Allergen Sensitization in Skin of Color

Scoping review links contact allergy to AD severity

By
Conexiant News Staff
February 20, 2026
3 min

Conexiant

Overview

Revise to emphasize the connection between access disparities and atopic dermatitis severity.

Background

Understanding allergen sensitization in patients with skin of color is crucial due to the observed higher rates of atopic dermatitis in these populations. This topic matters as it addresses potential disparities in diagnosis and treatment, which can lead to inadequate management of allergic conditions. Identifying specific allergens and improving access to testing can enhance patient outcomes.

Data Highlights

Population	Atopic Dermatitis Prevalence
Black Adults	21% - 38%
Hispanic Adults	~26%
Asian Adults	33%
Pediatric Patients	49% - 67%

Key Findings

Higher rates of atopic dermatitis were observed in adults with skin of color referred for patch testing compared to the general population.
Black patients had a higher prevalence of atopic dermatitis (13%) compared to White patients (9%).
Asian patients showed increased sensitization to specific allergens such as cinnamic aldehyde and nickel.
Disparities in access to patch testing were noted, with Black patients representing only 5% of those tested.
Common hair care products among Black patients contain potential contact allergens that may exacerbate atopic dermatitis.

Clinical Implications

Healthcare providers should consider the possibility of contact allergies in patients with skin of color who present with persistent or treatment-resistant atopic dermatitis. Referral for patch testing may be warranted to identify specific allergens and improve management strategies.

Conclusion

The review underscores the importance of recognizing allergen sensitization patterns in patients with skin of color to enhance the management of atopic dermatitis. Addressing disparities in access to testing is essential for improving patient care.