McMichael Amy J, Vachiramon Vasanop, Guzmán-Sánchez Daniela Araucaria, Camacho Fabian
Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
J Drugs Dermatol. 2012 Apr;11(4):478-82.
Psoriasis is a common skin disease in Caucasians but less common in African-Americans.
Our aim is to evaluate caregiver opinions regarding the clinical presentations and treatment of psoriasis in African-Americans compared to Caucasians.
PATIENTS/METHODS: A survey was sent to 29 dermatologists who are opinion leaders in the field of psoriasis. The survey included a number of questions regarding the characteristics of the patients seen in their practice.
A total of 29 surveys were completed and returned. All of the dermatologists use the extent of disease as a criterion to determine the severity of the disease. Other criteria include scale, thickness, erythema, associated general symptoms, and dyspigmentation. About 66% of the respondents reported the different manifestations of disease, such as more dyspigmentation, thicker plaques, and less erythema in African-Americans. The most common first-line treatments for mild to moderate disease were highpotency topical steroids (68%) followed by topical vitamin D analogues (41%). For moderate to severe disease, the most commonly used first-line treatments were high-potency topical steroids (54%) and phototherapy (46%).
The clinical manifestations of psoriasis in African-Americans are not exactly the same as in Caucasians. Physicians should be aware of the difference in clinical manifestations in African-Americans. Further research and large-scale studies are necessary to elucidate the differences in the clinical presentation, natural course of the disease, and the criteria used for the evaluation of severity among ethnic groups.
银屑病在白种人中是一种常见的皮肤病，但在非裔美国人中较少见。
我们的目的是评估与白种人相比，护理人员对非裔美国人银屑病临床表现和治疗的看法。
患者/方法：向29位银屑病领域的意见领袖皮肤科医生发送了一份调查问卷。该调查包括一些关于他们临床所见患者特征的问题。
共完成并返回了29份调查问卷。所有皮肤科医生都将疾病范围作为确定疾病严重程度的标准。其他标准包括鳞屑、厚度、红斑、相关的全身症状和色素沉着异常。约66%的受访者报告了疾病的不同表现，如非裔美国人色素沉着异常更多、斑块更厚且红斑更少。轻度至中度疾病最常见的一线治疗是强效外用类固醇（68%），其次是外用维生素D类似物（41%）。对于中度至重度疾病，最常用的一线治疗是强效外用类固醇（54%）和光疗（46%）。
非裔美国人银屑病的临床表现与白种人并不完全相同。医生应意识到非裔美国人临床表现的差异。有必要进行进一步的研究和大规模研究，以阐明不同种族之间临床表现、疾病自然病程以及严重程度评估标准的差异。
