Contact Dermatitis in Underrepresented Minority Children

McGowan, Maria A.; Goldenberg, Alina; Jacob, Sharon E.

doi:10.1097/der.0000000000000319

Cited by 10 publications

(8 citation statements)

References 3 publications

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“…Thus, it is essential that clinicians be prepared to interpret patch testing in diverse populations to avoid underdiagnosing ACD and contributing to health disparities in people of color. 1,2 K E Y WO R DS allergic contact dermatitis, patch testing, skin of color…”

Section: Discussionmentioning

confidence: 99%

“…Dermatologists should be prepared to care for diverse patient populations, especially given increasing skin of color populations in the United States. 1 Allergic contact dermatitis (ACD) is a disease with significant morbidity, 2 and patch testing is the gold standard in identifying triggers. 3,4 Because cutaneous disease may present differently depending on the degree of skin pigmentation, 2 we are concerned that underrepresentation of clinical images of patch testing in patients with skin of color in the literature 2,5 may contribute to false-negative patch testing and underdiagnosis of ACD in this population.…”

Section: Introductionmentioning

confidence: 99%

“…3,4 Because cutaneous disease may present differently depending on the degree of skin pigmentation, 2 we are concerned that underrepresentation of clinical images of patch testing in patients with skin of color in the literature 2,5 may contribute to false-negative patch testing and underdiagnosis of ACD in this population. 1,2 To address this, we provide an approach to the assessment of patch testing in patients with skin of color, as exemplified by two pediatric patients with positive patch tests.…”

Section: Introductionmentioning

confidence: 99%

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Patch testing in skin of color: A brief report

Tamazian

Oboite

Treat

2021

Pediatric Dermatology

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It is critical that dermatology training prepares physicians to recognize cutaneous changes in skin of color populations. Patch testing is the gold standard for identifying triggers of contact dermatitis and can be challenging to interpret in skin of color given the need to see erythema, particularly for a 1 + positive interpretation. Given the paucity of clinical images of skin of color in the literature, we provide images of two pediatric patients presenting with positive patch tests to demonstrate an approach to the clinical interpretation of patch testing in patients with more melanin in the skin.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patch testing in skin of color: A brief report

Tamazian

Oboite

Treat

2021

Pediatric Dermatology

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“…17 Minority and underserved groups may also not be sufficiently represented in patch test studies because of socioeconomic factors of language barriers, lower income, limited knowledge of health services, or lack of geographic diversity in researchers. 16,18 As such, further investigation of these disparities and the social determinants of health related to patch testing referrals is needed. Unfortunately, access to and utilization of health services are not strictly a matter of availability of health insurance or health care.…”

Section: Discussionmentioning

confidence: 99%

Patterns of Allergic Contact Dermatitis in African Americans in a Major Metropolitan Area Over a 10-Year Period

2021

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Background: Differences in patterns of allergic contact dermatitis (ACD) among underrepresented minority populations are not well studied.Objective: The aim of the study was to investigate patterns of ACD in African American and White patch-tested patients in a distinct metropolitan area over a 10-year period.Methods: We conducted a retrospective review of 297 ACD patients patch tested from 2009 to 2019. Differences in allergen frequency, relevance, and sources of exposure were evaluated. Fisher exact test analyses were performed to examine these differences.Results: Among 297 patients, 215 were White and 47 were African American. The most common sensitizers differed between the 2 groups. African American patients also reacted with statistically significant greater frequency to disperse dye blue ( P = 0.019) and textile dye mix ( P = 0.001). The most common source of positive patch tests for all patients was personal care products (72%). Occupational allergy was greater in African American male patients, and personal care product exposure was greater in White male patients ( P = 0.009).Conclusions: Our study highlights the differing patterns of sensitization seen in African American and White patients. This is likely due to differences in personal care product use or occupational allergy. Additional studies with larger sample sizes are needed to expand upon these differences.

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“…Children represent a unique group in terms of ACD, despite the condition being quite prevalent in the pediatric population (20%-25% of all childhood dermatitis; Bruckner and Weston, 2002, Militello et al, 2006, Seidenari et al, 2005). Notably, patch testing in children with recalcitrant dermatitis is often delayed (Jacob et al, 2008, McGowan et al, 2018). This is unfortunate given that there is both an increase in the reported number of children with ACD and the need for patch testing in children with dermatitis (Jacob et al, 2008).…”

mentioning

confidence: 99%