Scalp Infection, Inflammation, and Infestation
This article reviews the diagnosis and management of these common scalp conditions. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - April 14, 2023 Category: Dermatology Authors: Victoria Barbosa, Robert Hight, Karina Grullon Source Type: research
Diagnosing Atopic Dermatitis in Skin of Color
Atopic dermatitis (AD) is a pruritic inflammatory skin disease that disproportionately affects skin of color patients. African American, Asian, and Hispanic patients carry disproportionate disease burdens, with increased prevalence, disease severity, and health care utilization. AD has a unique clinical presentation in skin of color patients, often with greater extensor involvement, dyspigmentation, and papular and lichenified presentations. Erythema is also more difficult to appreciate and can result in an underappreciation of disease severity in skin of color patients. In this review, we highlight the important manifesta...
Source: Dermatologic Clinics - April 12, 2023 Category: Dermatology Authors: Waleed Adawi, Hannah Cornman, Anusha Kambala, Shanae Henry, Shawn G. Kwatra Source Type: research
Diagnosing Skin Diseases in Skin of Color
Skin of Color (SOC) is a broad term that has been used to refer to populations who identify as other than non-Hispanic white: Black/African, Hispanic/Latina/o/x/e, Asian/Pacific Islander, American Indian/Native Alaskan, Indigenous Australian, Middle Eastern, or biracial/multiracial. It is also commonly defined as including individuals with Fitzpatrick skin types IV to VI. Many gaps have emerged regarding knowledge related to disorders that occur in SOC populations. Among these is the unfamiliarity by dermatologists of phenotypic differences in some cutaneous diseases. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - April 8, 2023 Category: Dermatology Authors: Susan C. Taylor Tags: Preface Source Type: research
Skin Cancer in Skin of Color
This article details the epidemiology, risk factors, clinical features, and disparities in the treatment of melanoma, squamous cell carcinoma, basal cell carcinoma, and mycosis fungoides subtype of cutaneous T-cell lymphoma in skin of color patients. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - April 7, 2023 Category: Dermatology Authors: Ananya Munjal, Nkanyezi Ferguson Source Type: research
Disorders in Children
Pediatric dermatoses can present at birth or develop over time. When managing dermatology conditions in children, caregiver involvement is important. Patients may have lesions that need to be monitored or need assistance with therapeutic administration. The following section provides a subset of pediatric dermatoses and notable points for presentation in skin of color patients. Providers need to be able to recognize dermatology conditions in patients of varying skin tones and provide therapies that address the condition and any associated pigmentary alterations. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - April 5, 2023 Category: Dermatology Authors: Elisabeth A. George, Christy Nwankwo, Leslie Castelo-Soccio, Michelle Oboite Source Type: research
Collagen Vascular Diseases
Collagen vascular diseases such as lupus erythematosus and dermatomyositis (DM) occur 2 to 3 times more often among patients with skin of color. In this article, the authors review DM and cutaneous lupus erythematosus, including acute cutaneous lupus erythematosus, subacute cutaneous lupus erythematosus, and discoid lupus erythematosus. They discuss the distinguishing features between these entities and highlight distinct presentations and management considerations in patients with skin of color to aid in prompt and correct diagnoses in this patient population. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - April 4, 2023 Category: Dermatology Authors: Victoria Lee, Olayemi Sokumbi, Oluwakemi Onajin Source Type: research
Keloids and Hypertrophic Scars
Keloids are an exuberant response to skin wound healing in which abundant scar tissue grows beyond the boundaries of the inciting insult. Age, race, location, family history and personal history of keloids are relevant factors concerning the risk of developing keloids. Because keloids are prone to recurrence after surgical excision, post-operative management plays an important role in the treatment of keloids. There are many modalities that can be used to treat keloids or prevent their recurrence; a multimodal approach is often necessary in difficult cases. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - April 4, 2023 Category: Dermatology Authors: Ariel Knowles, Donald A. Glass Source Type: research
Cosmetic Enhancement Updates and Pitfalls in Patients of Color
This article examines risks of cosmetic enhancement procedures in POC and best practices to prevent adverse events. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - April 4, 2023 Category: Dermatology Authors: Kamaria Nelson, Janaya Nelson, Tiara Bradley, Cheryl Burgess Source Type: research
Cutaneous Sarcoidosis
Sarcoidosis is a chronic, multisystem, inflammatory disorder that is characterized by noncaseating granulomas that cause organ dysfunction with various clinical subphenotypes. The incidence and prevalence of sarcoidosis varies greatly by ethnic background. There are significant racial disparities in prevalence, severity, and outcomes; however, there is a dearth of studies investigating the impact of structural racism. The skin is often the presenting and second most frequently involved organ with significant implications on diagnosis and management in patients with darkly pigmented skin. Workup should be comprehensive give...
