Skin diversity and skin of colour

Nicolas Kluger
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Abstract

Diversity can be defined as ‘all characteristics and experiences that define each of us as individuals’. A common misconception about diversity is that it would only apply to certain persons or groups, while it is the exact opposite. Diversity includes the entire spectrum of primary dimensions of an individual, including ethnicity, gender, age, religion, disability, and sexual orientation. Secondary dimensions commonly include communication style, work style, organizational role/level, economic status, and geographic origin.1 How to define skin diversity in this case? It refers to a wide range of variations in human skin, including differences in colour, textures, tones, and so on, considering genetic factors, environmental exposures, and cultural practices. Understanding skin diversity is crucial for fostering inclusivity and providing effective care tailored to the unique needs of individuals.

For this current special issue on skin diversity of the JEADV Clinical practice, we chose to highlight various aspect around skin of colour (SoC).

The presentation of many skin diseases on SoC may be different from that seen on light skin. An inexperienced practitioner can quickly be in a situation of failure in consultation. The very first step is to sensitize medical students early in their curriculum to SoC.2, 3 Trained residents and graduated practitioners can benefit from university training courses,4 lectures, or workshops in meetings or congresses. The increase of specific iconography featuring SoC in medical atlases is warranted.5 Proper training will help prevent intellectual biases that are not rare in our experience with patients with SoC.6

The proper knowledge of the basic epidemiology of skin diseases among SoC is also crucial. The pattern of skin diseases a dermatologist encounters is way different whether he is an office-based dermatologist in a capital of a Western country, a practitioner working closely with immigrants or refugees that have recently arrived in the country7 or directly in Africa8 or South America.9

A review by Nadège Cordel summarizes the clinical presentation of systemic diseases in Afro-Caribbean patients,10 while several case reports illustrate some conditions that are specific for SoC.11, 12

Lastly, the review by Schuster et al. about the efficacy of of Isobutylamido-Thiazolyl-Resorcinol on hyperpigmentation of the skin13 reminds us that postinflammatory pigmentation and hyperpigmentation in general are frequent and disabling symptoms in persons of colour.

The wide spectrum of topics covered in this special issue of the JEADV clinical practice illustrates how vast the field of skin of colour dermatology is.

The author declares no conflict of interest.

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皮肤多样性和有色皮肤
多样性可以定义为 "定义我们每个人的所有特征和经历"。关于多样性的一个常见误解是,它只适用于某些人或群体,而事实恰恰相反。多样性包括个人的所有主要方面,包括种族、性别、年龄、宗教、残疾和性取向。次要层面通常包括沟通方式、工作方式、组织角色/级别、经济状况和地理出身1。它指的是人类皮肤的各种变化,包括颜色、质地、色调等方面的差异,并考虑到遗传因素、环境暴露和文化习俗。了解皮肤的多样性对于促进包容性和根据个人的独特需求提供有效护理至关重要。在本期《JEADV 临床实践》关于皮肤多样性的特刊中,我们选择突出有色人种皮肤(SoC)的各个方面。许多皮肤病在有色人种皮肤上的表现可能不同于在浅色皮肤上的表现。缺乏经验的从业者可能很快就会陷入诊治失败的境地。2, 3 经过培训的住院医师和毕业医师可以从大学培训课程、4 讲座、会议或大会的研讨会中获益。5 适当的培训有助于防止知识偏见,而在我们与 SoC 患者的接触中,这种偏见并不少见。9 Nadège Cordel 的一篇综述总结了非裔加勒比海地区患者全身性疾病的临床表现,10 而一些病例报告则说明了一些非裔加勒比海地区特有的疾病、12 最后,Schuster 等人关于异丁胺基噻唑基间苯二酚对皮肤色素沉着的疗效的综述13 提醒我们,炎症后色素沉着和色素沉着是有色人种经常出现的致残症状。
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