Pediatric Skin Disease Frequencies and Dermatology Use by Race and Ethnicity in US Children’s Hospitals

How do the frequencies of pediatric skin diseases and proportions of children using dermatology care at 8 US children’s hospitals participating in a clinical research learning health system vary by race and ethnicity?In this cross-sectional study of electronic health records of 536 776 children with 1 or more dermatology clinic visit or 2 or more non–dermatology clinic visits, Black children had a low proportion of dermatology use for atopic dermatitis (AD), acne, psoriasis, infantile hemangioma, and hidradenitis suppurativa (HS), yet high frequencies of AD, acne, and HS.Results of this study suggest that, within children’s hospitals in the database, dermatologic disease frequencies and dermatology use varied by race and ethnicity, although further research is needed to understand whether these patterns represent appropriate care or reflect gaps in care.

Corresponding Author: Lucinda L. Kohn, MD, MHS, 5000 Civic Center Dr, San Rafael, CA 94903 (lucinda.kohn@gmail.com).

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