Source: Dermatologic Clinics - April 4, 2023 Category: Dermatology Authors: Nnenna Ezeh, Avrom Caplan, Misha Rosenbach, Sotonye Imadojemu Source Type: research
Diagnosing Psoriasis in Skin of Color Patients
Diagnosing psoriasis in patients of color can pose both diagnostic and treatment challenges. It is important to keep psoriasis on the differential diagnosis with conditions such as lichen planus, tinea corporis, and subcutaneous lupus for patients of color. Biopsy can help delineate the causes and guide treatment. Although there is no documented difference in efficacy of certain treatments for psoriasis based on racial group, cultural norms, hair washing practices, health literacy, and attitudes toward certain treatment options should be elicited in all patients. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - March 27, 2023 Category: Dermatology Authors: Rayva Khanna, Ramona Khanna, Seemal R. Desai Source Type: research
Diagnosing Disorders of Hypopigmentation and Depigmentation in Patients with Skin of Color
Skin hypopigmentation and depigmentation disorders are a top concern for patients with skin of color seeking care from a dermatologist. The visual contrast between involved and uninvolved skin in these disorders makes them particularly burdensome for patients with skin of color. These disorders may have a wide differential of diagnosis, as patients with skin of color may present differently or more frequently than White patients for certain conditions. Clues from a comprehensive history and physical examination with standard lighting and a Wood ’s light are essential for clinching the diagnosis, although a biopsy may be ...
Source: Dermatologic Clinics - March 27, 2023 Category: Dermatology Authors: Marissa S. Ceresnie, Sarah Gonzalez, Iltefat H. Hamzavi Source Type: research
Diversity, Equity, Inclusion and Belonging in Dermatology
Addressing continued inequities in medicine, and especially in dermatology, requires a strategic approach and meaningful actions that will yield and result in sustainable change in our medical, clinical, and learning environments. Heretofore, most solutions-based actions and programs in DEI have focused on developing and edifying the diverse learner or faculty member. Alternatively, accountability rests with the entities that wield the power and ability and authority to shift culture change such that the diverse learner, faculty member, and patient can receive equitable access to care and educational resources in environme...
Source: Dermatologic Clinics - March 17, 2023 Category: Dermatology Authors: Bonnie Simpson Mason, Candrice Heath, Jennifer Parker, Kamaria Coleman Source Type: research
The Social Determinants of Health and Their Impact on Dermatologic Health, Part 1
The social determinants of health (SDoH) have significant influences on health and lead to health disparities in a variety of complex and intersecting ways. They are the nonmedical factors that must be addressed to improve health outcomes and achieve greater health equity. They are shaped by the structural determinants of health and impact individual socioeconomic status as well as the health of entire communities. Part 1 of this 2-part review aims to shed light on how the SDoH impact health and their specific implications on dermatologic health disparities. (Source: Dermatologic Clinics)
Source: Dermatologic Clinics - March 17, 2023 Category: Dermatology Authors: Sacharitha Bowers, Aileen Y. Chang Source Type: research
Racial and Ethnic Health Disparities in Dermatology
Health disparities are differences in health or disease incidence, prevalence, severity, or disease burden that are experienced by disadvantaged populations. Their root causes are attributed in large part to socially determined factors, including educational level of attainment, socioeconomic status, and physical and social environments. There is an expanding body of evidence documenting differences in dermatologic health status among underserved populations. In this review, the authors highlight inequities in outcomes across 5 dermatologic conditions, including psoriasis, acne, cutaneous melanoma, hidradenitis suppurativa...
Source: Dermatologic Clinics - March 17, 2023 Category: Dermatology Authors: Stafford G. Brown, Caryn B.C. Cobb, Valerie M. Harvey Source Type: research
Diversity in the Dermatology Workforce and in Academic Medicine
Health disparities exist in marginalized patient populations throughout medical specialties, including in dermatology. It is important that the physician workforce reflect the diversity of the US population to address these disparities. At present, the dermatology workforce does not reflect the racial or ethnic diversity of the US population. The subspecialties of pediatric dermatology, dermatopathology, and dermatologic surgery are even less diverse than the dermatology workforce as a whole. Although women make up over half of the population of dermatologists, disparities still exists in areas such as compensation and pre...
Source: Dermatologic Clinics - March 17, 2023 Category: Dermatology Authors: Karina Grullon, Victoria Barbosa Source Type: research
