RJCC Dermatology/Images Resource List

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1	RJCC Dermatology/Images Resource List
2	This resource list has been cultivated and reviewed by members of the Racial Justice Curricular Reform Subcommittee of the RJCC.
3	Online Resources
4	Brown Skin Matters
5	Website Link/Access Instructions:	https://www.instagram.com/brownskinmatters/?hl=en (previous non-instagram website no longer available! just scroll down to find images, click on topic in side bar or on topic cover image. Once in page for specific condition, click on image of interest to view it, right click and select "save image as" to download image. Alternatively, can search by symptom (eg "pain") for images of possible conditions that match.)
6	Resource Summary:	Brown Skin Matters is an online database of community-submitted photos of skin conditions on brown skin tones. It was developed by a patient's mother and is not associated with a hospital or medical organization. Most images are close-up photos. The website serves as a collection of reference photos for both medical professionals and the general population. The database is on the smaller side, but has some good photos of common and rare conditions, including infectious, rheumatologic/autoimmune, and allergic conditions.
7	Pros & Cons:	Pros: - Close-up photos - Brief description of the skin condition (eg description, natural course) is provided - Well organized - Can search by symptoms - Has pictures of some rarer conditions Cons: - Except for very common conditions, there are few pictures per condition (sometimes only one) - No skin cancer photos except for one of kaposi's sarcoma - A bit contrived to download image
8	Other Relevant Details:	- Most pictures appear to be from younger skin, from babies to young adults. Few pictures of diseases on aged skin - Pictures limited to brown skin tones, though there is good variation within that realm
9	Mind the Gap: A Handbook of Clinical Signs in Black and Brown Skin
10	Website Link/Access Instructions:	https://www.blackandbrownskin.co.uk/mindthegap Webpage OR Free download Word doc/PDF
11	Resource Summary:	Mind the Gap is a Handbook to raise awareness of how symptoms and signs can present differently on darker skin as well as highlighting the different language that needs to be used in descriptors. The aim of this booklet is to educate students and essential allied health care professionals on the importance of recognizing that certain clinical signs do not present the same on darker skin. The handbook contains links to downloadable images of common dermatological features of systemic or local disease pathology in persons of color (eg, pallor, cyanosis, erythema). It also offers definitions for each dermatological condition and tips for identifying these features in clinical practice. Subsections include examples in the hands (eg, clubbing), head & neck (eg, jaundice), and body (eg, eczema).
12	Pros & Cons:	Pros: - Background information/definitions are available for new learners - Good for common skin findings - Sources cited for each image Cons: - Less suitable for advanced learners - Only one image example per pathology - Few rare condition examples
13	Other Relevant Details:
14	Skin Deep
15	Website Link/Access Instructions:	https://dftbskindeep.com/
16	Resource Summary:	Skin Deep is a free, open-access image bank that allows one to search by description, diagnosis, or body part.
17	Pros & Cons:	Pros: - Multiple search parameters - Images are easy to download - Offers additional information about conditions, with links to references - Variety of skin tones for many conditions - Images/diagnoses are reviewed by physicians Cons: - Only one or two images for some conditions
18	Other Relevant Details:	- Images can be easily downloaded as JPG files - Images and diagnoses are primarily geared toward children and young adults
19	Skin of Color Society
20	Website Link/Access Instructions:	https://skinofcolorsociety.org/
21	Resource Summary:	The Skin of Color Society website offers recommendations for Skin of Color Dermatology resources, and offers research, mentorship, career development, and fellowship award opportunities.
22	Pros & Cons:	Pros: - Well-established society - Offers textbook recommendations - Offers mentorship, research, and funding opportunities - Non-members have free access to e-learning videos Cons: - NOT an image bank - Doesn't offer many readily available resources/images - Not very easy to navigate
23	Other Relevant Details:	- Includes patient education resources that may be useful
24	VisualDx
25	Website Link/Access Instructions:	https://www.visualdx.com/
26	Resource Summary:	VisualDx is a web-based diagnostic clinical decision support system that aims to enhance diagnostic accuracy, aid therapeutic decisions, and improve patient safety. They provide synthesized topic reviews and medical images that cover a wide range of medical specialties, symptoms, and diagnoses. The images represent multiple ages and skin types and various stages of diseases.
27	Pros & Cons:	Pros: - Over 30,000 peer-reviewed medical images (has images of conditions on white skin and skin of color!) that span over 800 diseases. - Written, reviewed, and edited on an ongoing basis by physician experts. - Links to UpToDate and PubMed for further exploration on a specific diagnosis or disease. - Provides patient education materials Cons: - Cost! Offers monthly ($39.99) and yearly subscriptions ($399.99)
28	Other Relevant Details:	VisualDX collaborates with skin of color organizations to improve their image bank. They engage Black dermatologists and Black medical students to provide feedback on skin conditions that disproportionately affect their community.
