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Ethnic skin: Kids are not just little people
Lisa Y Shen1, Brandi M Kenner-Bell1, Janelle Ricketts2
1Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL; Division of Dermatology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
Insights
Children with ethnic skin frequently experience various dermatological conditions. Treatment must consider unique presentations, potential side effects, and impact on quality of life.
Area of Science:
- Pediatric Dermatology
- Ethnic Skin Conditions
- Dermatology
Background:
- Children with ethnic skin commonly present with conditions like vitiligo, pityriasis alba, and keloids.
- Pediatric presentations and therapeutic responses can differ from adults for these dermatoses.
- Management requires careful consideration of systemic medication side effects and procedural tolerability in children.
Purpose of the Study:
- To highlight common skin conditions in children with ethnic skin.
- To discuss age-specific clinical presentations and treatment responses.
- To emphasize key considerations for managing these conditions in pediatric patients.
Main Methods:
- Literature review of pediatric dermatological conditions in ethnic skin.
- Analysis of clinical presentation variations between pediatric and adult patients.
- Evaluation of treatment considerations, including side effects and quality of life.
Main Results:
- Identified common conditions: vitiligo, progressive macular hypomelanosis, pityriasis alba, acne keloidalis nuchae, pseudofolliculitis barbae, and keloids.
- Noted distinct clinical patterns and therapeutic responses in children compared to adults.
- Highlighted the importance of managing systemic medication side effects and procedural tolerance.
Conclusions:
- Pediatric ethnic skin conditions require tailored management strategies.
- Treatment decisions must prioritize minimizing side effects and ensuring patient comfort.
- Maintaining quality of life is a critical aspect of managing pediatric dermatoses in ethnic skin.
Abstract:
There are numerous skin conditions that occur commonly in children with ethnic skin, including vitiligo, progressive macular hypomelanosis, pityriasis alba, acne keloidalis nuchae, pseudofolliculitis barbae, and keloids. Though these conditions occur in both children and adults, children may have different patterns of clinical presentation and response to therapy. In caring for such patients, important treatment considerations include side effects of systemic medications and tolerability of invasive procedures. Quality of life is an important measure and should not be compromised by either the skin disease or its treatment.