Common conditions seen by dermatologists treating pediatric patients with skin of color include acne, atopic dermatitis, pigmentary disorders, and hair 1 When treating pediatric and adolescent patients, parents will bring their own lifelong experiences with skin and hair disorders and past experiences with dermatologists to the visit. These concerns may include distress about postinflammatory hyperpigmentation which persists for years negatively impacting quality of life. 2 Gorbatenko-Roth et al compared the experiences of patients being treated for hair concerns within and outside of a skin of color-focused clinic. Overall, many patients in the study reported negative interactions with dermatologists including their hair being examined with a pencil and lack of cultural awareness and sensitivity. 3 This may shed light on the angst that some parents with skin of color feel when bringing their child to see a dermatologist. Empathy, effective communication, and shared decision-making are key to patient satisfaction and outcomes. 4 We share clinical pearls for examining and treating pediatric and adolescent patients with skin of color which prioritizes each of these factors. Many of the tips provided can be used to positively impact the visits of all pediatric and adolescent patients.

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Prostate cancer is very common among men in the United States. The current literature on active surveillance (AS) suggests that it is a promising treatment option for men with low-risk prostate cancer. The purpose of this manuscript is to provide a thorough integrative review regarding the effects of AS on the quality of life (QoL) of men with prostate cancer. Utilizing a methodological strategy, electronic databases were reviewed for empirical articles during the time frame of January 2006 to December 2016. A total of 37 articles met the inclusion criteria wherein 20 focused on the QoL among men only receiving AS and 16 reported QoL among men undergoing AS and other forms of treatment for prostate cancer. The review highlights the purpose, common instruments, race and ethnicity, and strengths and limitations of each article. The majority of articles indicated low levels of anxiety and depression and decreased incidences of bladder, bowel and sexual functioning among men undergoing AS in comparison to men who received other treatment modalities. The results indicated that additional research is needed to determine the QoL among men receiving AS on a longitudinal basis. The results support previous literature that indicated the positive impact of AS on low-risk prostate cancer.

Atopic dermatitis, a chronic inflammatory condition, accounts for numerous dermatology visits for patients with skin of color. The inflammatory process often leads to post-inflammatory hyperpigmentation, especially in patients with skin of color, which may negatively impact quality of life. We present a case that demonstrates clinical improvement of atopic dermatitis, post inflammatory hyperpigmentation, and lightening of pigmentation in clinically non-lesional areas after initiation of dupilumab. Lightening of the patient's skin even in areas that previously appeared clinically normal supports the scientific evidence that non-lesional skin in those with atopic dermatitis is often subclinically involved. For skin of color patients, aggressive treatment with duplimab may accelerate the return of the patient's overall normal skin tone.

When communicating with patients regarding traction alopecia (TA), it is crucial to display cultural humility and empathy.• Understanding the patient's hair care goals and perspective allows dermatologists to take a more individualized approach to counseling about TA.• The "compliment, discuss, and suggest" method is an empathetic and culturally sensitive method for discussing TA with patients.