1111/j.1600-0536.1996.tb02258.x · Cited by 409 · see citing works
Clarys, P., Alewaeters, K., Lambrecht, R., & Barel, A. O. (2000) · Skin Research and Technology · doi:10.1034/j.1600-0846.2000.006004230.x · Cited by 383 · see citing works
Skin Color Measurements in Terms of CIELAB Color Space Values
Weatherall, I. L., & Coombs, B. D. (1992) · Journal of Investigative Dermatology · doi:10.1111/1523-1747.ep12616156 · Cited by 366 · see citing works
Skin colour typology and suntanning pathways
CHARDON, A., CRETOIS, I., & Hourseau, C. (1991) · International Journal of Cosmetic Science · doi:10.1111/j.1467-2494.1991.tb00561.x · Cited by 350 · see citing works
Colorimetry: fundamentals and applications
(2006) · Choice Reviews Online · doi:10.5860/choice.43-5951 · Cited by 289 · see citing works
Variations in skin colour and the biological consequences of ultraviolet radiation exposure
Bino, S. D., & Bernerd, F. (2013) · British Journal of Dermatology · doi:10.1111/bjd.12529 · Cited by 261 · see citing works
Handbook of Visual Display Technology
Chen, J., Cranton, W. M., & Fihn, M. (2012) · Springer eBooks · doi:10.1007/978-3-540-79567-4 · Cited by 216 · see citing works
Davidoff, J. B. (1998) · Cited by 201 · see citing works
Accuracy of Self-report in Assessing Fitzpatrick Skin Phototypes I Through VI
Eilers, S., Bach, D. Q., Gaber, R., Blatt, H., Guevara, Y., Nitsche, K., Kundu, R. V., & Robinson, J. K. (2013) · JAMA Dermatology · doi:10.1001/jamadermatol.2013.6101 · Cited by 191 · see citing works
Bradford, P. T. (2009) · PubMed · Cited by 176 · see citing works
Perkins, A. C., Cheng, C. E., Hillebrand, G. G., Miyamoto, K., & Kimball, A. B. (2010) · Journal of the European Academy of Dermatology and Venereology · doi:10.1111/j.1468-3083.2010.03919.x · Cited by 172 · see citing works
The impact of epidermal melanin on objective measurements of human skin colour
Alaluf, S., Atkins, D., Barrett, K., Blount, M., Carter, N., & Heath, A. (2002) · Pigment Cell Research · doi:10.1034/j.1600-0749.2002.1o072.x · Cited by 169 · see citing works
Objective Assessment of Burn Scar Vascularity, Erythema, Pliability, Thickness, and Planimetry
de Oliveira, G. V., Chinkes, D. L., Mitchell, C. E., Oliveras, G., Hawkins, H. K., & Herndon, D. N. (2006) · Dermatologic Surgery · doi:10.1111/j.1524-4725.2005.31004 · Cited by 165 · see citing works
Measurement of Erythema and Tanning Responses in Human Skin Using a Tri-Stimulus Colorimeter
Seitz, J. C., & Whitmore, C. (2009) · Dermatologica · doi:10.1159/000248520 · Cited by 153 · see citing works
Del Bino, S., Ito, S., Sok, J., Nakanishi, Y., Bastien, P., Wakamatsu, K., & Bernerd, F. (2015) · Pigment Cell & Melanoma Research · doi:10.1111/pcmr.12410 · Cited by 150 · see citing works
Self-citationDraaijers, L. J., Tempelman, F. R. H., Botman, Y. A. M., Kreis, R. W., Middelkoop, E., & van Zuijlen, P. P. M. (2004) · Burns · doi:10.1016/j.burns.2003.09.029 · Cited by 145 · see citing works
Objective Assessment of Burn Scar Vascularity, Erythema, Pliability, Thickness, and Planimetry
de Oliveira, G. V., Chinkes, D. L., MITCHELL, C., et al. (2005) · Dermatologic Surgery · doi:10.1097/00042728-200501000-00010 · Cited by 130 · see citing works
Efficacy of Glycolic Acid Peels in the Treatment of Melasma
Hurley, M. E., Guevara, I. L., Gonzales, R. M., et al. (2002) · Archives of Dermatology · doi:10.1001/archderm.138.12.1578 · Cited by 125 · see citing works
Stamatas, G. N., Zmudzka, B. Z., Kollias, N., & Beer, J. Z. (2008) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2008.08642.x · Cited by 104 · see citing works
Development of a forensic skin colour predictive test
