American Contact Dermatitis Society Position Statement: Dermatitis and Skin of Color

SL Colby , Ortman JM . Projections of the size and composition of the U.S. population: 2014 to 2060. 2015. Available at: https://www.census.gov/content/dam/Census/library/publications/2015/demo/p25-1143.pdf. Accessed August 23, 2021.

Kundu RV , Patterson S . Dermatologic conditions in skin of color: part I. Special considerations for common skin disorders. Am Fam Physician, 2013; 87(12):850–856.

Akhiyat S , Cardwell L , Sokumbi O. Why dermatology is the second least diverse specialty in medicine: how did we get here?. Clin Dermatol, 2020; 38(3):310–315. doi:.

Bae G , Qiu M , Reese E , et al. Changes in sex and ethnic diversity in dermatology residents over multiple decades. JAMA Dermatol, 2016; 152(1):92–94. doi:.

Santhosh L , Babik JM . Trends in racial and ethnic diversity in internal medicine subspecialty fellowships from 2006 to 2018. JAMA Netw Open, 2020; 3(2):e1920482. doi:.

Mylavarapu P , Gupta NE , Gudi V , et al. Diversity within the most competitive internal medicine fellowships: examining trends from 2008 to 2018. J Gen Intern Med, 2020; 35(9):2537–2544. doi:.

AAMC. Underrepresented in medicine definition. 2004. Available at: https://www.aamc.org/what-we-do/diversity-inclusion/underrepresented-in-medicine. Accessed April 18, 2021.

Agency for Healthcare Research and Quality. 2019 National Healthcare Quality and Disparities Reports. Available at: https://www.ahrq.gov/research/findings/nhqrdr/nhqdr19/index. Accessed July 27, 2021.

Pandya AG , Alexis AF , Berger TG , et al. Increasing racial and ethnic diversity in dermatology: a call to action. J Am Acad Dermatol, 2016; 74(3):584–587. doi:.

Bray JK , Cline A , McMichael AJ , et al. Differences in healthcare barriers based on racial and/or ethnic background for patients with psoriasis. J Dermatol Treat, 2021; 32:590–594. doi:.

Marrast LM , Zallman L , Woolhandler S , et al. Minority physicians' role in the care of underserved patients: diversifying the physician workforce may be key in addressing health disparities. JAMA Intern Med, 2014; 174(2):289–291. doi:.

Tripathi R , Knusel KD , Ezaldein HH , et al. Association of demographic and socioeconomic characteristics with differences in use of outpatient dermatology services in the United States. JAMA Dermatol, 2018; 154(11):1286–1291. doi:.

Taylor SC. Meeting the unique dermatologic needs of black patients. JAMA Dermatol, 2019; 155(10):1109–1110. doi:.

Gorbatenko-Roth K , Prose N , Kundu RV , et al. Assessment of Black patients' perception of their dermatology care. JAMA Dermatol, 2019; 155:1129–1134. doi:.

Mundluru SN , Ramalingam ND , Tran HN . Addressing internal medicine residents' discomfort with basic dermatology in persons of color in the primary care clinic. Am J Med Qual, 2019; 34(5):513. doi:.

McKesey J , Berger TG , Lim HW , et al. Cultural competence for the 21st century dermatologist practicing in the United States. J Am Acad Dermatol, 2017; 77(6):1159–1169. doi:.

Shavers VL , Fagan P , Jones D , et al. The state of research on racial/ethnic discrimination in the receipt of health care. Am J Public Health, 2012; 102(5):953–966. doi:.

Schoenberg E , Wang JV , Duffy R , et al. Uncovering unconscious bias and health disparities in the practice of dermatology. Skinmed, 2019; 17(6):367–368.

Wilson BN , Murase JE , Sliwka D , et al. Bridging racial differences in the clinical encounter: how implicit bias and stereotype threat contribute to health care disparities in the dermatology clinic. Int J Womens Dermatol, 2021; 7:139–144.

Okoye GA , Newsome A , McKay S , et al. Harvey | Udo Schumacher (Reviewing Editor). Health disparities in mycosis fungoides. Cogent Med, 2016; 3:1. doi:.

McConnell AR , Leibold JM . Relations among the implicit association test, discriminatory behavior, and explicit measures of racial attitudes. J Exp Soc Psychol, 2001; 37(5):435–442. doi:.

