Solving the health disparity of eczema assessment: A role for skin tape soluble protein?

Background: The assessment of erythema in patients with atopic dermatitis (AD) is based on clinical examination. The difficulty of perceiving erythema in Black patients with AD has led to underestimation of AD severity in these patients. Objective: In this study, we analyzed the concentration of ski...

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Main Authors: Kittipos Visitsunthorn, MD, Sanmeet Atwal, BS, Elvira Lopez, BA, Peck Y. Ong, MD
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Journal of Allergy and Clinical Immunology: Global
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772829323001054
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author Kittipos Visitsunthorn, MD
Sanmeet Atwal, BS
Elvira Lopez, BA
Peck Y. Ong, MD
author_facet Kittipos Visitsunthorn, MD
Sanmeet Atwal, BS
Elvira Lopez, BA
Peck Y. Ong, MD
author_sort Kittipos Visitsunthorn, MD
collection DOAJ
description Background: The assessment of erythema in patients with atopic dermatitis (AD) is based on clinical examination. The difficulty of perceiving erythema in Black patients with AD has led to underestimation of AD severity in these patients. Objective: In this study, we analyzed the concentration of skin tape soluble protein of AD lesions against common AD clinical signs. Method: A total of 50 children with AD were included. Skin tape total soluble protein was extracted from AD lesions and analyzed against validated AD clinical signs, including erythema, excoriation, edema, oozing, and lichenification. Results: Concentration of skin tape soluble protein is positively correlated with acute signs of AD, especially erythema. Conclusion: Determination of concentration of skin tape protein is a potential tool for grading erythema of AD lesions, and it may have an application in improving the health disparity of assessment of eczema severity in Black patients with AD.
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spelling doaj.art-ea687ef6ef0a4ccd9016f454c15cf56d2024-02-11T05:12:59ZengElsevierJournal of Allergy and Clinical Immunology: Global2772-82932024-02-0131100180Solving the health disparity of eczema assessment: A role for skin tape soluble protein?Kittipos Visitsunthorn, MD0Sanmeet Atwal, BS1Elvira Lopez, BA2Peck Y. Ong, MD3Pediatric Residency Program and Children's Hospital Los Angeles, Los Angeles, CalifKeck School of Medicine, University of Southern California Los Angeles, Los Angeles, CalifDivision of Clinical Immunology and Allergy, Children's Hospital Los Angeles, Los Angeles, CalifKeck School of Medicine, University of Southern California Los Angeles, Los Angeles, Calif; Division of Clinical Immunology and Allergy, Children's Hospital Los Angeles, Los Angeles, Calif; Corresponding author: Peck Y. Ong, MD, Division of Clinical Immunology and Allergy, Children’s Hospital Los Angeles, 4650, Sunset Blvd, MS 75, Los Angeles, CA 90027.Background: The assessment of erythema in patients with atopic dermatitis (AD) is based on clinical examination. The difficulty of perceiving erythema in Black patients with AD has led to underestimation of AD severity in these patients. Objective: In this study, we analyzed the concentration of skin tape soluble protein of AD lesions against common AD clinical signs. Method: A total of 50 children with AD were included. Skin tape total soluble protein was extracted from AD lesions and analyzed against validated AD clinical signs, including erythema, excoriation, edema, oozing, and lichenification. Results: Concentration of skin tape soluble protein is positively correlated with acute signs of AD, especially erythema. Conclusion: Determination of concentration of skin tape protein is a potential tool for grading erythema of AD lesions, and it may have an application in improving the health disparity of assessment of eczema severity in Black patients with AD.http://www.sciencedirect.com/science/article/pii/S2772829323001054Atopic dermatitiserythemaracial disparitystrip skin tapestotal protein
spellingShingle Kittipos Visitsunthorn, MD
Sanmeet Atwal, BS
Elvira Lopez, BA
Peck Y. Ong, MD
Solving the health disparity of eczema assessment: A role for skin tape soluble protein?
Journal of Allergy and Clinical Immunology: Global
Atopic dermatitis
erythema
racial disparity
strip skin tapes
total protein
title Solving the health disparity of eczema assessment: A role for skin tape soluble protein?
title_full Solving the health disparity of eczema assessment: A role for skin tape soluble protein?
title_fullStr Solving the health disparity of eczema assessment: A role for skin tape soluble protein?
title_full_unstemmed Solving the health disparity of eczema assessment: A role for skin tape soluble protein?
title_short Solving the health disparity of eczema assessment: A role for skin tape soluble protein?
title_sort solving the health disparity of eczema assessment a role for skin tape soluble protein
topic Atopic dermatitis
erythema
racial disparity
strip skin tapes
total protein
url http://www.sciencedirect.com/science/article/pii/S2772829323001054
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