Insights in Skin of Color Patients With Atopic Dermatitis and the Role of Skincare in Improving Outcomes

May 2022 | Volume 21 | Issue 5 | 462 | Copyright © May 2022


Published online April 28, 2022

Andrew F. Alexis MD MPH FAADa, Heather Woolery-Lloyd MD FAADb, Anneke Andriessen PhDc, Valerie D. Callender MD FAADd, Mercedes E. Gonzalez MD FAADc, Candrice Heath MD FAAD FAAPe, George Han MD PhD FAADf

aWeill Cornell Medical College, New York, NY
bSkin of Color Division Dr Phillip Frost Department of Dermatology and Cutaneous Surgery University of Miami; Miami, FL
cRadboud UMC, Nijmegen and Andriessen Consultants, Malden, The Netherlands
dHoward University College of Medicine, Washington DC; Callender Dermatology & Cosmetic Center, Glenn Dale, MD
eDermatology Lewis Katz School of Medicine; Pediatric Dermatology, Philadelphia, PA
fDermatology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, NY

patients with SOC and providing expert guidance for skincare use, including gentle cleansers and moisturizers.

AD is a chronic inflammatory skin condition associated with altered immune function and epidermal barrier dysfunction. Racial/ethnic differences in genetic and clinical presentation and sequelae have been reported. In addition, AD-associated xerosis is more stigmatizing in people with SOC. Patients may oscillate between various degrees of severity over time and may even have different levels of severity in various skin areas at any one time. Therefore, the best treatment paradigms reflect a need for a range of products that target these different levels of severity and address specific nuances or unique concerns in populations with SOC.

Treatment of AD in patients with SOC should be proactive, target inflammation, protect the skin barrier, and consider cultural practices. Physicians may recommend prescription treatments and branded moisturizers, but a patient may have specific cultural views and practices that are important to understand in the context of creating a sustainable treatment regimen for that patient. In the SOC populations, clinicians should integrate skincare recommendations and prescription therapies with patient perspectives on skin care norms and priorities in treatment targets.

DISCLOSURES

The authors disclose receipt of an unrestricted educational grant from CeraVe USA for support with the research of this work and also received consultancy fees for their work on this project. All the authors developed the manuscript, reviewed it, and agreed with its content.

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