Department of Dermatology, University of Cincinnati, Cincinnati, OH, USA.
Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Pediatr Dermatol. 2021 Nov;38 Suppl 2:129-131. doi: 10.1111/pde.14693. Epub 2021 Aug 2.
A better understanding of what skin conditions are most commonly diagnosed in different pediatric racial and ethnic groups in outpatient dermatology clinics could help guide the development of pediatric dermatology educational initiatives for primary care providers and general dermatologists who have limited access to pediatric dermatologists. Using a nationally representative dataset, we evaluated the most common diagnoses in patients younger than 15 years of age (children) and 15-24 years of age (youth) who present to outpatient dermatology clinics, stratified by race and ethnicity. While acne and dermatitis were among the top ten most common diagnoses in all racial and ethnic groups studied, Black children were also commonly diagnosed with dermatophytosis and impetigo, and Black and Hispanic children were often diagnosed with seborrheic dermatitis; pigmentary disorders were among the top three most common diagnoses in Black, Asian, and Hispanic youth. Training more physicians how to evaluate and treat common skin conditions in children and youth of diverse racial and ethnic backgrounds may improve access to care for skin disease in the United States.
更好地了解在皮肤科门诊中不同儿科种族和族裔群体中最常见的皮肤状况，可以帮助指导针对初级保健提供者和普通皮肤科医生的儿科皮肤科教育计划的制定，这些医生与儿科皮肤科医生接触有限。我们使用全国代表性数据集，按种族和族裔对在皮肤科门诊就诊的 15 岁以下（儿童）和 15-24 岁（青少年）患者进行评估，确定了十种最常见的诊断。虽然痤疮和皮炎是所有研究种族和族裔群体中最常见的十大诊断之一，但黑人儿童也常被诊断为皮肤癣菌病和脓疱疮，黑人和西班牙裔儿童常被诊断为脂溢性皮炎；色素障碍是黑人、亚裔和西班牙裔青少年中最常见的三种诊断之一。培训更多的医生如何评估和治疗不同种族和族裔背景的儿童和青少年的常见皮肤疾病，可能会改善美国皮肤疾病的治疗机会。
