Evidence map›Paper›PMID 41262823›Full record

ReviewCureus2025

Diagnostic Disparities in Erythema Visibility: A Call to Redefine Inflammatory Assessment in Diverse Skin Tones.

Alyssa Forsyth, Stuti Prajapati, Kelly M Frasier, Charles Kriebel, Travis Jackson, Raquel Batista, Faith Jean, Udokama Ezekwe

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Pyoderma gangrenosum in a 26-year-old woman.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alyssa ForsythDermatology, Texas College of Osteopathic Medicine, Fort Worth, USA.
Stuti PrajapatiDermatology, St. John's Episcopal Hospital, Far Rockaway, USA.
Kelly M FrasierDermatology, Northwell Health, New Hyde Park, USA.
Charles KriebelDermatology, Midwestern University Chicago College of Osteopathic Medicine, Downers Grove, USA.
Travis JacksonDermatology, University of Missouri School of Medicine, Columbia, USA.
Raquel BatistaDermatology, Upstate University Hospital, Syracuse, USA.
Faith JeanDermatology, Meharry Medical College, Nashville, USA.
Udokama EzekweDermatology, Temple University Hospital, Philadelphia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disparities in the diagnosis of erythema across different skin tones present a significant barrier to equitable dermatologic care. These disparities arise from a focus on lighter skin tones in clinical training and diagnostic criteria, leading to challenges in accurately identifying erythema in individuals with Fitzpatrick skin types IV to VI. Redness associated with vasodilation may not be visibly apparent or can manifest differently on darker skin, resulting in underdiagnosis or misclassification of inflammatory skin conditions. Current assessment tools, like the Investigator's Global Assessment (IGA) and the Eczema Area and Severity Index (EASI), emphasize visible erythema and lack validated alternatives for variations in pigmentation. To promote diagnostic equity, there is a need to update inflammatory assessment methods by integrating objective metrics such as high-frequency ultrasound and infrared imaging, while also developing new training protocols that include diverse skin representations. By redefining erythema with inclusive terminology and incorporating diverse datasets in machine-learning tools, we can enhance diagnostic accuracy and ensure equitable care in inflammatory dermatology for all populations.

Indexed as

erythema visibilityhealth care disparitiesinclusive medical educationinflammatory skin diseaseskin of color

Identifiers

PMID41262823
PMCPMC12626340

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.