{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T21:31:42Z","timestamp":1778621502436,"version":"3.51.4"},"reference-count":67,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"name":"Skin of Color Society"},{"name":"Dermatology Foundation Medical Dermatology Career Development Award"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the National Medical Association"],"published-print":{"date-parts":[[2021,2]]},"DOI":"10.1016\/j.jnma.2020.07.002","type":"journal-article","created":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T11:34:25Z","timestamp":1596281665000},"page":"30-38","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["Pruritus in Black Skin: Unique Molecular Characteristics and Clinical Features"],"prefix":"10.1016","volume":"113","author":[{"given":"Michael","family":"McColl","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4231-7984","authenticated-orcid":false,"given":"Emily","family":"Boozalis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Crystal","family":"Aguh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amarachi C.","family":"Eseonu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ginette A.","family":"Okoye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shawn G.","family":"Kwatra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"9","key":"10.1016\/j.jnma.2020.07.002_bib1","doi-asserted-by":"crossref","first-page":"1034","DOI":"10.1111\/ijd.12520","article-title":"A\u00a0survey of self-reported skin disease in the elderly African-American population","volume":"54","author":"Caretti","year":"2015","journal-title":"Int J Dermatol"},{"issue":"4","key":"10.1016\/j.jnma.2020.07.002_bib2","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1016\/j.jaad.2013.05.029","article-title":"Itch as a patient-reported symptom in ambulatory care visits in the US","volume":"69","author":"Shive","year":"2013","journal-title":"J\u00a0Am Acad Dermatol"},{"issue":"2","key":"10.1016\/j.jnma.2020.07.002_bib3","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1111\/j.1600-0536.1996.tb02296.x","article-title":"Sodium lauryl sulfate (SLS) induced irritant contact dermatitis: a correlation study between ceramides and in\u00a0vivo parameters of irritation","volume":"35","author":"Di Nardo","year":"1996","journal-title":"Contact Dermatitis"},{"issue":"6","key":"10.1016\/j.jnma.2020.07.002_bib4","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1111\/j.1365-2133.2010.10080.x","article-title":"Ethnicity and stratum corneum ceramides","volume":"163","author":"Jungersted","year":"2010","journal-title":"Br J Dermatol"},{"issue":"7","key":"10.1016\/j.jnma.2020.07.002_bib5","first-page":"1719","volume":"129","author":"Gunathilake","year":"2009","journal-title":"NIH Pub Access"},{"issue":"1","key":"10.1016\/j.jnma.2020.07.002_bib6","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.rmed.2011.09.007","article-title":"The role of mast cells in allergic inflammation","volume":"106","author":"Amin","year":"2012","journal-title":"Respir Med"},{"issue":"1","key":"10.1016\/j.jnma.2020.07.002_bib7","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1046\/j.1365-2133.2001.03957.x","article-title":"Structural diversity of mast cell granules in black and white skin","volume":"144","author":"Sueki","year":"2001","journal-title":"Br J Dermatol"},{"issue":"7","key":"10.1016\/j.jnma.2020.07.002_bib8","doi-asserted-by":"crossref","first-page":"1353","DOI":"10.1016\/j.cell.2009.11.034","article-title":"Sensory neuron-specific GPCR mrgprs are itch receptors mediating chloroquine-induced pruritus","volume":"139","author":"Liu","year":"2009","journal-title":"Cell"},{"issue":"2","key":"10.1016\/j.jnma.2020.07.002_bib9","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1124\/jpet.115.227058","article-title":"Novel probes establish mas-related G protein-coupled receptor X1 variants as receptors with loss or gain of function","volume":"356","author":"Heller","year":"2016","journal-title":"J\u00a0Pharmacol Exp Therapeut"},{"issue":"12","key":"10.1016\/j.jnma.2020.07.002_bib10","doi-asserted-by":"crossref","first-page":"843","DOI":"10.2165\/00128071-200304120-00004","article-title":"Racial (ethnic) differences in skin properties: the objective data","volume":"4","author":"Wesley","year":"2003","journal-title":"Am J Clin