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Skin of Color in Pediatric Dermatology: A Cross-Sectional Retrospective Analysis Addressing Inclusive Diagnosis and

Arianna Dondi1,2, Alice Ranieri3, Laura Andreozzi2

  • 1Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, 40138 Bologna, Italy.

Life (Basel, Switzerland)
|May 4, 2026
PubMed

Insights

Skin of color (SOC) children present with different dermatologic conditions and atopic dermatitis (AD) morphology than white children. These differences necessitate tailored diagnostic approaches for equitable pediatric dermatologic care.

Area of Science:

  • Pediatric Dermatology
  • Dermatology Research
  • Health Equity

Background:

  • Children with skin of color (SOC) are underrepresented in dermatologic research.
  • Atopic dermatitis (AD) presentation differs between SOC and white children.
  • Pediatric dermatologic conditions require tailored diagnostic approaches.

Purpose of the Study:

  • Compare dermatologic conditions prompting Pediatric Emergency Department (PED) referral in SOC and white children.
  • Describe clinical features of AD in SOC.
  • Highlight the need for equitable dermatologic care.

Main Methods:

  • Retrospective study at IRCCS AOUBO Policlinico di Sant'Orsola, Bologna, Italy.
  • Analysis of patient records and photographs from 2019.
  • Inclusion of patients with dermatologic conditions evaluated by a pediatric dermatologist.

Main Results:

  • Of 411 patients, 109 (26.5%) had SOC.
  • In SOC, common diagnoses included scabies (22%) and AD (17.4%).
  • In SOC children with AD, lichenoid (31.6%) and pityriasis alba (29.0%) variants were most frequent, with subtle erythema.

Conclusions:

  • Dermatologic conditions and AD morphology significantly differ between SOC and white children.
  • Scabies and pruritus were more frequent in SOC.
  • Tailored diagnostic approaches are crucial for equitable care in pediatric dermatology.

Keywords:
atopic dermatitisdermatologypaediatricsskin pigmentation

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