ABSTRACT
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.
Subject(s)
Lichen Planus , Psoriasis , Humans , Skin Pigmentation , Skin/pathology , Psoriasis/diagnosis , Psoriasis/therapy , Psoriasis/pathology , Lichen Planus/pathology , BiopsyABSTRACT
Allergic contact dermatitis (ACD) may occur secondary to devotional practices in various religions. A systematic review of PubMed was conducted from inception of database to September 9, 2022. Key terms were "contact dermatitis" or "devotional dermatosis" in association with major world religions including "Christianity," "Islam," "Hinduism," "Buddhism," "Sikhism," and "Judaism." Inclusion criteria were determined by presence of a religious practice and associated ACD. Articles referencing other cutaneous reactions such as chemical leukoderma were excluded. In total, 36 of 102 unique articles identified met inclusion criteria. Twenty-two articles referenced Hinduism, 8 referenced Judaism, 5 referenced Islam, 3 referenced Christianity, and 1 article each mentioned Buddhism and Sikhism. Four articles referenced multiple religions. Para-phenylenediamine was the most common contact allergen overall and is found in blackening ingredients mixed with henna for temporary tattoos. Henna tattooing is a cultural practice associated with Hinduism, Islam, and Judaism. Nine unique contact allergens associated with religious practices were identified. Increasing awareness of religious practices that cause ACD will facilitate culturally competent dermatological care.
Subject(s)
Dermatitis, Allergic Contact , Hinduism , Humans , Buddhism , Islam , Judaism , Dermatitis, Allergic Contact/etiologySubject(s)
Abortion, Induced , Abortion, Spontaneous , Dermatology , Female , Pregnancy , Humans , United States , JurisprudenceABSTRACT
Staphylococcal scalded skin syndrome (SSSS) occurs primarily in infants and young children due to hematogenous dissemination of Staphylococcus aureus (S. aureus) exfoliative toxin resulting in painful erythema and superficial desquamation of the skin. Herein, we discuss a 7-year-old patient with SSSS in classic locations who additionally presented with photodistributed erythema without desquamation on the chest, arms, and back in locations of a recently healed sunburn. In this report, we discuss sunburn recall phenomenon as a result of SSSS.
Subject(s)
Staphylococcal Scalded Skin Syndrome , Sunburn , Child , Child, Preschool , Humans , Infant , Skin , Staphylococcal Scalded Skin Syndrome/diagnosis , Staphylococcus aureus , Sunburn/complicationsABSTRACT
Coronavirus Disease 2019 disproportionately affects Black and Hispanic/Latino populations. Racial disparities inherently exist in dermatology because of underrepresentation of skin of color populations in literature, reduced access to care for minority populations, and low diversity within the specialty of dermatology itself. Lack of imagery in dermatology can have detrimental consequences for patients of color. Dermatologists should note and disseminate cutaneous manifestations of patients of color to combat current racial imbalances.