Key takeaways:
- The highest 10 dermatologic diagnoses amongst sufferers with pores and skin of coloration differed from their reported considerations.
- Dermatologic diagnoses additionally various by age and intercourse.
The commonest dermatologic situations recognized for sufferers with pores and skin of coloration differed from these sufferers’ high reported considerations, in keeping with a medical information evaluate, highlighting potential observe gaps for an underserved inhabitants.
Individuals with pores and skin of coloration are projected to comprise many of the U.S. inhabitants by 2044, signaling a necessity to higher establish the situations that the majority have an effect on these teams.
Knowledge derived from Hurtado ACM, et al. J Medicine Dermatol. 2025;doi:10.36849/JDD.8532R1.
“Sure situations are of highest concern to sufferers of coloration, and this data, together with essentially the most frequent diagnoses seen in pores and skin of coloration, can permit dermatologists to be higher ready to serve sufferers of coloration,” Nada Elbuluk, MD, MSc, affiliate professor of dermatology at College of Southern California and founding director of the pores and skin of coloration and pigmentary issues program at Keck College of Drugs, instructed Healio. “Realizing the wants of this inhabitants, extra consideration can be positioned on addressing gaps in data that exist for diagnostic and therapeutic care of essentially the most generally seen situations and considerations.”
On this retrospective examine, Elbuluk and colleagues analyzed essentially the most reported considerations and situations amongst 4,572 sufferers with pores and skin of coloration (imply age, 46 years). Sufferers recognized as Asian (54.8%), Black (15.2%), Hispanic (lower than 1%) and multiracial (9.6%).
Outcomes confirmed that the highest 10 commonest diagnoses established by dermatologists for sufferers with pores and skin of coloration have been:
- benign nevi/neoplasms (38.8%);
- dermatitis (20.8%);
- zits (13.3%);
- eczema and/or xerosis (9%);
- dyspigmentation (7.7%);
- neoplasm of unsure habits (6.2%);
- hypertrophic scars or keloids (4.6%);
- alopecia (4.4%);
- seborrheic dermatitis (3.6%); and
- psoriasis (3.4%).
The highest 10 chief considerations from sufferers with pores and skin of coloration have been:
- pores and skin examination (21.5%);
- bumps/growths (20.8%);
- rash (19.8%);
- zits (10%);
- pores and skin discoloration (8.5%);
- eczema and/or dry pores and skin (7%);
- itching (5%);
- hair loss (4.1%);
- keloids/scars (2.9%); and
- nail discoloration (1.5%).
“The examine additionally discovered that once we substratify the info based mostly on age, gender and racial/ethnic background, there are extra distinctive variations in considerations and diagnoses amongst these with pores and skin of coloration,” Elbuluk stated.
The three chief considerations amongst Black sufferers have been bumps/growths (24.4%), rash (21%) and pores and skin examination (17.9%), whereas the highest reported considerations amongst Asian sufferers have been related with bumps/growths and rash (22.8% for each), adopted by pores and skin examination (21.5%) and zits (10.7%).
Amongst those that recognized as multiracial, the highest three chief considerations have been pores and skin examination (28.9%), bumps/growths (24.8%) and rash (15.7%). Hispanic sufferers reported pores and skin checks, rash and zits as their high considerations (18.8% for all), adopted by itching (12.5%), pores and skin discoloration, keloids/scars and nail discoloration (6.3% for all).
Dermatologist-led analyses of subgroups stratified by age confirmed pediatric sufferers with pores and skin of coloration skilled greater charges of dermatitis (P < .001), zits (P < .001) and eczema/xerosis (P = .006), whereas these aged 19 to 39 years extra generally skilled zits (P < .001), keloids/scarring (P = .014), alopecia (P = .001) and seborrheic dermatitis (P = .002). In contrast with youthful sufferers, these aged 40 to 65 years skilled extra benign nevi/neoplasms (P < .001) — a development that endured previous aged 65 years (P < .001).
Eczema, dry pores and skin and zits have been the predominant considerations amongst pediatric sufferers; hair loss and keloids/scarring affected these aged 19 to 39 years; discoloration and pores and skin examination have been ache factors for sufferers aged 40 to 65 years; and itching and rashes have been the highest points for these older than 65 years.
In response to the dermatologist-led evaluation, the commonest situation in each women and men with pores and skin of coloration have been benign nevi/neoplasms. Ladies obtained extra zits, dyspigmentation and alopecia diagnoses, whereas male sufferers didn’t obtain anyone explicit analysis.
In response to Elbuluk, this examine helps make clear the situations primarily affecting sufferers with pores and skin of coloration, in addition to the wants of those sufferers.
“My hope is that as we proceed to evolve as a nation, we are able to make it possible for all dermatologists are ready to maintain all populations,” Elbuluk instructed Healio.
For extra data:
Nada Elbuluk, MD, MSc, will be reached at dermatology@healio.com.
