Representation of Skin Color, Disease Severity, and Anatomic Location in Hidradenitis Suppurativa Images

SKIN The Journal of Cutaneous Medicine Pub Date : 2024-07-23 DOI:10.25251/skin.8.4.8

D. De, Sarah Park, T. Shih, Vivian Y Shi, J. Hsiao

{"title":"Representation of Skin Color, Disease Severity, and Anatomic Location in Hidradenitis Suppurativa Images","authors":"D. De, Sarah Park, T. Shih, Vivian Y Shi, J. Hsiao","doi":"10.25251/skin.8.4.8","DOIUrl":null,"url":null,"abstract":"Introduction: Hidradenitis suppurativa (HS) is an inflammatory dermatosis disproportionately affecting patients of color. We evaluated characteristics of HS images in dermatology online image resources and textbooks. \nMethods: Images of HS were collected in December 2021 from online and textbook sources. Data regarding anatomic region, Hurley stage, and Fitzpatrick skin tone (FST) were collected and analyzed. \nResults: 318 images remained after exclusion criteria. VisualDx contained the highest number of dark skin (FST V-VI) images (59%, 47/79), followed by Google (4%, 2/52) and DermNetNZ (4%, 4/100). In textbook sources, dark skin represented 25% (4/16) of images. Across sources, 47% (151/318) of images represented Hurley stage 2, followed by 32% (101/318) stage 3, and 21% (66/318) stage 1. The axilla (49%, 156/318) was the most common anatomic location featured, followed by the groin (18%, 58/318) and breast/chest (9%, 28/318). Involvement of non-classic locations was represented in 3% (8/318) of images. There was a positive correlation between higher Hurley stage and darker skin (r=0.26, p<0.05). \nDiscussion/Conclusion: Overall there is underrepresentation of dark skin tones, “non-classic” anatomic locations, and mild HS which may lead to missed opportunities for patient education and dermatology training. Dermatologists should take the lead to improve image diversity across educational resources.","PeriodicalId":22013,"journal":{"name":"SKIN The Journal of Cutaneous Medicine","volume":"76 9","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"SKIN The Journal of Cutaneous Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25251/skin.8.4.8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Hidradenitis suppurativa (HS) is an inflammatory dermatosis disproportionately affecting patients of color. We evaluated characteristics of HS images in dermatology online image resources and textbooks. Methods: Images of HS were collected in December 2021 from online and textbook sources. Data regarding anatomic region, Hurley stage, and Fitzpatrick skin tone (FST) were collected and analyzed. Results: 318 images remained after exclusion criteria. VisualDx contained the highest number of dark skin (FST V-VI) images (59%, 47/79), followed by Google (4%, 2/52) and DermNetNZ (4%, 4/100). In textbook sources, dark skin represented 25% (4/16) of images. Across sources, 47% (151/318) of images represented Hurley stage 2, followed by 32% (101/318) stage 3, and 21% (66/318) stage 1. The axilla (49%, 156/318) was the most common anatomic location featured, followed by the groin (18%, 58/318) and breast/chest (9%, 28/318). Involvement of non-classic locations was represented in 3% (8/318) of images. There was a positive correlation between higher Hurley stage and darker skin (r=0.26, p<0.05). Discussion/Conclusion: Overall there is underrepresentation of dark skin tones, “non-classic” anatomic locations, and mild HS which may lead to missed opportunities for patient education and dermatology training. Dermatologists should take the lead to improve image diversity across educational resources.

查看原文本刊更多论文

皮肤颜色、疾病严重程度和解剖位置在扁平湿疹图像中的体现

导言：化脓性扁平湿疹（HS）是一种炎症性皮肤病，对有色人种患者的影响尤为严重。我们评估了皮肤病学在线图像资源和教科书中 HS 图像的特征。方法：2021 年 12 月，我们从网络和教科书中收集了有关 HS 的图片。收集并分析有关解剖区域、赫里分期和菲茨帕特里克肤色（FST）的数据。结果排除标准后，剩余 318 张图片。VisualDx包含的深色皮肤（FST V-VI）图片数量最多（59%，47/79），其次是谷歌（4%，2/52）和DermNetNZ（4%，4/100）。在教科书来源中，深色皮肤占图片的 25%（4/16）。在所有图片来源中，47%（151/318）的图片代表 Hurley 第 2 阶段，其次是 32%（101/318）的第 3 阶段和 21%（66/318）的第 1 阶段。腋窝（49%，156/318）是最常见的解剖位置，其次是腹股沟（18%，58/318）和乳房/胸部（9%，28/318）。3%（8/318）的图像涉及非经典部位。较高的赫利分期与较黑的皮肤呈正相关（r=0.26，p<0.05）。讨论/结论：总体而言，深肤色、"非经典 "解剖位置和轻度 HS 的代表性不足，这可能会导致错过患者教育和皮肤科培训的机会。皮肤科医生应率先改善教育资源中的图像多样性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

SKIN The Journal of Cutaneous Medicine

自引率

0.00%

发文量