Denver's Dark Skin: Altitude AC Hiding Eczema Lies?

By Franklin Everett Shaw

January 10, 2026

It’s easy to dismiss a persistent itch as just that – an itch. But for many Denver residents with darker skin tones, that itch could be a sign of something more insidious: eczema exacerbated by the city’s unique environmental conditions, masking itself as simple dryness. The high altitude, the arid climate, and the constant battle against indoor dryness with air conditioning create a perfect storm for skin irritation, especially for those with melanated skin, which can react differently to these stressors.

Denver’s altitude, sitting a mile above sea level, means thinner air and increased UV radiation. This double whammy can strip the skin of moisture, leading to dryness and inflammation, key triggers for eczema flare-ups. The dry air, a constant presence in Colorado, further compounds the problem, sucking moisture from the skin and disrupting its natural barrier.

Then there’s the AC. While a welcome relief from the summer heat, air conditioning further dries out the air indoors, creating an even more hostile environment for sensitive skin. This constant cycle of dry air outside and even drier air inside can wreak havoc, particularly on melanated skin, which is already prone to dryness due to its unique lipid composition.

But here’s the insidious part: the initial symptoms – mild itching, slight dryness – can be easily dismissed as just “Denver skin.” This dismissal can delay proper diagnosis and treatment, allowing the eczema to worsen and potentially leading to hyperpigmentation, a common concern for people with darker skin tones.

So, how do you tell the difference between simple dryness and altitude-aggravated eczema in Denver? Look for these telltale signs:

• Intense itching: More than just a mild itch, eczema itching is often relentless and can disrupt sleep.
• Visible rash: Eczema presents as red, inflamed patches of skin. In darker skin tones, these patches may appear darker brown, purple, or ashen, making them harder to spot.
• Location: Eczema often appears in the creases of the elbows and knees, on the wrists, and around the ankles.
• Dry, scaly patches: The skin may feel rough and bumpy, with visible scales.
• Thickened skin: Over time, chronic scratching can lead to thickened, leathery skin (lichenification).

If you experience these symptoms, especially if they persist despite regular moisturizing, it’s crucial to consider eczema as a potential culprit. Don’t just chalk it up to “Denver skin.”

Now, let’s talk about building a skincare routine specifically tailored for melanated skin in Denver’s challenging climate. The key is to focus on hydration and protection.

First, moisturize, moisturize, moisturize. And not just any moisturizer will do. Look for thick, emollient creams and ointments containing ingredients like:

• Ceramides: These lipids help to repair and strengthen the skin barrier.
• Hyaluronic acid: A humectant that draws moisture into the skin.
• Shea butter: A rich emollient that soothes and protects the skin.
• Glycerin: Another humectant that helps to hydrate the skin.

Avoid lotions with alcohol or fragrances, as these can further dry out and irritate the skin. Apply moisturizer immediately after showering or bathing, while the skin is still damp, to lock in moisture. Reapply throughout the day as needed, especially after washing your hands.

A specific product recommendation? Consider CeraVe Healing Ointment. It’s fragrance-free, non-comedogenic, and contains ceramides to help restore the skin’s natural barrier. It’s a powerhouse for combating Denver’s dryness.

Next, sunscreen is non-negotiable. Even on cloudy days, UV radiation is still present in Denver, and it’s even more intense at higher altitudes. Choose a broad-spectrum sunscreen with an SPF of 30 or higher that protects against both UVA and UVB rays.

For melanated skin, mineral sunscreens containing zinc oxide or titanium dioxide are often preferred. These sunscreens are less likely to leave a white cast on the skin and are generally gentler on sensitive skin.

EltaMD UV Clear Broad-Spectrum SPF 46 is a great option. It’s oil-free, fragrance-free, and contains niacinamide, which can help to reduce redness and inflammation.

Don’t forget about gentle cleansing. Harsh soaps can strip the skin of its natural oils, exacerbating dryness and irritation. Opt for a gentle, fragrance-free cleanser that won’t disrupt the skin’s barrier.

Cetaphil Gentle Skin Cleanser is a classic choice for sensitive skin. It’s non-irritating and helps to maintain the skin’s natural pH balance.

Humidify your home. Investing in a humidifier, especially for your bedroom, can help to combat the dryness caused by air conditioning and Denver’s arid climate. Aim for a humidity level of around 40-50%.

Avoid hot showers and baths. Hot water can further dry out the skin. Stick to lukewarm water and limit your showers and baths to 10-15 minutes.

Identify and avoid triggers. Eczema triggers vary from person to person, but common triggers include:

• Irritants: Soaps, detergents, fragrances, and certain fabrics.
• Allergens: Pollen, dust mites, pet dander, and certain foods.
• Stress: Stress can trigger eczema flare-ups.
• Sweat: Sweat can irritate the skin.

Keeping a journal to track your symptoms and potential triggers can help you to identify and avoid the things that make your eczema worse.

But what if these strategies aren’t enough? When should you seek professional help?

If your eczema is severe, persistent, or interfering with your daily life, it’s time to see a dermatologist. A dermatologist specializing in skin of color can provide a proper diagnosis and recommend a treatment plan tailored to your specific needs.

Finding a dermatologist who understands the nuances of treating eczema in melanated skin is crucial. Look for a dermatologist who:

• Has experience treating patients with darker skin tones.
• Is knowledgeable about the unique challenges of diagnosing and treating eczema in melanated skin.
• Is sensitive to the concerns of patients with darker skin tones, such as hyperpigmentation.

In Denver, consider seeking out dermatologists affiliated with the University of Colorado Anschutz Medical Campus, as they often have specialists with expertise in skin of color.

Don’t let Denver’s environment mask your eczema. By understanding the unique challenges of living in a high-altitude, dry climate and adopting a tailored skincare routine, you can effectively manage your eczema and achieve healthy, comfortable skin. And remember, seeking professional help is always an option if you’re struggling to manage your symptoms on your own. Your skin will thank you.