Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Skin Disease Epidemiology in a Diverse Population

J Drugs Dermatol; 2018 Oct; Gaulding, et al

Follicular disorders occurred with an increased frequency in blacks, according to a recent study that aimed to quantify and compare diagnoses according to race, ethnicity, and socioeconomic status (SES) at 6 general dermatology clinics from January 2013 to December 2016. Furthermore, when examining SES, eczema or dermatitis was the most frequently encountered primary diagnosis at the clinic with the lowest SES, with benign skin neoplasm seen with the highest frequency at the clinic with the highest SES. A retrospective cohort of new patients (n=65,969) was established using an electronic medical record database. Primary diagnoses and diagnostic codes were recorded and geocoding was utilized to obtain SES. Researchers found:

  • Racial and ethnic demographics were obtained with the overall top 3 conditions being eczema or dermatitis, benign skin neoplasm, and adnexal disease.
  • In blacks, however, follicular disorders were the third most common condition seen.
  • The most frequently encountered diagnoses at the clinics with the highest and lowest SES were benign skin neoplasm and eczema or dermatitis, respectively.


Gaulding JV, Gutierrez D, Bhatia BK, et al. Epidemiology of skin diseases in a diverse patient population. J Drugs Dermatol. 2018;17(10):1032-1036.