Publications by authors named "Candrice R Heath"
Background: Despite the acknowledgment of the importance of social determinants of health (SDOH) on clinical outcomes, few clinical trials provide information about SDOH. Including these markers in pediatric dermatologic clinical trials may lead to improved care and novel observations about the disease.
Objective: Using a systematic review, assess the use of SDOH in pediatric dermatology clinical trials.
Article Synopsis
- - Tinea capitis is a contagious fungal infection affecting children, with significant public health implications due to its prevalence, risk factors, and potential long-term effects if untreated; regional variations exist in causative agents, primarily Trichophyton in North America and Microsporum globally.
- - Diagnosis primarily involves clinical evaluation, microscopic examination, and fungal culture, while treatment options include systemic antifungals, particularly terbinafine for Trichophyton infections; accurate diagnosis and patient education are critical for successful outcomes.
- - Preventative measures focus on early detection and healthy habits, emphasizing the need for collaboration between healthcare providers and public health agencies to improve treatment effectiveness and community awareness to reduce the infection's spread.
Article Synopsis
- Skin color classification plays a key role in skin health, assessing diseases, and tailoring treatment, especially in clinical research.
- A review by dermatologists identified 17 different skin classification systems in use, with the Fitzpatrick scale being the most popular yet flawed.
- Current classification tools have significant limitations and validation issues, highlighting the need for consensus-based efforts to create better, standardized systems.
Eczema herpeticum (EH) is a cutaneous infection with herpes simplex virus, typically in the context of atopic dermatitis. Pediatric hospitalizations for EH have increased over the past several decades, yet few studies have investigated comorbidities or epidemiology of pediatric EH inpatients. We searched the 2016 Kids' Inpatient Database and recorded demographics, comorbidities, and associated costs for patients with EH.
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- - Clinical trials are essential for evaluating the safety and effectiveness of treatments, and having a diverse participant pool is crucial for generalizing results across different patient demographics.
- - The Skin of Color Society organized the Meeting the Challenge Summit in June 2022 to promote the inclusion of racial and ethnic minorities in dermatology clinical trials, focusing on the challenges faced from various stakeholders.
- - The summit featured expert discussions and presentations that encouraged collaboration and generated strategies to improve minority representation in future clinical trials in dermatology.
Introduction: Some patients with gastroparesis (Gp) report hair loss. The aim of this study was to investigate the prevalence of patient-reported hair loss in Gp patients, analyze hair loss association to severity of Gp and nutritional deficiencies, and study effects of multivitamin treatment on hair loss.
Methods: Patients with Gp were questioned about hair characteristics, Gp symptoms, and diet.
THE COMPARISONA Vitiligo in a young Hispanic female, which spared the area under a ring. The patient has spotty return of pigment on the hand after narrowband ultraviolet B (UVB) treatment.B Vitiligo on the hand in a young Hispanic male.
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- A case study presents skin conditions in individuals, focusing on erythrasma in two different patients: a 65-year-old White man and an obese Hispanic woman.
- The White man's condition features a well-defined erythematous plaque with fine scaling, which fluoresced bright coral red under a Wood-lamp examination.
- Additionally, a Black man has hypopigmented patches in his groin and erythrasma between his toes, indicating the diverse presentations of this skin infection.
THE COMPARISON Areas of alopecia with erythema and scale in a young Black boy with tinea capitis. He also had an enlarged posterior cervical lymph node (arrow) from this fungal infection. White patches of scale from tinea capitis in a young Black boy with no obvious hair loss; however, a potassium hydroxide preparation from the scale was positive for fungus.
View Article and Find Full Text PDFSignificant racial/ethnic disparities in dermatologic care and their subsequent impact on dermatologic conditions were recently reported. Contributing factors include socioeconomic factors, gaps in educational exposure, and underrepresentation of minority groups in the dermatologic workforce. In 2021, the American Academy of Dermatology (AAD) announced its three-year plan to expand diversity, equity, and inclusion in dermatology.
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