Back toUpdated on October 25, 2024
Because psoriasis is easier to diagnose in lighter skin, it can be misdiagnosed in skin of color.
Transcript
Hi, Dr. Simmons. Is it more difficult to diagnose psoriasis in skin of color?
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That's a fantastic question, and it's also something I talk to my patients about regularly in clinic.
Psoriasis is a chronic multisystem inflammatory disorder that affects 125 million people worldwide.
Generally, white people are diagnosed with psoriasis more frequently than people of color. However, psoriasis is more easily identifiable in lighter
skin and may actually be misdiagnosed in people with darker skin. For instance, skin manifestations like red patches
may appear differently on darker skin tones. Patches may appear purple or even brown on darker skin, and sometimes the scales can be too thick to accurately
ascertain the color underneath. African-American patients may also experience more dyspigmentation than erythema
after an acute flare of psoriasis compared to white patients, which may make it more difficult to diagnose.
Access to proper medication and treatment may also be limited for people of color. Studies show that Black people are less likely to receive biologic treatment than white people
and may be less familiar with the treatment option itself. Less exposure to treatments or lack of understanding of biologics as a treatment option
can lead to some patients being wary in regard to new techniques that are invasive, such as needles. Access to dermatologists also plays
a role in the undertreatment of psoriasis in people of color. Insurance, socioeconomic status, and other factors
can affect accessibility for individuals to receive the care they need. Without the guidance of a health care professional,
it can be difficult for patients to find long-lasting relief. Do your research, and find a dermatologist you trust.
Together, you can develop a treatment plan that works for you.
