My family are from India and I have noticed that my eczema looks different from eczema in my friends with white skin. Why is this?

I am afraid that we cannot explain why there are different patterns
of eczema in different racial groups, but you are right to have
spotted the difference. Eczema often affects the flexures (the
creases in front of the elbows and behind the knees), but in Asian
and particularly in African/Caribbean people, eczema sometimes
shows a reverse pattern, affecting the extensor surfaces (behind
the elbows and the front of the knees). There can be otherdifferences in the way in which pigmented skin reacts giving rise
to unusual presentations of eczema:
• Thickening of the skin (lichenification) seems to happen
much more readily.
• Lumps or papules are more common, giving a raised,
bumpy appearance to the skin.
• There may be a marked increase or decrease in
pigmentation of the skin after the eczema has settled down.
This can be very distressing as it can be quite disfiguring.