Key Insights on Psoriasis in Patients With Skin of Color
Transcript:
I think it's worth mentioning about how there are racial and ethnic variations in psoriasis and within associated comorbidities.
So for example, the prevalence of obesity and cardiovascular disease seems to be quite distinctive among patients with skin of color.
Now on the right sided table, you have an association of self-reported race, ethnicity and quality of life.
And you can see that Black patients are far more likely to report a diminished quality of life as it pertains to their psoriatic disease with an average DLQI score of 8.3 versus 5.6 in whites.
And then you can see for DLQI greater than or equal to two, remember this is a scale that goes from zero to 10 patients who report two or greater.
You can see that it's significantly higher amongst Blacks, Asians, and Hispanic Latinos compared to whites.
And then in this next slide, I just want to show you what the skin of color inflammation looks like specifically within psoriasis.
You don't see that same whitish silvery micaceous scale that you would see in white person's skin.
Rather, it could be dusky gray or ashen in skin of color compared to white.
So Erythema can be slightly nuanced.
Again, violaceous dark brown or gray.
References:
- Alexis AF, Blackcloud P. Psoriasis in skin of color: Epidemiology, genetics, clinical presentation, and treatment nuances. J Clin Aesthet Dermatol. 2014;7(11):16-24.
- Armstrong AW, Mehta MD, Schupp CW, Gondo GC, Bell SJ, Griffiths CEM. Psoriasis prevalence in adults in the United States. JAMA Dermatol. 2021;157(8):940-946.
- Kaufman BP, Alexis AF. Psoriasis in skin of color: Insights into the epidemiology, clinical presentation, genetics, quality-of-life impact, and treatment of psoriasis in Non-White Racial/Ethnic Groups. Am J Clin Dermatol. 2018;19(3):405-423.
- Takeshita J, Augustin M, de Jong EMGJ, et al. Health-related QOL differs by race/ethnicity in North American patients with psoriasis: Results from PSOLAR. J Invest Dermatol. 2022;142(9):2528-2531.e3.
- Xie Z, St Clair P, Goldman DP, Joyce G. Racial and ethnic disparities in medication adherence among privately insured patients in the United States. PLoS One. 2019;14(2):e0212117.