Marcelin JR , Siraj DS , Victor R , et al. The impact of unconscious bias in healthcare: how to recognize and mitigate it. J Infect Dis, 2019; 220(220, suppl 2):S62–S73. doi:.

US Food and Drug Administration. FDASIA section 907: inclusion of demographic subgroups in clinical trials. 2019. Available at: https://www.fda.gov/RegulatoryInformation/LawsEnforcedbyFDA/SignificantAmendmentstotheFDCAct/FDASIA/ucm389100.htm. Accessed June 18, 2021.

US Department of Health & Human Services. Amendment: NIH policy and guidelines on the inclusion of women and minorities as subjects in clinical research. Available at: https://grants.nih.gov/grants/guide/notice-files/NOT-OD-18-014.html. Accessed June 18, 2021.

Okeke CAV , Perry JD , Simmonds FC , et al. Clinical trials and skin of color: the example of hidradenitis suppurativa. Dermatology, 2021; 1–5. doi:. Epub ahead of print.

Charrow A , Xia FD , Joyce C , et al. Diversity in dermatology clinical trials: a systematic review. JAMA Dermatol, 2017; 153(2):193–198. doi:.

Garg A , Kirby JS , Lavian J , et al. Sex- and age-adjusted population analysis of prevalence estimates for hidradenitis suppurativa in the United States. JAMA Dermatol, 2017; 153(8):760–764. doi:.

Vlassova N , Kuhn D , Okoye GA . Hidradenitis suppurativa disproportionately affects African Americans: a single-center retrospective analysis. Acta Derm Venereol, 2015; 95(8):990–991. doi:.

Price KN , Krase JM , Loh TY , et al. Racial and ethnic disparities in global atopic dermatitis clinical trials. Br J Dermatol, 2020; 183(2):378–380. doi:.

Brunner PM , Guttman-Yassky E . Racial differences in atopic dermatitis. Ann Allergy Asthma Immunol, 2019; 122(5):449–455. doi:.

Silverberg JI , Hanifin J , Simpson EL . Climatic factors are associated with childhood eczema prevalence in the United States. J Invest Dermatol, 2013; 133(7):1752–1759. doi:.

Hirano SA , Murray SB , Harvey VM . Reporting, representation, and subgroup analysis of race and ethnicity in published clinical trials of atopic dermatitis in the United States between 2000 and 2009. Pediatr Dermatol, 2012; 29(6):749–755. doi:.

Humes K , Jones N , Ramirez R . Overview of Race and Hispanic Origin: 2010. Washington, DC: U.S. Census Bureau; 2011. (2010 Census Brief C2010BR-02). Available at: https://www.census.gov/prod/cen2010/briefs/c2010br-02.pdf. Accessed June 18, 2021.

Dickel H , Taylor JS , Evey P , et al. Comparison of patch test results with a standard series among white and black racial groups. Am J Contact Dermat, 2001; 12(2):77–82. doi:.

Deleo VA , Taylor SC , Belsito DV , et al. The effect of race and ethnicity on patch test results. J Am Acad Dermatol, 2002; 46(2, suppl understanding):S107–S112. doi:.

Yu SH , Khanna U , Taylor JS , et al. Patch testing in the African American population: a 10-year experience. Dermatitis, 2019; 30(4):277–278. doi:.

Deleo VA , Alexis A , Warshaw EM , et al. The association of race/ethnicity and patch test results: North American Contact Dermatitis Group, 1998–2006. Dermatitis, 2016; 27(5):288–292. doi:.

Garg A , Vaibhav S , Zhan T , Brod B , Gaspari A . Patterns of allergic contact dermatitis in African Americans and Caucasians in a major metropolitan area over a ten-year period. 2021. In: Proceedings of the American Contact Dermatitis Society 32nd Annual Meeting; March 17–18, 2021.

US Census Bureau. 2000. census of population and housing: profiles of general demographic characteristics. Available at: https://www.census.gov/prod/cen2000/doc/ProfilesTD.pdf. Accessed April 18, 2021.

Bray JK , McMichael AJ , Huang WW , et al. Publication rates on the topic of racial and ethnic diversity in dermatology versus other specialties. Dermatol Online J, 2020; 26(3):13030/qt094243gp.

Wilson BN , Sun M , Ashbaugh AG , et al. Assessment of skin of color and diversity and inclusion content of dermatologic published literature: an analysis and call to action. Int J Womens Dermatol, 2021; 7:391–397. doi:.

