Optimizing the management of psoriasis in patients with skin of color: A Canadian Delphi consensus

JAAD International Pub Date : 2024-11-14 DOI:10.1016/j.jdin.2024.09.015

Geeta Yadav MD , Yvette Miller-Monthrope MD , Jaggi Rao MD , David N. Adam MD , Rachel N. Asiniwasis MD , Parbeer Grewal MD , Christina Han MD , Marissa Joseph MD , Richard G. Langley MD , Charles W. Lynde MD , Andrei Metelitsa MD , Loukia Mitsos MD, PhD , Boluwaji Ogunyemi MD , Kerri S. Purdy MD , Maxwell Sauder MD , Jensen Yeung MD

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Abstract

Background

There is limited evidence on treating psoriasis patients with skin of color (SOC), contributing to disparities in accessing appropriate care for these patients.

Objectives

This study aimed to develop consensus statements defining SOC terminology and addressing needs to optimize the clinical management of psoriasis in patients with SOC.

Methods

Using the modified Delphi methodology 16 Canadian dermatologists with expertise in psoriasis developed consensus statements. Four core faculty members drove the content of the study, and 12 additional panel members were consulted to vote and provide consensus on the content produced by the core faculty. At a final meeting, the full panel revised and voted on the final consensus statements.

Results

The exercise resulted in 11 consensus statements on SOC terminology, as well as 5 primary and 4 secondary statements on clinical presentation and differential diagnosis, and treatment guidelines based on evidence and expert opinion. Four additional consensus statements on current assessment tools and access to care were developed based solely on expert opinion.