Maroñas, O., Phillips, C., Söchtig, J., Gómez‐Tato, A., Cruz, R., Álvarez‐Dios, J. A., de Cal, M. C., Ruíz, Y., Fondevila, M., Carracedo, Á., et al. (2014) · Forensic Science International Genetics · doi:10.1016/j.fsigen.2014.06.017 · Cited by 100 · see citing works
van der Wal, M., Bloemen, M., Verhaegen, P., Tuinebreijer, W., de Vet, H., van Zuijlen, P., & Middelkoop, E. (2013) · Journal of Burn Care & Research · doi:10.1097/bcr.0b013e318264bf7d · Cited by 96 · see citing works
Characterising the variations in ethnic skin colours: a new calibrated data base for human skin
Xiao, K., Yates, J. M., Zardawi, F., Sueeprasan, S., Liao, N., Gill, L., Li, C., & Wuerger, S. (2017) · Skin Research and Technology · doi:10.1111/srt.12295 · Cited by 95 · see citing works
Color Difference Thresholds of Maxillofacial Skin Replications
Paravina, R. D., Majkic, G., Gómez, M. D. M. P., et al. (2009) · Journal of Prosthodontics · doi:10.1111/j.1532-849x.2009.00465.x · Cited by 92 · see citing works
Nam, G., Baek, J. H., Koh, J. S., et al. (2014) · Skin Research and Technology · doi:10.1111/srt.12145 · Cited by 88 · see citing works
Minimal Erythema Dose (MED) Testing
Heckman, C. J., Chandler, R., Kloss, J. D., et al. (2013) · Journal of Visualized Experiments · doi:10.3791/50175 · Cited by 71 · see citing works
Yong, A. M.-Y., & Tay, Y. (2017) · Dermatologic Clinics · doi:10.1016/j.det.2017.02.012 · Cited by 70 · see citing works
Practical applications of cutaneous colorimetry
Andreassi, L., & Flori, L. (1995) · Clinics in Dermatology · doi:10.1016/0738-081x(95)00069-r · Cited by 59 · see citing works
Making Sense of Skin Color in Clinical Care
Everett, J. S., Budescu, M., & Sommers, M. S. (2012) · Clinical Nursing Research · doi:10.1177/1054773812446510 · Cited by 58 · see citing works
Pichon, L. C., Landrine, H., Corral, I., Hao, Y., Mayer, J. A., & Hoerster, K. D. (2010) · PubMed · Cited by 56 · see citing works
Development and validation of a new Skin Color Chart®
de Rigal, J., Abella, M. L., Giron, F., Caisey, L., & Lefebvre, M. A. (2007) · Skin Research and Technology · doi:10.1111/j.1600-0846.2007.00223.x · Cited by 56 · see citing works
Objective assessment of psoriasis erythema for PASI scoring
Fadzil, M. H. A., Ihtatho, D., Affandi, A. M., et al. (2009) · Journal of Medical Engineering & Technology · doi:10.1080/07434610902744074 · Cited by 46 · see citing works
Park, S., Huh, C., Choe, Y., & Youn, J. (2002) · Photodermatology Photoimmunology & Photomedicine · doi:10.1034/j.1600-0781.2002.180104.x · Cited by 40 · see citing works
Huixia, Q., Xiaohui, L., Ye, C., Yanlu, Z., Senee, J., Laurent, A., Bazin, R., Flament, F., Adam, A., & Piot, B. (2011) · International Journal of Cosmetic Science · doi:10.1111/j.1468-2494.2011.00680.x · Cited by 37 · see citing works
Youn, J. I., Park, J., Jo, S. J., et al. (2003) · Photodermatology Photoimmunology & Photomedicine · doi:10.1034/j.1600-0781.2003.00047.x · Cited by 29 · see citing works
Mimasaka, S., Ohtani, M., Kuroda, N., et al. (2010) · The Tohoku Journal of Experimental Medicine · doi:10.1620/tjem.220.171 · Cited by 28 · see citing works
Evaluating change in bruise colorimetry and the effect of subject characteristics over time
Scafide, K. N., Sheridan, D. J., Campbell, J. C., et al. (2013) · Forensic Science Medicine and Pathology · doi:10.1007/s12024-013-9452-4 · Cited by 27 · see citing works
Towards Optimal Regimens for the UVB Phototherapy of Psoriasis: A Mathematical Model
Diffey, B. L. (2004) · Acta Dermato Venereologica · doi:10.1080/00015550410029288 · Cited by 24 · see citing works
The Efficacy of a Ceramide-based Cream in Mild-to-moderate Atopic Dermatitis.