29	Textbook Resources These are currently available throught the Dahlgren Memorial Library (DML) - requires GU login
30	Aesthetics and Cosmetic Surgery for Darker Skin Types
31	Website Link/Access Instructions:
32	Resource Summary:	Aesthetics and Cosmetic Surgery for Darker Skin Types was written to fill a tremendous scientific void. The intent was to provide cutting edge data, procedures, protocols, outcomes, and complications of cosmetic surgery in darker-racial ethnic groups. It was written for dermatologists, dermasurgeons, plastic surgeons, primary care physicians, medical students, interns, residents, and fellows. This textbook is a compendium of the latest information addressing many aspects of aesthetics and cosmetic surgery, encompassing nine sections and 36 chapters by esteemed authors from around the globe. Hence, it represents and reflects a global treatise of current scientific knowledge. Many topics of interest are addressed for the student and teacher of cosmetic surgery. The introductory chapter on beauty provides the reader with historical and societal constructs of beauty for darker skin types as compared to Caucasians. The following chapter reviews structural and physiologic differences in the skin of darker racial ethnic groups. The authors establish a paradigm for therapeutic options presented in subsequent chapters. The general textbook sections include: General considerations for cosmetic surgery; cosmeceutical and pharmaceutical agents; therapies for dyschromias; resurfacing procedures; facial tightening procedures; noninvasive wrinkle correction; correction of specific anatomic imperfections; surgical approaches for hair disorders; and benign and malignant skin tumors.
33	Pros & Cons:	Pros: - Contains background/foundational knowledge on the physiology and structure/function of skin and hair and descrbies differences in these aspects between light and dark complexioned skin types - Provides detailed pathogesis of common skin conditions (e.g., keloids) - Uniquely focused on aesthetic plastic surgery considerations for persons of color - useful for advanced plastic surgery trainees - Numerous images available in each chapter subsection Cons: - More suitable for advanced learners/providers (e.g., plastic surgery residents, fellows)
34	Other Relevant Details:
35	Atlas of Black Skin
36	Website Link/Access Instructions:	DML Resource Database - search for "Atlas of Black Skin" and select the second result (book) and sign in with Georgetown credentials to access
37	Resource Summary:	The Atlas of Black Skin provides more than 800 high quality photographs and illustrations to help guide physicians in treating the nuances of darker skinned patient populations. Photos range from common to rare diseases to aid in delineating nuances in diseases. Since dermatology is a highly visual field, the focus is more on the images, while the text is comprehensive but concise and often bulleted to allow for practical use.
38	Pros & Cons:	Pros: - Each skin condition includes a description of presentation in black/darker skin tones. - Includes a good variety of images of common skin conditions on darker skin tones. - Text is informative but concise. Cons: - Images are all darker skin tones, so it is difficult to compare disease presentation across a range of skin tones.
39	Other Relevant Details:
40	Clinical Cases in Skin of Color: Medical, Oncological and Hair Disorders, and Cosmetic Dermatology (Clinical Cases in Dermatology)
41	Website Link/Access Instructions:	DML Resource Database - search for "Clinical Cases in Skin of Color" and select the fourth result (Medical, Oncological...) and sign in with Georgetown credentials to access
42	Resource Summary:	This resource is a collection of clinical cases identifying dermatological conditions for patients with skin of color. The cases provide essential features which contrast conditions in darker skin types, as well as discusses treatment regimens specific to patients with skin of color.
43	Pros & Cons:	Pros: - Each case provides a thorough overview of the case presentation with images, physical exam, differential diagnosis, pathology, treatments, and overall discussion. - All cases are specific to skin of color. - Provides useful "key points" regarding skin of color for each diagnosis. Cons: - Some cases only contain a couple of images.
44	Other Relevant Details:
45	Cosmetic Dermatology for Skin of Color
46	Website Link/Access Instructions:	https://guides.dml.georgetown.edu/georgetown_authors/books_derm
47	Resource Summary:	The purpose of this book is to collate information about cosmetic procedures in pigmented skin. We define “pigmented skin” or “ethnic skin” as any skin darker than the fair Caucasian skin of blondes and redheads. Thus, pigmented skin includes the darker skin of the Mediterranean; of Africa; of indigenous ethnic areas such as those populated by Native American aboriginal peoples; of India and the Near East; of the Middle East; and of the Far East. Of course, many patients have mixed ethnic heritage. Both genetic endowment and environmental factors will influence an individual patient's suitability for certain cosmetic procedures. The first cluster of chapters defines the concept of ethnic skin and clarifies the approach to evaluating and treating cosmetic patients with darker skin. Significantly, a detailed discussion of common adverse events is included in the initial part. The second part of the book is its heart. This part includes discussions of common cosmetic treatments for skin color and tone in patients with ethnic skin. In the third section of the book, experts discuss treatments of specific conditions and diagnoses that are likely to afflict those persons with skin of color. The fourth and final part of the book summarizes the challenges associated with cosmetic treatments in ethnic skin.
