Reflectance spectrophotometer: the dermatologists’ sphygmomanometer for skin phototyping?
Open accessAbstract
To date, human skin phototype (SPT) has been determined subjectively by self- or trained investigator assessment using sun burning and/or sun tanning responses, ethnicity, hair, and eye color. This study evaluated objective reflectance spectrophotometer (RS) assessment of SPT in 353 males or females (18-72 years old with Fitzpatrick SPT I-VI) using the area-under-the-intensity curve (AUIC) over the 450-615 nm wavelength interval of reflected light (AUIC). Photoprotected constitutive skin color sites produced higher AUIC values than photo-exposed facultative skin color sites. Constitutive skin color at the upper volar arm was equal to the buttocks. Within-site and between-site AUIC reproducibility of constitutive skin color at the upper volar arm was 3 and 5% coefficient of variation (CV), respectively, which was similar to seasonal variability (8% CV). AUIC values decreased proportionately at both constitutive and facultative sites as a function of increasing SPT from I to VI (r=0.8). RS-measured constitutive skin color at the upper volar arm fit a quadratic equation (r(2)=0.94) that differentiated (P<0.05) between each of the six SPTs and agreed +/-1 SPT category with clinician-assessed SPT. Thus, RS assessment of constitutive skin color at the upper volar arm provides a quick, noninvasive, precise, and accurate method to objectively determine SPT.
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Objective reflectance spectrometry accurately identifies skin color/tone using multiple color wavelengths for classification.
“I recommend replacing it with objective reflectance spectrometry which accurately identifies skin color/tone using multiple color wavelengths for classification17”
From Response To: Investigating sources of inaccuracy in wearable optical heart rate sensors (2021) · cites this paper as [17]
Reflectance spectrometry accurately identifies skin color/tone using multiple color wavelengths for classification.
“reflectance spectrometry which accurately identifies skin color/tone using multiple color wavelengths for classification [18]”
From Limiting racial disparities and bias for wearable devices in health science research (2020) · cites this paper as [18]
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Wong, T. H. (2009) · ERA
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Xia, M.-N., Wang, X.-M., Yan-qun, L., Yuan, C., Zou, Y., & Fan, G. (2012) · Cutaneous and Ocular Toxicology · doi:10.3109/15569527.2012.668599
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- Authors
- Pershing, L. K., Tirumala, V. P., Nelson, J. L., Corlett, J. L., Lin, A. G., Meyer, L. J., & Leachman, S. A.
- Affiliations
- University of Utah (US)
- Corresponding author
- Pershing, Lynn K.
- ORCID
- Leachman, Sancy A.
- Venue
- Journal of Investigative Dermatology
- Publisher
- Elsevier BV
- Published
- 2008-07
- Volume
- 128
- Issue
- 7
- Pages
- 1633-1640
- ISSN
- 0022-202X (ISSN-L)
- OpenAlex
- W2023781613
- Cited by
- 72
- References
- 33
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 7 · 2020: 2 · 2019: 4 · 2018: 4 · 2017: 5 · 2016: 4 · 2015: 4 · 2014: 5 · 2013: 5 · 2012: 4
- FWCI
- 1.17
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Investigative Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Howard Hughes Medical Institute
- Melanoma Research Alliance
- National Institutes of Health (n01pc35141-21-0-1)
- National Cancer Institute (5 P30-CA42014, N01 PC 35141)
- National Center for Research Resources (K23RR017525, MO1-RR-00064, K23 RR 17525-01, M01RR000064)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
- Health Sciences › Medicine › Dermatology › Skin Protection and Aging
- Health Sciences › Medicine › Dermatology › Dermatologic Treatments and Research
- Keywords
- Fitzpatrick skin type, reflectance spectrophotometry, skin color assessment, photoprotection, reproducibility
- MeSH terms
- Adolescent, Adult, Aged, Color, Female, Humans, Male, Middle Aged, Phenotype, Seasons, Skin, Skin Pigmentation, Spectrophotometry, Sphygmomanometers
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