Race vs Ethnicity in Dermatology

Carter, Eric L.

doi:10.1001/archderm.139.4.539-a

Cited by 20 publications

(6 citation statements)

References 2 publications

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“…It was noteworthy that the patients with internal malignancies had necrotic lesions including digital gangrene at a significantly higher frequency (44%; 5/9 cases) than those without internal malignancies (0.04%; 1/24 cases, p <0.01). This was consistent with previous reports [10, 11]. …”

Section: Resultssupporting

confidence: 94%

Seborrheic Area Erythema as a Common Skin Manifestation in Japanese Patients with Dermatomyositis

et al. 2008

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Background: Although dermatomyositis (DM)-associated facial erythema was noted in the nasolabial folds of Japanese patients, DM-associated facial erythema other than heliotrope rash has drawn little attention in previous studies. Objectives: To characterize phenotypical features and frequencies of erythema, especially those in the seborrheic area of the head, in DM patients. Methods: A retrospective study on skin manifestations in 33 DM patients followed up at our department during the past 15 years was conducted. Results: Macular violaceous erythema (MVE) in the seborrheic area of the face was most frequent (67%). Patients with facial MVE had also MVE in the scalp significantly more frequently than those without facial MVE. The pathology of the facial MVE was dominated by DM-associated changes with slight changes compatible with seborrheic dermatitis (SD). Conclusions: Japanese DM patients had MVE frequently in the seborrheic area of the head. Its phenotypical features suggested that it might be triggered by SD.

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Section: Resultssupporting

confidence: 94%

Seborrheic Area Erythema as a Common Skin Manifestation in Japanese Patients with Dermatomyositis

et al. 2008

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“…Colorimetric measurements have been described as expanding the ability to make concrete descriptions about skin color, which, unlike race, is both tangible and quantifiable. 23,32 The ease of storing and transmitting numeric readings and digitalized images also offers the added use of tracking gradual changes in skin color for individuals, or among the patient population for large-scale epidemiologic studies. Race information and objective data should both be used in the evaluation of patients because they provide separate but important clinical information.…”

Section: Discussionmentioning

confidence: 99%

“…20 Fortunately, dermatologists may have the unique opportunity to investigate the relationship between race, skin color, and dermatologic disease in a more objective way. 23 The Food and Drug Administration (FDA) currently recommends increased collection of data from racial and ethnic groups in dermatology clinical trials, citing evidence that physiologic differences in skin structure between races can result in varying efficacies of dermatologic and topical treatments. 24 Although the construct of race is determined by society, skin color is both concrete and quantifiable.…”

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Assessing the role of race in quantitative measures of skin pigmentation and clinical assessments of photosensitivity

Chan

Ehrlich

Lawrence

et al. 2005

Journal of the American Academy of Dermatology

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“…1,8 One of the few situations in which racial categories defined by skin color have medical importance is in dermatology (for example, basal cell carcinoma is rare among blacks, while keloids are less frequent among whites). 10 …”

Section: Introductionmentioning

confidence: 99%

Definition and use of the variable "race" by medical students in Salvador, Brazil

et al. 2010

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CONTEXT AND OBJECTIVE: The lack of a clear definition for human "race" and the importance of this topic in medical practice continue to create doubt among scholars. Here, we evaluate the use of the variable "race" by medical students in Salvador, Brazil. DESIGN AND SETTING:Cross-sectional study at a Brazilian federal public university.METHODS: 221 randomly selected subjects were included. A semi-structured questionnaire was used for data collection. The results were expressed as means and standard deviations of the mean, proportions and frequencies. CONCLUSIONS: Despite the importance of different racial groups in medical practice, the majority of the professionals do not use or know how to classify them. It is necessary to add to and/or expand the discussion of racial and ethnic categories in medical practice and research.RESUMO CONTEXTO E OBJETIVO: A falta de uma definição clara da raça humana e a importância desse tema na prática médica continua a ser fonte de dúvidas para estudiosos. No presente artigo nós avaliamos o uso da variável raça por estudantes de medicina em Salvador, Brasil.TIPO DE ESTUDO E LOCAL: corte transversal, realizado numa universidade pública federal.MÉTODO: 221 estudantes, , foram incluídos. Um questionário semi-estruturado foi utilizado para a coleta dos dados. Os resultados são expressos como média e desvio-padrão da média, proporções e frequências. O teste do χ 2 (qui-quadrado) foi utilizado para o cálculo estatístico. RESULTADOS:Aproximadamente metade dos estudantes (45,4%) usava a variável grupo racial na sua prática clínica em estudos. Desses, 86,8% a consideravam uma informação relevante no prontuário médico; 92,7% no raciocínio diagnóstico; 95,9% acreditavam que ela influenciava a causa, expressão e prevalência das doenças; 94,9% afirmaram que ela contribuía para estimar o risco de doenças; 80,5% informaram que a resposta terapêutica a medicamentos pode ser influenciada pelas características raciais; 41,9% consideravam que sua inclusão nas pesquisas era sempre recomendável; e 20,3% a avaliavam como indispensável. As principais características fenotípicas usadas para a classificação racial foram: cor da pele (93,2%), tipo de cabelo (45,7%), formato do nariz (33,9%) e espessura dos lábios (30,3%).CONCLUSÃO: Apesar de sua importância na prática médica, a maioria dos profissionais não usa e não sabe classificar os diversos grupos raciais. É necessário adicionar e/ou ampliar a discussão sobre as categorias raciais e étnicas no exercício da medicina e nas pesquisas médicas.

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Race vs Ethnicity in Dermatology

Cited by 20 publications

References 2 publications

Seborrheic Area Erythema as a Common Skin Manifestation in Japanese Patients with Dermatomyositis

Seborrheic Area Erythema as a Common Skin Manifestation in Japanese Patients with Dermatomyositis

Assessing the role of race in quantitative measures of skin pigmentation and clinical assessments of photosensitivity

Definition and use of the variable "race" by medical students in Salvador, Brazil

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