Draelos, Z. D., & Raymond, I. (2018) · Europe PMC (PubMed Central) · Cited by 22 · see citing works
Cust, A. E., Pickles, K. M., Goumas, C., Vu, T. T., Schmid, H., Nagore, E., Kelly, J. W., Aitken, J. F., Giles, G. G., Hopper, J. L., et al. (2015) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-14-1203 · Cited by 21 · see citing works
Partl, R., Jonko, B., Schnidar, S., Michael, S., Bauer, M., Singh, S., Simeckova, J., Wiesner, K., Neubauer, A., & Schnidar, H. (2017) · Studies in health technology and informatics · doi:10.3233/978-1-61499-759-7-363 · Cited by 21 · see citing works
Pigmentation in African American skin decreases with skin aging
Chien, A. L.-L., Suh, J., César, S. S. A., Fischer, A. H., Cheng, N., Poon, F., Rainer, B. M., Leung, S. G., Martin, J. M., Okoye, G. A., et al. (2016) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2016.05.007 · Cited by 20 · see citing works
Self-citationChoi, K., Kim, K., & Kim, Y.-H. (2009) · Annals of Dermatology · doi:10.5021/ad.2009.21.2.136 · Cited by 18 · see citing works
Healy, Z. R., Dinkova‐Kostova, A. T., Wehage, S. L., et al. (2009) · Photodermatology Photoimmunology & Photomedicine · doi:10.1111/j.1600-0781.2009.00404.x · Cited by 18 · see citing works
Kim, J. H., Kim, B. Y., Choi, J. W., et al. (2011) · Skin Research and Technology · doi:10.1111/j.1600-0846.2011.00545.x · Cited by 16 · see citing works
Wright, C. Y., Wilkes, M. M., du Plessis, J., & Reeder, A. I. (2015) · Photodermatology Photoimmunology & Photomedicine · doi:10.1111/phpp.12191 · Cited by 15 · see citing works
Colorimetric Evaluation of Facial Skin and Free Flap Donor Sites in Various Ethnic Populations
Ngo, K., Goldstein, D. P., Neligan, P. C., et al. (2006) · The Journal of Otolaryngology · doi:10.2310/7070.2005.3076 · Cited by 14 · see citing works
Objective assessment of psoriasis erythema for PASI scoring
Fadzil, M. H. A., Ihtatho, D., Affandi, A. M., et al. (2008) · doi:10.1109/iembs.2008.4650103 · Cited by 14 · see citing works
Devpura, S., Pattamadilok, B., Syed, Z., Vemulapalli, P., Henderson, M. D., Rehse, S. J., Hamzavi, I. H., Lim, H. W., & Naik, R. (2011) · Biomedical Optics Express · doi:10.1364/boe.2.001664 · Cited by 14 · see citing works
Hayashi, M., Okamura, K., Araki, Y., et al. (2017) · Skin Research and Technology · doi:10.1111/srt.12410 · Cited by 13 · see citing works
Pershing, L. K., Bakhtian, S., Wright, E. D., et al. (1995) · Skin Research and Technology · doi:10.1111/j.1600-0846.1995.tb00034.x · Cited by 11 · see citing works
Wright, C. Y., Reeder, A. I., Gray, A. R., & Hammond, V. A. (2015) · Skin Research and Technology · doi:10.1111/srt.12215 · Cited by 7 · see citing works
Periocular skin hyperpigmentation in children treated with prostaglandin analogues
Al-Zobidi, M., Khandekar, R. B., Craven, E. R., et al. (2015) · Journal of American Association for Pediatric Ophthalmology and Strabismus · doi:10.1016/j.jaapos.2014.10.018 · Cited by 7 · see citing works
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Setchfield, K., Gorman, A., Simpson, A. H. R. W., Somekh, M. G., & Wright, A. J. (2024) · Journal of Biomedical Optics · doi:10.1117/1.jbo.29.1.010901 · Cited by 72 · see citing works
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“The Fitzpatrick scale was developed based on self-reported erythema sensitivity and the ability of Caucasians to tan, and has been commonly used to categorize skin tones into six categories [26].”
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- Authors
- Ly, B. C. K., Dyer, E. B., Feig, J. L., Chien, A. L., & Del Bino, S.
- Affiliations
- Johns Hopkins University (US)
- Venue
- Journal of Investigative Dermatology
- Publisher
- Elsevier BV
- Published
- 2020-01
- Volume
- 140
- Issue
- 1
- Pages
- 3-12.e1
- ISSN
- 0022-202X (ISSN-L)
- OpenAlex
- W2994854404
- Cited by
- 453
- References
- 54
- Citations by year
- 2026: 60 · 2025: 98 · 2024: 116 · 2023: 87 · 2022: 63 · 2021: 24 · 2020: 5
- FWCI
- 2.67
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Investigative Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
- Physical Sciences › Physics and Astronomy › Atomic and Molecular Physics, and Optics › Color Science and Applications
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Keywords
- skin color measurement, CIELAB color space, tristimulus colorimeter, spectrophotometry, melanin, erythema, skin pigmentation, skin cancer risk, chromophores, skin color change
- MeSH terms
- Colorimetry, Erythema, Humans, Melanins, Skin, Skin Neoplasms, Skin Physiological Phenomena, Skin Pigmentation, Spectrophotometry, Ultraviolet Rays
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