In an article published in The Washington Post, experts detailed that patients with darker skin tones should have access to personalized care from dermatologists who understand their unique needs. There are currently 16 clinics across the United States that specialize in managing population-specific variations in common dermatologic conditions such as hyperpigmentation, hypopigmentation, keloids, hair loss, lichen planus pigmentosus, and erythema dyschromicum perstans. The clinics were established after dermatologists acknowledged that these patients often experience racial and ethnic disparities in their quality of care, mistreatment, misdiagnoses, symptom dismissal, and distrust in health-care systems—all of which can discourage patients from receiving or seeking necessary care. For instance, dermatologists with cultural incompetence may advise some Black patients with hypopigmentation or keloids and curly hair to shampoo their hair once daily—as is commonly advised among White patients—rather than once weekly. Further, these clinics are often led by dermatologists with darker skin tones, resulting in a boost in culturally sensitive care and patient trust. One such patient, 40-year-old Khelli Simpson, developed hyperpigmentation following chronic acne, a common complication among patients with darker skin tones. Ms. Simpson expressed a preference to be treated by a dermatologist with cultural competence and expertise in dermatologic conditions within her racial group. Her primary care physician referred her to Oyetewa Oyerinde, MD, FAAD, Assistant Professor of Dermatology and Director of the Skin of Color Clinic at the Baylor College of Medicine, who prescribed her effective treatments for her acne and hyperpigmentation. “Dr. Oyerinde was very educated about my type of skin and was able to explain how we deal with these issues,” Ms. Simpson highlighted. The experts hope these clinics can foster greater confidence in the specialists who staff them, and result in improved patient outcomes; however, they underscored the need for all dermatologists to be knowledgeable in treating the skin, hair, and nails of all patients, regardless of their race or ethnicity.
March 06, 2024