Fitzpatrick scale


The Fitzpatrick scale is a numerical classification schema for human skin color. It was developed in 1975 by American dermatologist Thomas B. Fitzpatrick as a way to estimate the response of different types of skin to ultraviolet light. It was initially developed on the basis of skin color to measure the correct dose of UVA for PUVA therapy, and when the initial testing based only on hair and eye color resulted in too high UVA doses for some, it was altered to be based on the patient's reports of how their skin responds to the sun; it was also extended to a wider range of skin types. The Fitzpatrick scale remains a recognized tool for dermatological research into human skin pigmentation.
The following table shows the six categories of the Fitzpatrick scale in relation to the 36 categories of the older von Luschan scale:
von LuschanFitzpatrickMonkCharacteristics
1I1Always burns, never tans ; very light or white, "Celtic" type
2I1Always burns, never tans ; very light or white, "Celtic" type
3I1Always burns, never tans ; very light or white, "Celtic" type
4I2Always burns, never tans ; very light or white, "Celtic" type
5I2Always burns, never tans ; very light or white, "Celtic" type
6I2Always burns, never tans ; very light or white, "Celtic" type
7II3Usually burns, tans minimally ; light or light-skinned European
8II3Usually burns, tans minimally ; light or light-skinned European
9II4Usually burns, tans minimally ; light or light-skinned European
10II4Usually burns, tans minimally ; light or light-skinned European
11II4Usually burns, tans minimally ; light or light-skinned European
12II4Usually burns, tans minimally ; light or light-skinned European
13II5Usually burns, tans minimally ; light or light-skinned European
14III5Sometimes mild burn, tans uniformly ; light intermediate, or dark-skinned European
15III5Sometimes mild burn, tans uniformly ; light intermediate, or dark-skinned European
16III6Sometimes mild burn, tans uniformly ; light intermediate, or dark-skinned European
17III6Sometimes mild burn, tans uniformly ; light intermediate, or dark-skinned European
18III6Sometimes mild burn, tans uniformly ; light intermediate, or dark-skinned European
19III6Sometimes mild burn, tans uniformly ; light intermediate, or dark-skinned European
20III6Sometimes mild burn, tans uniformly ; light intermediate, or dark-skinned European
21IV7Burns minimally, always tans well ; dark intermediate or "olive skin"
22IV7Burns minimally, always tans well ; dark intermediate or "olive skin"
23IV7Burns minimally, always tans well ; dark intermediate or "olive skin"
24IV8Burns minimally, always tans well ; dark intermediate or "olive skin"
25IV8Burns minimally, always tans well ; dark intermediate or "olive skin"
26IV8Burns minimally, always tans well ; dark intermediate or "olive skin"
27IV8Burns minimally, always tans well ; dark intermediate or "olive skin"
28V9Very rarely burns, tans very easily ; dark or "brown" type
29V9Very rarely burns, tans very easily ; dark or "brown" type
30V10Very rarely burns, tans very easily ; dark or "brown" type
31V10Very rarely burns, tans very easily ; dark or "brown" type
32V10Very rarely burns, tans very easily ; dark or "brown" type
33V10Very rarely burns, tans very easily ; dark or "brown" type
34V10Very rarely burns, tans very easily ; dark or "brown" type
35VI10Never burns ; very dark or "black" type
36VI10Never burns ; very dark or "black" type

Emoji modifiers

The Fitzpatrick scale is also the basis of skin color in emoji, with five modifiers according to the Fitzpatrick scale.

Eurocentric bias

The Fitzpatrick scale has been criticized for its Eurocentric bias and insufficient representation of global skin color diversity. The scale originally was developed for classifying "white skin" in response to solar radiation, and initially included only four categories focused on white skin, with "brown" and "black" skin types added as an afterthought.
The scale's methodology, relying on self-reporting of skin color, sunburn, and sun tanning response, fails to capture the broad spectrum of skin reflectance. Studies demonstrate that European populations have the narrowest skin color variation, whereas groups categorized as 'brown' or 'black' exhibit a much wider range.
The efficacy of the Fitzpatrick scale even among white-skinned individuals has been argued to be questionable, since studies such as that on a Dutch student population have found it inadequate for categorizing, challenging its appropriateness for investigating the relationship between sunburn tendency and tanning ability.
The Fitzpatrick scale's Eurocentric orientation and its limitations in accurately representing global skin color diversity, along with similar biases in classifying other phenotypic traits, have been argued to require more inclusive and scientifically valid categorizations in dermatological and genetic research.