Dermatol"},{"issue":"2","key":"10.1016\/j.jnma.2020.07.002_bib11","first-page":"165","article-title":"Racial differences in experimental skin infection with Candida albicans","volume":"68","author":"Rebora","year":"1988","journal-title":"Acta Derm Venereol"},{"issue":"5","key":"10.1016\/j.jnma.2020.07.002_bib12","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1111\/j.1365-2133.2009.09628.x","article-title":"Ethnic differences in pain, itch and thermal detection in response to topical capsaicin: african Americans display a notably limited hyperalgesia and neurogenic inflammation","volume":"162","author":"Wang","year":"2010","journal-title":"Br J Dermatol"},{"issue":"3","key":"10.1016\/j.jnma.2020.07.002_bib13","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1111\/j.1751-1097.2007.00226.x","article-title":"The protective role of melanin against UV damage in human skin","volume":"84","author":"Brenner","year":"2008","journal-title":"Photochem Photobiol"},{"issue":"4","key":"10.1016\/j.jnma.2020.07.002_bib14","doi-asserted-by":"crossref","first-page":"406","DOI":"10.2340\/00015555-1539","article-title":"Xerosis is associated with atopic dermatitis, hand eczema and contact sensitization independent of filaggrin gene mutations","volume":"93","author":"Thyssen","year":"2013","journal-title":"Acta Derm Venereol"},{"key":"10.1016\/j.jnma.2020.07.002_bib15","series-title":"Scalp Hyperkeratosis in Children with Skin of Color: Diagnostic and Therapeutic Considerations","author":"Silverberg","year":"2015"},{"issue":"3","key":"10.1016\/j.jnma.2020.07.002_bib16","first-page":"250","article-title":"Treatment of atopic dermatitis in the United States: analysis of data from the national ambulatory medical care survey","author":"McGregor","year":"2017","journal-title":"J\u00a0Drugs Dermatol"},{"issue":"1","key":"10.1016\/j.jnma.2020.07.002_bib17","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1038\/jid.2010.251","article-title":"Eczema prevalence in the United States: data from the 2003 national survey of children's health","volume":"131","author":"Shaw","year":"2011","journal-title":"J\u00a0Invest Dermatol"},{"issue":"5","key":"10.1016\/j.jnma.2020.07.002_bib18","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1046\/j.1365-2133.2002.04965.x","article-title":"Reliance on erythema scores may mask severe atopic dermatitis in black children compared with their white counterparts","volume":"147","author":"Ben-Gashir","year":"2002","journal-title":"Br J Dermatol"},{"issue":"6","key":"10.1016\/j.jnma.2020.07.002_bib19","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1016\/j.jaad.2017.08.035","article-title":"Racial and ethnic differences in health care utilization for childhood eczema: an analysis of the 2001-2013 Medical Expenditure Panel Surveys","volume":"77","author":"Fischer","year":"2017","journal-title":"J\u00a0Am Acad Dermatol"},{"issue":"4","key":"10.1016\/j.jnma.2020.07.002_bib20","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1111\/j.1525-1470.2012.01740.x","article-title":"Atopic dermatitis in African American children: addressing unmet needs of a common disease","volume":"29","author":"Vachiramon","year":"2012","journal-title":"Pediatr Dermatol"},{"issue":"3","key":"10.1016\/j.jnma.2020.07.002_bib21","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1016\/j.jaad.2007.03.033","article-title":"Lichenoid and other clinical presentations of atopic dermatitis in an inner city practice","volume":"58","author":"Allen","year":"2008","journal-title":"J\u00a0Am Acad Dermatol"},{"issue":"4","key":"10.1016\/j.jnma.2020.07.002_bib22","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1038\/ng1767","article-title":"Common loss-of-function variants of the epidermal barrier protein filaggrin are a major predisposing factor for atopic dermatitis","volume":"38","author":"Palmer","year":"2006","journal-title":"Nat Genet"},{"issue":"8","key":"10.1016\/j.jnma.2020.07.002_bib23","doi-asserted-by":"crossref","first-page":"2272","DOI":"10.1038\/jid.2014.126","article-title":"Exome sequencing of filaggrin and related genes in african-american children with atopic dermatitis","volume":"134","author":"Margolis","year":"2014","journal-title":"J\u00a0Invest Dermatol"},{"issue":"5","key":"10.1016\/j.jnma.2020.07.002_bib24","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1001\/jamadermatol.2014.4916","article-title":"Low