ACDS 32nd Annual Meeting Abstracts, March 17–18, 2021. Dermatitis, 2021; 32(3):e46–e59. doi:.

Berardesca E , Maibach HI . Contact dermatitis in blacks. Dermatol Clin, 1988; 6(3):363–368.

Andersen KE , Maibach HI . Black and white human skin differences. J Am Acad Dermatol, 1979; 1(3):276–282. doi:.

Fisher AA. Contact dermatitis in black patients. Cutis, 1977; 20(3):303.

Hafner MFS , Rodrigues AC , Lazzarini R . Allergic contact dermatitis to cosmetics: retrospective analysis of a population subjected to patch tests between 2004 and 2017. An Bras Dermatol, 2020; 95(6):696–701. doi:.

DeKoven JG , Silverberg JI , Warshaw EM , et al. North American Contact Dermatitis Group patch test results: 2017–2018. Dermatitis, 2021; 32(2):111–123. doi:.

DeKoven JG , Warshaw EM , Zug KA , et al. North American Contact Dermatitis Group patch test results: 2015–2016. Dermatitis, 2018; 29(6):297–309. doi:.

Mei-Yen Yong A , Tay YK . Atopic dermatitis: racial and ethnic differences. Dermatol Clin, 2017; 35(3):395–402. doi:.

Wang X , Li LF , Zhao DY , et al. Prevalence and clinical features of atopic dermatitis in China. Biomed Res Int, 2016; 2016:2568301. doi:.

Deckers IA , McLean S , Linssen S , et al. Investigating international time trends in the incidence and prevalence of atopic eczema 1990–2010: a systematic review of epidemiological studies. PLoS One, 2012; 7(7):e39803. doi:.

Kaufman BP , Guttman-Yassky E , Alexis AF . Atopic dermatitis in diverse racial and ethnic groups—variations in epidemiology, genetics, clinical presentation and treatment. Exp Dermatol, 2018; 27(4):340–357. doi:.

Silverberg JI , Simpson EL . Associations of childhood eczema severity: a US population-based study. Dermatitis, 2014; 25(3):107–114. doi:.

Shaw TE , Currie GP , Koudelka CW , et al. Eczema prevalence in the United States: data from the 2003 National Survey of Children's Health. J Invest Dermatol, 2011; 131(1):67–73. doi:.

Fowler JF , Zirwas MJ , Fisher AA . Fisher's Contact Dermatitis. 7th ed. Phoenix: Contact Dermatitis Institute;. 2018.

Lee E , Kim S , Lee J , et al. Ethnic differences in objective and subjective skin irritation response: an international study. Skin Res Technol, 2014; 20(3):265–269. doi:.

Sun LD , Xiao FL , Li Y , et al. Genome-wide association study identifies two new susceptibility loci for atopic dermatitis in the Chinese Han population. Nat Genet, 2011; 43(7):690–694. doi:.

Margolis DJ , Mitra N , Wubbenhorst B , et al. Association of filaggrin loss-of-function variants with race in children with atopic dermatitis. JAMA Dermatol, 2019; 155(11):1269–1276. doi:.

Margolis DJ , Apter AJ , Gupta J , et al. The persistence of atopic dermatitis and filaggrin (FLG) mutations in a US longitudinal cohort. J Allergy Clin Immunol, 2012; 130(4):912–917. doi:.

Ahn K , Kim BE , Kim J , et al. Recent advances in atopic dermatitis. Curr Opin Immunol, 2020; 66:14–21. doi:.

Nomura T , Wu J , Kabashima K , et al. Endophenotypic variations of atopic dermatitis by age, race, and ethnicity. J Allergy Clin Immunol Pract, 2020; 8(6):1840–1852. doi:.

Owen JL , Vakharia PP , Silverberg JI . The role and diagnosis of allergic contact dermatitis in patients with atopic dermatitis. Am J Clin Dermatol, 2018; 19(3):293–302. doi:.

Scott I , Atwater AR , Reeder M . Update on contact dermatitis and patch testing in patients with skin of color. Cutis, 2021; 108(1):10–12. doi:.

Tamazian S , Oboite M , Treat JR . Patch testing in skin of color: a brief report. Pediatr Dermatol, 2021; 38(4):952–953. doi:.

Grayson C , Heath CR . Dupilumab improves atopic dermatitis and post-inflammatory hyperpigmentation in patient with skin of color. J Drugs Dermatol, 2020; 19(7):776–778. doi:.