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<p>Standardized clinical photography is essential for dermatological documentation, diagnosis, treatment, and education. Background selection plays a critical role in image quality, skin tone reproduction, and lesion contrast. However, systematic analyses addressing background choice across different Fitzpatrick skin types (FST) remain lacking. We reviewed case reports published between 2009 and 2024 in three open-access journals—<i>Case Reports in Dermatological Medicine</i>, <i>Case Reports in Dermatology</i>, and <i>JAAD Case Reports</i>. Clinical images were extracted and independently assessed by three reviewers according to anatomical site, background color, and FST. A total of 2,949 clinical images were included. For FST I–II, black backgrounds were most frequently used (43.71% and 34.59%, respectively). In contrast, white or gray backgrounds predominated in types III–VI. Blue backgrounds were consistently applied across all types, accounting for approximately 20% of cases. Background selection is associated with both skin type and anatomical site. Light-colored backgrounds are preferable for darker skin tones, while darker backgrounds enhance image quality for lighter skin types. Current practices in clinical photography demonstrate a lack of standardized guidelines, underscoring the need to establish and disseminate skin type-based recommendations.</p>

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Optimizing clinical photography backgrounds: a cross-sectional observational study

  • 期刊论文

  • 发表日期：

    2026年6月2日

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  • Licong Xu,
  • Ying Wang,
  • Yaling Wang,
  • Siliang Liu,
  • Wenying Chen,
  • Xinling Mi,
  • Xuecheng Sun,
  • Dongmei Liu

摘要

Standardized clinical photography is essential for dermatological documentation, diagnosis, treatment, and education. Background selection plays a critical role in image quality, skin tone reproduction, and lesion contrast. However, systematic analyses addressing background choice across different Fitzpatrick skin types (FST) remain lacking. We reviewed case reports published between 2009 and 2024 in three open-access journals—Case Reports in Dermatological Medicine, Case Reports in Dermatology, and JAAD Case Reports. Clinical images were extracted and independently assessed by three reviewers according to anatomical site, background color, and FST. A total of 2,949 clinical images were included. For FST I–II, black backgrounds were most frequently used (43.71% and 34.59%, respectively). In contrast, white or gray backgrounds predominated in types III–VI. Blue backgrounds were consistently applied across all types, accounting for approximately 20% of cases. Background selection is associated with both skin type and anatomical site. Light-colored backgrounds are preferable for darker skin tones, while darker backgrounds enhance image quality for lighter skin types. Current practices in clinical photography demonstrate a lack of standardized guidelines, underscoring the need to establish and disseminate skin type-based recommendations.