RESUMEN
BACKGROUND: Diversity in medicine improves mentorship and patient care. However, dermatology is one of the least diverse specialties. We analyzed the racial distributions across leadership positions at academic dermatology programs and explored potential influences on resident racial/ethnic composition. Methods: A list of ACGME-accredited dermatology programs was obtained. Residency program websites, hospital websites, and publicly available data were used to ascertain race and ethnicity of academic dermatology leadership and residents. SAS version 9.4 was used to calculate descriptive statistics and associations between racial/ethnic composition of dermatologists in leadership positions and residents. Results: URM individuals were significantly underrepresented across both leadership (6.9%) and resident (12.0%) positions. No statistically significant correlation was found between the percent of URM leadership and URM residents. Conclusion: Diversity among the US population, medical students, dermatology trainees, and faculty are not reflected in departmental leadership in academic dermatology. This may influence URM recruitment into the field, retention of URM faculty and residents, and mentorship opportunities for URM dermatologists interested in leadership positions. Efforts are needed to improve disparities in representation across leadership roles in academic dermatology. Fritsche M, Singh P, Zhou S, et al. Racial and ethnic disparities among US Academic Dermatology Leadership and its influence on resident diversity. J Drugs Dermatol. 2023;22(7):653-656. doi:10.36849/JDD.7114.
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Dermatología , Internado y Residencia , Humanos , Estados Unidos , Grupos Minoritarios , Liderazgo , Diversidad Cultural , EtnicidadRESUMEN
Medicated shampoos are part of the standard care of seborrheic dermatitis (SD), yet hair-washing practices can vary in frequency, which could impact treatment effectiveness and therapeutic benefit. The goal of this study is to understand common hair-washing practices in pediatric patients, with focus on Black children with SD, through online survey. Patients identifying as Black or mixed race were more likely to use medicated washes weekly or less frequently than White patients (62.5% vs. 30.8%). It is important that clinicians understand Black- and mixed-race hair care practices to provide better clinical guidance on the usage of medicated shampoos, especially for the treatment of SD.
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Dermatitis Seborreica , Etnicidad , Población Negra , Niño , Dermatitis Seborreica/tratamiento farmacológico , Cabello , HumanosRESUMEN
Although ethnic diversity is rising in the United States, educational resources continue to lag behind, as evidenced by prior studies highlighting limited skin of color representation in dermatology resources. The objective of this study was to evaluate the representation of skin tones in three dermatology journals commonly used in resident education and journal clubs. Overall, 5.6% (Journal of the American Academy of Dermatology), 4.1% (JAMA Dermatology), and 8.3% (Pediatric Dermatology) of images in the journals were depicted on "Dark" skin (Fitzpatrick V-VI). Disparities in skin of color representation exist in three dermatology journals used in medical education in the United States.
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Dermatología , Publicaciones Periódicas como Asunto , Niño , Etnicidad , Humanos , Fotograbar , Pigmentación de la Piel , Estados UnidosRESUMEN
This article provides an overview of the evaluation and management of occupational contact dermatitis, including how to evaluate a patient with suspected occupational contact dermatitis. Patch testing, how to perform a site visit, and how to properly manage using preventative measures, prescribed therapies, and patient education are discussed.
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Dermatitis Alérgica por Contacto/diagnóstico , Dermatitis Alérgica por Contacto/terapia , Dermatitis Profesional/diagnóstico , Dermatitis Profesional/terapia , Alérgenos/efectos adversos , Dermatitis Irritante/diagnóstico , Dermatitis Irritante/terapia , Manejo de la Enfermedad , Medicina Basada en la Evidencia , Femenino , Humanos , Masculino , Pruebas del Parche/estadística & datos numéricosRESUMEN
BACKGROUND: Methylchloroisothiazolinone/methylisothiazolinone (MCI/MI) allergy has increased for the last decade, mostly not only because of high concentrations in cosmetics but also because of its use as a biocide in industrial settings. OBJECTIVE: We report an outbreak of allergic contact dermatitis in 8 workers at a water bottling plant secondary to excess levels of MCI/MI in the cooling system, found to be at levels 5 times the manufacturer's recommendations. METHODS: Of 15 workers in the plastic bottle manufacturing area, 8 developed dermatitis, and 4 were referred for patch testing using a 100-allergen panel applied and interpreted in the standardized method according to the North American Contact Dermatitis Group. RESULTS: Four workers had a positive reaction to MCI/MI. An investigation at the plant revealed that the concentration of MCI/MI was 365 ppm. The manufacturer's recommended level was 48 ppm. The cooling system was subsequently flushed, and biocide levels decreased to recommended levels. Afterward, all the affected workers experienced clearance of their allergic contact dermatitis. CONCLUSIONS: Occupational sensitization to MCI/MI is on the rise, in this instance, because of excess levels in the cooling system. Our findings demonstrate the continued need for awareness of the allergenicity of this preservative in the occupational setting.