Well-developed treatment plan needed for pediatric patients with skin of color

Identifying the challenges of treating pediatric patients with skin of color will allow for better developed treatment plans, according to a presenter at the Masters of Pediatric Dermatology meeting.

When treating patients with skin of color, the most important thing to address is the “why” for each step, Candrice R. Heath, MD, FAAP, FAAD, assistant professor of dermatology and director of pediatric dermatology at Lewis Katz School of Medicine, Temple University, said. There may be a disconnect between the doctor and the patient and their family. The presenting complaint may be “dark marks,” but they may actually be the product of atrophic scars or other issues. It is important to let the patient know that the doctor sees the hyperpigmentation, with an explanation of the steps of the treatment plan.

“Explaining every step really helps the patient to feel that you are their partner in treating this acne,” Heath said.

Hyperpigmentation in patients with skin of color specifically is a leading complaint that significantly reduces quality of life. Heath recommended aggressive treatment early on to allow for proper observation. Of note, a common cause of skin ailments can include cultural hair and skin care practices.

“Without that history of knowing that cultural competence, it will be difficult to figure out exactly what the trigger could be,” Heath said.