key: cord-0975773-q4770xa8
authors: Sloan, Brett
title: January 2021: Skin of color images
date: 2020-10-24
journal: J Am Acad Dermatol
DOI: 10.1016/j.jaad.2020.10.057
sha: e3187bd81672209b8aa13943212d07781e99619a
doc_id: 975773
cord_uid: q4770xa8

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In 2019, Lester et al 3 eloquently illustrated the disparities and subsequent effects in recognizing diseases in skin of color. They pointed out the lack of representation of images of skin of color in major textbooks and teaching sets and proposed a proactive approach to photographing and publishing more images of diseases in patients with darker skin types. Earlier this year, Lester et al 4 searched 36 publications with 130 photographs of COVID-19erelated skin findings. Of these published photographs, 92% (120 of 130) were of skin types I to III, only 6% (7 of 130) were of skin type IV, and none were of skin types V to VI.

In the September edition of JAAD Case Reports, Daneshjou et al 5 attempted to narrow this practice gap by presenting a case series documenting 15 images of pernio-like eruptions in 7 persons with Fitzpatrick III to V skin. They pointed out that red and pink hues are more difficult to appreciate in darker skin types, potentially delaying a diagnosis. 5 The clinical importance of this article and the practice gap highlighted by Lester et al 5 have prompted JAAD Case Reports to develop a skin of color collection. In an attempt to narrow this gap, the collection will provide an ongoing repository of case reports and images in darker skin types.

Under-representation of skin of colour in dermatology images: not just an educational issue

Absence of images of skin of colour in publications of COVID-19 skin manifestations

Perniolike eruption associated with COVID-19 in skin of color

Funding sources: None. Conflicts of interest: None disclosed. IRB approval status: Not applicable. Reprints not available from the authors. Correspondence to