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Published on: August 21, 2013
Review article: Emerging issues in pediatric skin of color, part 1
Krystal N Mitchell1, Yong Kwang Tay2, Candrice R Heath3
1Department of Dermatology, Icahn School of Medicine at Mt Sinai, New York, New York, USA.
Insights
Pediatric dermatology for children of color requires specialized knowledge due to unique skin presentations and conditions. This article reviews key concerns including hair, autoimmune, and infectious issues in pediatric skin of color.
Area of Science:
- Pediatric Dermatology
- Dermatology for Skin of Color
Background:
- Dermatology for the pediatric skin of color population addresses the unique needs of diverse children with increased pigmentation.
- Treating these children requires specialized knowledge and sensitivity due to variations in disease presentation and demographics.
Purpose of the Study:
- To provide an overview of significant skin-related issues in children of color.
- To highlight challenges in diagnosing and treating common dermatological conditions in this population.
- To review specific conditions including hair concerns, autoimmune diseases, and infections.
Main Methods:
- Review of recently published literature on skin issues in children of color.
- Focus on conditions with nuances in clinical appearance or therapeutics related to skin color.
- Categorization of reviewed conditions into hair-related, autoimmune, and infectious concerns.
Main Results:
- Common conditions may present differently in pediatric skin of color due to pigmentation.
- Hairstyling practices can lead to specific concerns like traction alopecia.
- Autoimmune conditions (e.g., lupus, vitiligo) and infections (e.g., tinea capitis) require tailored approaches.
Conclusions:
- Pediatric skin of color dermatology presents unique diagnostic and therapeutic challenges.
- Understanding variations in presentation and common conditions is crucial for effective care.
- This review serves as a foundational resource for addressing key dermatological issues in children of color.
Abstract:
Dermatology for the pediatric skin of color population is the application of dermatology to the genetically diverse and distinctive segment of the pediatric population that includes children of non-White racial and ethnic groups with increased pigmentation including individuals of Asian, LatinX, African, Native American, Pacific Island descent, Indigenous Peoples, among others, with overlap in particular individuals, and mixtures thereof. Treating children of color is a unique skill set within the field of pediatric dermatology, requiring knowledge and sensitivity. The discipline of pediatric skin of color can be challenging. Difficulty in diagnosis of common conditions stems from underlying pigmentation, variations in common hairstyling practices, and differences in demographics of cutaneous disease, whereas some conditions are more common in children of color, other conditions have nuances in clinical appearance and/or therapeutics with regard to skin color. This article is the first in a series of two articles looking at recently published skin-related issues of high concern in children of color. Conditions reviewed in Part 1 include (1) hairstyling hair-related concerns (traction alopecia, central centrifugal cicatricial alopecia, endocrine disruption), (2) autoimmune concerns (cutaneous lupus, vitiligo), and (3) infections (tinea capitis, progressive macular hypomelanosis).
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