了解个人的皮肤色素和光敏性在判断皮肤癌的风险和对某些治疗方法的反应方面非常重要。然而，使用广泛的菲茨帕特里克皮肤光型（FST）系统在深色皮肤的个体中表现不佳。此外，FST系统容易被误用，因为它依赖于患者和临床医生对皮肤类型的主观评估，并没有明确区分色素沉着和光敏感性。通过评估关于FST系统的重要文献、对其的批评以及提出的替代方案，本综述旨在理解如何优化皮肤光型分类。 © 2023 John Wiley & Sons A/S。由John Wiley & Sons Ltd.发表。

Understanding individuals' skin pigmentation and photosensitivity is important in judging risk of skin cancer and response to certain treatment modalities. However, individuals with darkly pigmented skin are poorly represented in the widely used Fitzpatrick skin phototype (FST) system. Moreover, the FST system is prone to misuse, as it relies on subjective patient and clinician assessment of skin type, and does not clearly differentiate pigmentation from photosensitivity. By evaluating the key literature surrounding the FST system, its criticisms and proposed alternatives, this review serves to understand how skin phototype classification can be optimised.© 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.