Optimizing the management of psoriasis in patients with skin of color: A Canadian Delphi consensusCapsule Summary

Geeta Yadav, MD; Yvette Miller-Monthrope, MD; Jaggi Rao, MD; David N. Adam, MD; Rachel N. Asiniwasis, MD; Parbeer Grewal, MD; Christina Han, MD; Marissa Joseph, MD; Richard G. Langley, MD; Charles W. Lynde, MD; Andrei Metelitsa, MD; Loukia Mitsos, MD, PhD; Boluwaji Ogunyemi, MD; Kerri S. Purdy, MD; Maxwell Sauder, MD; Jensen Yeung, MD

JAAD International (Apr 2025)

Optimizing the management of psoriasis in patients with skin of color: A Canadian Delphi consensusCapsule Summary

Geeta Yadav, MD,
Yvette Miller-Monthrope, MD,
Jaggi Rao, MD,
David N. Adam, MD,
Rachel N. Asiniwasis, MD,
Parbeer Grewal, MD,
Christina Han, MD,
Marissa Joseph, MD,
Richard G. Langley, MD,
Charles W. Lynde, MD,
Andrei Metelitsa, MD,
Loukia Mitsos, MD, PhD,
Boluwaji Ogunyemi, MD,
Kerri S. Purdy, MD,
Maxwell Sauder, MD,
Jensen Yeung, MD

Affiliations

Geeta Yadav, MD: Division of Dermatology, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; FACET Dermatology, Toronto, Ontario, Canada; Division of Dermatology, Department of Medicine, Women's College Hospital, Toronto, Ontario, Canada; Correspondence to: Geeta Yadav, MD, FACET Dermatology, 710 Kingston Rd, Toronto, Ontario M4E 1R7, Canada.
Yvette Miller-Monthrope, MD: Division of Dermatology, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Division of Dermatology, Department of Medicine, Women's College Hospital, Toronto, Ontario, Canada; Division of Dermatology, Department of Medicine, University Health Network, Toronto, Ontario, Canada; Department of Laboratory Medicine and Pathobiology, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
Jaggi Rao, MD: Probity Medical Research, Waterloo, Ontario, Canada; Division of Dermatology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada
David N. Adam, MD: Division of Dermatology, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Probity Medical Research, Waterloo, Ontario, Canada; Baywood Dermatology & CCA Medical Research, Ajax, Ontario, Canada
Rachel N. Asiniwasis, MD: Origins Dermatology Centre, Regina, Saskatchewan, Canada; Division of Dermatology, University of Saskatchewan, Regina, Saskatchewan, Canada
Parbeer Grewal, MD: Division of Dermatology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada; Rejuvenation Dermatology, Edmonton, Alberta, Canada
Christina Han, MD: Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia, Canada
Marissa Joseph, MD: Division of Dermatology, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Division of Dermatology, Department of Medicine, Women's College Hospital, Toronto, Ontario, Canada; Department of Pediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Section of Dermatology, Division of Paediatric Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada
Richard G. Langley, MD: Division of Dermatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
Charles W. Lynde, MD: Division of Dermatology, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Probity Medical Research, Waterloo, Ontario, Canada; Lynde Institute for Dermatology, Markham, Ontario, Canada
Andrei Metelitsa, MD: Probity Medical Research, Waterloo, Ontario, Canada; Beacon Dermatology, Calgary, Alberta, Canada; Division of Dermatology, Department of Medicine, University of Calgary, Calgary, Alberta, Canada
Loukia Mitsos, MD, PhD: Protoderma, Pierrefonds, Quebec, Canada
Boluwaji Ogunyemi, MD: Discipline of Medicine, Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada
Kerri S. Purdy, MD: Division of Dermatology, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
Maxwell Sauder, MD: Division of Dermatology, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Division of Dermatology, Department of Medicine, University Health Network, Toronto, Ontario, Canada; Probity Medical Research, Waterloo, Ontario, Canada
Jensen Yeung, MD: Division of Dermatology, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Division of Dermatology, Department of Medicine, Women's College Hospital, Toronto, Ontario, Canada; Division of Dermatology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada

Journal volume & issue: Vol. 19
pp. 12 – 20

Abstract

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Background: There is limited evidence on treating psoriasis patients with skin of color (SOC), contributing to disparities in accessing appropriate care for these patients. Objectives: This study aimed to develop consensus statements defining SOC terminology and addressing needs to optimize the clinical management of psoriasis in patients with SOC. Methods: Using the modified Delphi methodology 16 Canadian dermatologists with expertise in psoriasis developed consensus statements. Four core faculty members drove the content of the study, and 12 additional panel members were consulted to vote and provide consensus on the content produced by the core faculty. At a final meeting, the full panel revised and voted on the final consensus statements. Results: The exercise resulted in 11 consensus statements on SOC terminology, as well as 5 primary and 4 secondary statements on clinical presentation and differential diagnosis, and treatment guidelines based on evidence and expert opinion. Four additional consensus statements on current assessment tools and access to care were developed based solely on expert opinion. Limitations: The available evidence was limited, low quality, and inappropriate for formal quality assessment. Conclusions: The consensus statements developed in this study may provide valuable guidance to the dermatology community treating psoriasis patients with SOC.

Published in JAAD International

ISSN: 2666-3287 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Dermatology
Website: https://www.journals.elsevier.com/jaad-international

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