Absence of images of skin of colour in publications of COVID‐19 skin manifestations

Lester, Jonathan; Jia, Justin L.; Zhang, L.; Okoye, Ginette A.; Linos, Eleni

doi:10.1111/bjd.19258

Cited by 80 publications

(75 citation statements)

References 3 publications

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“…This poor racial/ethnic diversity in the classification of COVID-19 dermatologic manifestations is problematic, especially given that photos of these lesions in darker skin types may help patients and providers identify early signs of COVID-19. 28 Disparities in the number of COVID-19 hospitalizations and outcomes show a disproportionate impact on these populations. 29 Lack of race and ethnicity data reporting in state health department registries of COVID-19 cases has complicated this issue.…”

Section: Discussionmentioning

confidence: 99%

The spectrum of COVID-19–associated dermatologic manifestations: An international registry of 716 patients from 31 countries

Freeman

McMahon

Lipoff

et al. 2020

Journal of the American Academy of Dermatology

324

536

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Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

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Section: Discussionmentioning

confidence: 99%

The spectrum of COVID-19–associated dermatologic manifestations: An international registry of 716 patients from 31 countries

Freeman

McMahon

Lipoff

et al. 2020

Journal of the American Academy of Dermatology

324

536

View full text Add to dashboard Cite

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“…of color yet there have been almost no reports of dermatologic findings in this population. 3 The largest case series of skin manifestations to date, which included 375 patients, highlighted 5 predominant morphological patterns: maculopapular, urticarial, pseudochilblain, vesicular, and livedoid. 1 The ability to characterize and categorize skin changes into morphological patterns will help inform hypotheses and subsequent studies on the mechanisms involved.…”

Section: Sars-cov-2 Infection Disproportionately Affects Peoplementioning

confidence: 99%

Dermatology and COVID-19

Shinkai

Bruckner

2020

JAMA

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Even early in the coronavirus disease 2019 (COVID-19) pandemic, it was clear that dermatologists had an important role in the management of patients. Although initial case series rarely documented skin changes, possibly due to the inability to perform a complete skin examination, subsequent research has suggested significantly higher rates of skin involvement. 1 The true prevalence of skin findings, the uncertainty of whether these represented direct infection or were associated with systemic illness (eg, reactive or due to medications), and how best to manage them were among the many questions challenging the evolving understanding of these cutaneous manifestations. This has been an important opportunity for dermatologists to learn and contribute. 2 What are the current priorities in dermatology research and clinical care as the COVID-19 pandemic progresses? Skin FindingsA broad spectrum of skin manifestations has been reported in association with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, spanning almost every inflammatory pattern. The variability of skin findings seen is substantial compared with other viral infections that typically present with characteristic skin patterns. The seemingly high (estimated as high as 20% in one study) prevalence in adults, who rarely present with viral exanthems, is also notable. Understanding the true prevalence of skin findings is complicated by the lack of testing, as well as likely reporting bias in publication. SARS-CoV-2 infection disproportionately affects people

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“…A research letter was published in the British Journal of Dermatology earlier this year about the lack of images of SOC in publications about the cutaneous manifestations of COVID-19. 5 At that time, there were zero published images of cutaneous COVID-19 manifestations in Fitzpatrick skin types V and VI, yet COVID-19 disproportionately affects Black individuals and other people of color. 5,6 A case series recently was published in JAAD Case Reports that included images of cutaneous COVID-19 findings in patients with Fitzpatrick skin types III through V. 7 The authors noted that the findings were more subtle on darker skin as the erythema was harder to discern.…”

Section: Limitations Of Educational Resourcesmentioning

confidence: 99%

Dermatology Resident Education for Skin of Color

Shabeeb

2020

Cutis

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Skin diseases often present differently in patients with darker skin, and certain features such as erythema may be more difficult to recognize. Dermatology residents learn various skin disease presentations through pattern recognition seen in the clinical setting, in patient photographs, and through other educational resources. Because images of skin of color (SOC) are underrepresented in many dermatology educational resources, residents should seek additional resources to enhance their knowledge and better serve their patients.

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Absence of images of skin of colour in publications of COVID‐19 skin manifestations

Cited by 80 publications

References 3 publications

The spectrum of COVID-19–associated dermatologic manifestations: An international registry of 716 patients from 31 countries

The spectrum of COVID-19–associated dermatologic manifestations: An international registry of 716 patients from 31 countries

Dermatology and COVID-19

Dermatology Resident Education for Skin of Color

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