48	Pros & Cons:	Pros: - Gives special consideration to a broad variety of skin tones and ethnicities (e.g., Asian, Indian, African, Latino) - Uniquely focused on cosmetic dermatology treatment considerations for persons of color - useful for advanced dermatology trainees - Subdivided it into small parts. Most chapters are only 1000 to 2500 words in length and hence can be easily digested in a single, brief sitting. Cons: - More suitable for advanced learners/providers (e.g., dermatology residents, fellows) - Mostly focused on treatment considerations vs. diagnosis - Few images and not easily accessible (need to dig through the chapters to find images)
49	Other Relevant Details:
50	Dermatology Atlas for Skin of Color
51	Website Link/Access Instructions:	DML website --> under quick resources select "DML Catalog" --> search for "dermatology atlas" and select top result and sign in with Georgetown credentials to access
52	Resource Summary:	"This atlas, containing more than 300 color photos, focuses on those dermatologic conditions that are most common in ethnic skin or skin of color. It includes succinct explanations of each disease process, describes clinical findings and presents key information on diagnosis and treatment." This textbook does also include chapters on more common or "bread and butter" skin disorders such as atopic dermatitis, psoriasis, BCC, SCC, melanoma, ringworm.
53	Pros & Cons:	Pros: - Lots of high-quality photos showing multiple skin tones and variable manifestations - Good summary of disorders - each disease gets a few paragraphs in total covering intro, etiology, ddx, treatment, +/-histopathology. - Includes photos of prevalent diseases that are typically represented with photos on white-appearing skin Cons: - Not a comprehensive/in-depth resource for any individual diagnosis.
54	Other Relevant Details:	WHEN TO USE: need photos, need to identify diagnosis so you can look up more detailed information on the disease elsewhere
55	Pediatric Skin of Color
56	Website Link/Access Instructions:	DML Guides -> E book collection highlights: can also go to DML webpage and search "Pediatric Skin of Color" and it will take you to the book after signing in with Georgetown credentials
57	Resource Summary:	This book describes the management of pediatric skin disorders, especially in darker skin tones, and includes unique cases that the authors have encountered during practice. It explains how to differentiate similar-appearing diseases and different treatment options that are available, especially in resource-poor settings.
58	Pros & Cons:	Pros: - Clinical features are color coded making it easier to find key words and symptoms to check for - Well organized by including clinical conditions, followed by possible differentials, then management of condition - Easy to navigate and find information via table of contents with subsections and search function - information is not too dense, very concise summaries for each condition Cons: - Does not include clinical image for every condition described
59	Other Relevant Details:
60	Taylor and Kelly’s Dermatology for Skin of Color
61	Website Link/Access Instructions:	https://accessmedicine.mhmedical.com/book.aspx?bookID=2585 https://guides.dml.georgetown.edu/georgetown_authors/books_derm
62	Resource Summary:	With the evolving knowledge of the field, this second edition is intended as both a textbook and as an up-to-date reference for all physicians, especially dermatologists, medical students, dermatology residents, and physician extenders. It contains chapters on structure, function, biology, and the myriad of diseases occurring in patients of color as well as cosmetic issues. In addition, Dermatology for Skin of Color provides a rich understanding of the cultural habits, practices, beliefs, and use of alternative medicine by patients of diverse backgrounds. It concludes with a section on comparative dermatology from Africa, Asia, and Latin America and a spectacular atlas of skin of color dermatology.
63	Pros & Cons:	Pros: - Provides substantive content on the history and culture of racial and ethnic minority groups as it relates to skin/hair care/practices - Subsection on structure, function, histology, and biology of skin - Compares and differentiates normal variants in skin color to pathology - Provides photos examples of various local cutaneous pathology (e.g., skin cancer) and cutaneous manifestation of systemic disease (e.g., infectious, rheumatic) - Adequate background information provided for early learners (e.g., cutaneous pathology in liver disease) and advanced learners (e.g., cosmetic dermatology)
64	Other Relevant Details:
65	VisualDx: Essential Dermatology in Pigmented Skin
66	Website Link/Access Instructions:	DML website --> under quick resources select "DML Catalog" --> search for "VisualDx" and select the single result. Sign in with Georgetown credentials to access. NAVIGATION: select "New book reader" in upper right corner of OVID page to open a new tab with book/PDF format. This can be navigated with arrows at top of page or with table of contents and search tabs in menu on left sige of page. Under table of contents tab, need to select chapter and subsection of chapter. If you do not want to use the new book reader view, use the menu on left side of page to navigate. Some sections will appear greyed out, just click the [+] to view subsections, which will not be greyed out.
67	Resource Summary:	Textbook covering skin diseases by lesion type with a few images and succint information per condition. More like a bullet point page with listed further reading.
68	Pros & Cons:	Pros: - Has chapters discussing general dermatologic practices - approaches to skin evaluation, terms, distributions, etc - Organized by lesion description (eg "smooth papules/plaques") so you can look things up even if you don't know the diagnosis - Includes diagnostic pearls, common pitfalls, ddx for each diagnosis Cons: - Awkward navigation - Some images too small with broken links, extra resources mentioned in book are behind a paywall. - While some diagnoses have many photos, others have only one or two images - Not comprehensive or in-depth, though it does provide suggested further reading
69	Other Relevant Details:
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