Acne vulgaris in black pediatric patients: clinical presentation, treatment patterns, and unique needs

Acne vulgaris is a common dermatological diagnosis observed in pediatric patients with skin of color, often resulting in scarring, keloid formation, and post-inflammatory hyperpigmentation, significantly impacting their quality of life. This exploratory retrospective chart review included 77 black p...

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Bibliographic Details
Published in:	Dermatology online journal Vol. 30; no. 3
Main Authors:	Jordan, Kristiana M, Famisan, Demi O, Myer, Summer N, Fine, Jeffrey, Ren, Yunyi, Tartar, Danielle M
Format:	Journal Article
Language:	English
Published:	United States 15-06-2024
Subjects:	Acne Vulgaris - drug therapy Adolescent Age Factors Anti-Bacterial Agents - therapeutic use Benzoyl Peroxide - therapeutic use Black or African American Child Dermatologic Agents - therapeutic use Female Humans Male Retrospective Studies Tretinoin - therapeutic use
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Summary:	Acne vulgaris is a common dermatological diagnosis observed in pediatric patients with skin of color, often resulting in scarring, keloid formation, and post-inflammatory hyperpigmentation, significantly impacting their quality of life. This exploratory retrospective chart review included 77 black pediatric patients seen at a tertiary care center for acne vulgaris between 2018 and 2023. We analyzed demographics, acne descriptors, and treatment modalities. The most common acne morphology was comedonal acne (83.6%), with 71% of the patients being female. Significant age differences were observed particularly for acne at the chin and overall face. Treatment regimens commonly prescribed included combinations of adapalene and benzoyl peroxide (22%), topical antibiotics, tretinoin, and benzoyl peroxide (34%). Given the higher risk of sequelae for patients with darker skin, it is crucial to address their unique treatment needs. This study highlights the distinctive characteristics of acne in black pediatric patients and calls for further research to enhance our understanding and treatment of this population. Limitations include the lack of direct patient interactions and reliance on chart data. Further studies are needed to compare acne presentation in skin of color of other populations, refining our knowledge of acne clinical presentation, complications, and treatment modalities for diverse patient populations.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1087-2108 1087-2108
DOI:	10.5070/D330363861