Skin of color representation in dermatology atlases

Hereford, Brittainy; James, William D.

doi:10.1016/j.jaad.2022.08.003

Cited by 6 publications

(7 citation statements)

References 2 publications

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“…Vitiligo and keloid scars are more likely to be imaged in SoC 6 . Furthermore, in dermatology atlases and textbooks SoC images constitute a greater proportion of “stigmatising” conditions, such as sexually transmitted infections 9 . The basis for this is not clear and there may be bias relating to conditions for which publishers use SoC images.…”

Section: Discussionmentioning

confidence: 99%

The representation of skin of colour in the Australasian Journal of Dermatology

Kennedy,

Fa'alogo‐Lilo

2024

Aust J Dermatology

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BACKGROUNDSkin of colour (SoC) is underrepresented in dermatological literature with an associated reduction in clinician confidence diagnosing and managing skin conditions in patients with SoC. [1][2][3] It is reported that half of Irish dermatology clinicians are not confident in diagnosing patients with SoC. 1 Furthermore, confidence varies with the clinical context and a 2018 study found 85% of Australian dermatologists did not feel confident managing cosmetic skin issues in SoC. 2 SoC representation in Australasian dermatology educational resources is largely undocumented. This study aimed to assess representation of SoC and associated demographic factors in published images in the Australasian Journal of Dermatology (AJD).

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Section: Discussionmentioning

confidence: 99%

The representation of skin of colour in the Australasian Journal of Dermatology

Kennedy,

Fa'alogo‐Lilo

2024

Aust J Dermatology

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“…It is increasingly apparent that photographs of even common dermatologic diseases in the skin of color are not well-represented in dermatology education or literature ( 6 , 7 ). Despite PV being one of the most well-characterized diseases in dermatology, the clinical presentation of mounded and refractory keratoses (MARK) remains to be described.…”

Section: Discussionmentioning

confidence: 99%

Case report: Mounded and refractory keratoses (MARK), a novel presentation of pemphigus vulgaris

Toussi

Nava

et al. 2023

Front. Med.

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Pemphigus vulgaris (PV) is a rare immunobullous disease. Although it classically presents as generalized flaccid blisters affecting the skin and mucosae, atypical cases of PV can be diagnostically challenging. Herein, we report an underrecognized non-blistering manifestation of pemphigus vulgaris, which we call mounded and refractory keratoses (MARK). MARK presents as exuberant scaling plaques on the scalp, often in the skin of color. When MARK features are present, pemphigus vulgaris is prone to misdiagnosis, clinically and histopathologically, leading to delays in appropriate treatment. Specifically, biopsies from these patients may resemble acantholytic dyskeratosis, resulting in initial misdiagnosis. Thus, recognizing this presentation may aid physicians in diagnosing and monitoring the recurrence of pemphigus vulgaris.

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“…4 In studies assessing other media types, there is a pattern of underrepresenting skin diseases in darker skin tones. 5 There is a tremendous need for improved portrayal of darker skin tones in patient-facing websites; the current lack of representation could impact patients' ability to self-identify and seek treatment. To order reprints or e-prints of JDD articles please contact sales@jddonline.com…”

Section: Adam Friedman MD Faadmentioning

confidence: 99%

Skin Tone Representation on Patient-Facing Skin Cancer Education Websites

Sadur,

Nasseri,

McCormick

et al. 2024

JDD

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Six federally-based and organization websites (.gov,.org) with information about skin cancer were selected, including CDC.gov, NIH.gov, skincancer.org, americancancerfund.org, mayoclinic.org, and cancer.org. All photos on skin cancer-related webpages were evaluated. Hyperlinks to outside websites were excluded. Within each photo, each person or skin was counted separately as a representation. Representations were counted every time they were displayed and categorized as per Figure 1. The published 5-tone Pantone swatch 3 was used by three independent reviewers to categorize representations into

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Skin of color representation in dermatology atlases

Cited by 6 publications

References 2 publications

The representation of skin of colour in the Australasian Journal of Dermatology

The representation of skin of colour in the Australasian Journal of Dermatology

Case report: Mounded and refractory keratoses (MARK), a novel presentation of pemphigus vulgaris

Skin Tone Representation on Patient-Facing Skin Cancer Education Websites

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