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Published on: September 26, 2019
Skin disorders in black children
1Department of Dermatology, SUNY Health Science Center at Brooklyn, NY 11203, USA.
Insights
Recent advancements address six skin conditions in black children, including infantile acropustulosis, congenital melanocytic nevi, keloids, tinea capitis, hair grooming issues, and postinflammatory hyperpigmentation.
Area of Science:
- Pediatric Dermatology
- Dermatology in Children of Color
Background:
- Six common skin conditions in black children have seen recent progress.
- Understanding these conditions is crucial for appropriate pediatric dermatological care.
Purpose of the Study:
- To review recent developments in managing specific skin conditions prevalent in black children.
- To provide updated guidance on the treatment and understanding of these dermatoses.
Main Methods:
- Review of recent literature and clinical advancements.
- Synthesis of information on infantile acropustulosis, congenital melanocytic nevi, keloids, tinea capitis, hair problems, and postinflammatory hyperpigmentation.
Main Results:
- Infantile acropustulosis can be idiopathic or linked to scabies.
- Congenital melanocytic nevi in black children have a low melanoma risk.
- Silicone gel sheeting is effective for keloids and hypertrophic scars.
- Tinea capitis is common; newer antifungals offer no major advantage over griseofulvin.
- Hair grooming issues are preventable, and azelaic acid shows promise for postinflammatory hyperpigmentation.
Conclusions:
- Tailored approaches are necessary for managing skin conditions in black children.
- Effective treatments exist for common issues like keloids and tinea capitis.
- Preventive strategies and promising new treatments are available for hair and pigmentation issues.
Abstract:
Recently, progress and developments have been made in six skin conditions relevant to black children. Infantile acropustulosis may either be idiopathic or may be a sequela of scabies in young infants. The approach to small- or medium-sized congenital melanocytic nevi in black children must be different because the risk for malignant transformation into melanoma is exceedingly small. Keloids and hypertrophic scars in children are effectively treated with silicone gel sheeting. Tinea capitis caused by Trichophyton tonsurans remains to be a very common infection among black children. The newer systemic antifungal agents have no significant advantage over griseofulvin. Hair problems resulting from grooming practices or hair styling are preventable. For postinflammatory hyperpigmentation, azelaic acid holds promise.
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