An Approach to Examining Tightly Coiled Hair Among Patients With Hair Loss in Race-Discordant Patient-Physician Interactions

Grayson, Ciara; Heath, Candrice

doi:10.1001/jamadermatol.2021.0338

Cited by 19 publications

(13 citation statements)

References 5 publications

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“…Recommendations have previously been outlined for examining the hair and scalp of patients with tightly coiled hair. 11 Black patients with DLE can be counselled on gentle haircare practices to reduce further scalp damage. 7 Providers can educate themselves on common haircare practices among Black individuals to further refine their recommendations.…”

Section: Discussionmentioning

confidence: 99%

Discoid lupus erythematosus skin lesion distribution and characteristics in Black patients: a retrospective cohort study

et al. 2021

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ObjectiveEpidemiological studies have shown that discoid lupus erythematosus (DLE) has a higher incidence and prevalence in racial/ethnic minority groups, particularly Black individuals. The objective of this retrospective cohort study was to identify the differences in DLE lesion distribution and characteristics in Black individuals compared with non-Black individuals.Methods183 patients with DLE (112 Black patients and 71 non-Black patients) with a reported race/ethnicity and Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) scores were included in this retrospective cohort study. Univariate analysis was performed to determine significant differences in demographic data, clinical characteristics, DLE lesion distribution and DLE lesion characteristics in Black and non-Black patients with DLE. Multivariable logistic regression was preformed to determine significant predictors of DLE lesion location and characteristics.ResultsBlack patients with DLE had worse baseline CLASI damage scores compared with non-Black patients with DLE (median (IQR): 10.0 (6.0–14.5) vs 6.0 (3.0–10.0), p<0.001) and had 48.9 greater odds of dyspigmentation in any anatomical location (p<0.001). Black patients had 2.54 greater odds of having scalp involvement (p=0.015) and 1.97 greater odds of having ear involvement (p=0.032) compared with non-Black patients. Black patients also had greater odds of scalp dyspigmentation (OR=5.85, p<0.001), ear dyspigmentation (OR=2.89, p=0.001) and scarring alopecia (OR=3.00, p=0.001) compared with non-Black patients.ConclusionsSigns of disease damage, particularly ear dyspigmentation, scalp dyspigmentation and scarring alopecia, can more frequently affect Black patients with DLE. Recognising differences in clinical presentation of DLE among Black patients can assist future efforts with understanding biological, cultural, psychosocial and systemic factors that influence DLE presentation and outcomes in Black patients and may guide clinicians when counselling Black patients.

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Section: Discussionmentioning

confidence: 99%

Discoid lupus erythematosus skin lesion distribution and characteristics in Black patients: a retrospective cohort study

et al. 2021

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“…7 Some of the 132 skin of color articles published in Cutis were the result of the journal's collaboration with the SOCS. Through this collaboration, articles were published on a variety of skin of color topics, including DEI ( 6), alopecia and hair care (5), dermoscopy/ optical coherence tomography imaging (1), atopic dermatitis (1), cosmetics (1), hidradenitis suppurativa (1), pigmentation (1), rosacea (1), and skin cancer (2). These articles also resulted in a number of podcast discussions (https://www.mdedge.com/podcasts/dermatology -weekly), including one on dealing with DEI, one on pigmentation, and one on dermoscopy/optical coherence tomography imaging.…”

Section: Practice Pointsmentioning

confidence: 99%

Increasing Skin of Color Publications in the Dermatology Literature: A Call to Action

Heath¹,

DeLeo²,

Taylor³

2021

Cutis

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“…10 Effective communication, understanding cultural hair care practices, and a thorough scalp examination are paramount for patients with tightly coiled hair. 11 Early intervention in TA is crucial and involves partnering with patients and parents to amend high-risk hairstyling routines with cultural humility.…”

Section: Final Thoughtsmentioning

confidence: 99%

Counseling About Traction Alopecia: A "Compliment, Discuss, and Suggest" Method

Grayson

Heath

2021

Cutis

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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.

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An Approach to Examining Tightly Coiled Hair Among Patients With Hair Loss in Race-Discordant Patient-Physician Interactions

Cited by 19 publications

References 5 publications

Discoid lupus erythematosus skin lesion distribution and characteristics in Black patients: a retrospective cohort study

Discoid lupus erythematosus skin lesion distribution and characteristics in Black patients: a retrospective cohort study

Increasing Skin of Color Publications in the Dermatology Literature: A Call to Action

Counseling About Traction Alopecia: A "Compliment, Discuss, and Suggest" Method

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