filaggrin monomer repeats in african American pediatric patients with moderate to severe atopic dermatitis","volume":"151","author":"Quiggle","year":"2015","journal-title":"JAMA Dermatol"},{"issue":"3","key":"10.1016\/j.jnma.2020.07.002_bib25","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1016\/j.jaci.2013.09.015","article-title":"Filaggrin-2 variation is associated with more persistent atopic dermatitis in African American subjects","volume":"133","author":"Margolis","year":"2014","journal-title":"J\u00a0Allergy Clin Immunol"},{"issue":"1","key":"10.1016\/j.jnma.2020.07.002_bib26","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.anai.2018.08.024","article-title":"Atopic dermatitis in African American patients is T H 2\/T H 22-skewed with T H 1\/T H 17 attenuation","volume":"122","author":"Sanyal","year":"2019","journal-title":"Ann Allergy Asthma Immunol"},{"issue":"7","key":"10.1016\/j.jnma.2020.07.002_bib27","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.1001\/archderm.1988.01670070040016","article-title":"Pruritus in psoriasis: a prospective study of some psychiatric and dermatologic correlates","volume":"124","author":"Gupta","year":"1988","journal-title":"Arch Dermatol"},{"issue":"10","key":"10.1016\/j.jnma.2020.07.002_bib28","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1007\/s10067-014-2763-3","article-title":"Psoriasis and psoriatic arthritis in African-American patients\u2014the need to measure disease burden","volume":"34","author":"Kerr","year":"2015","journal-title":"Clin Rheumatol"},{"issue":"1","key":"10.1016\/j.jnma.2020.07.002_bib29","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.jaad.2004.07.045","article-title":"The prevalence of psoriasis in African Americans: results from a population-based study","volume":"52","author":"Gelfand","year":"2005","journal-title":"J\u00a0Am Acad Dermatol"},{"issue":"4","key":"10.1016\/j.jnma.2020.07.002_bib30","first-page":"478","article-title":"Psoriasis in African-Americans: a caregivers' survey","volume":"11","author":"McMichael","year":"2012","journal-title":"J\u00a0Drugs Dermatol"},{"issue":"11","key":"10.1016\/j.jnma.2020.07.002_bib31","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.1001\/jamadermatol.2013.5526","article-title":"Changing incidence trends of cutaneous T-cell lymphoma","volume":"149","author":"Korgavkar","year":"2013","journal-title":"JAMA Dermatol"},{"issue":"9","key":"10.1016\/j.jnma.2020.07.002_bib32","doi-asserted-by":"crossref","first-page":"1440","DOI":"10.1002\/cam4.472","article-title":"Demographic patterns of cutaneous T-cell lymphoma incidence in Texas based on two different cancer registries","volume":"4","author":"Litvinov","year":"2015","journal-title":"Cancer Med"},{"issue":"1","key":"10.1016\/j.jnma.2020.07.002_bib33","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/j.jpainsymman.2012.01.012","article-title":"Prevalence and severity of pruritus and quality of life in patients with cutaneous T-cell lymphoma","volume":"45","author":"Wright","year":"2013","journal-title":"J\u00a0Pain Symptom Manag"},{"issue":"3","key":"10.1016\/j.jnma.2020.07.002_bib34","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/j.jaad.2008.10.031","article-title":"Cutaneous T-cell lymphoma in skin of color","volume":"60","author":"Hinds","year":"2009","journal-title":"J\u00a0Am Acad Dermatol"},{"key":"10.1016\/j.jnma.2020.07.002_bib35","doi-asserted-by":"crossref","DOI":"10.1016\/j.jaad.2020.04.183","article-title":"Prurigo nodularis: epidemiology and clinical features","author":"Huang","year":"2020","journal-title":"J Am Acad Dermatol"},{"issue":"4","key":"10.1016\/j.jnma.2020.07.002_bib36","first-page":"98","article-title":"Racial and gender differences in the presentation of pruritus","volume":"6","author":"Whang","year":"2019","journal-title":"Medicines (Basel)"},{"key":"10.1016\/j.jnma.2020.07.002_bib37","first-page":"20","volume":"vol. 6634","author":"Fostini","year":"2017"},{"issue":"8","key":"10.1016\/j.jnma.2020.07.002_bib38","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1056\/NEJMe1916733","article-title":"Breaking the itch-scratch cycle in prurigo nodularis","volume":"382","author":"Kwatra","year":"2020","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jnma.2020.07.002_bib39","doi-asserted-by":"crossref","DOI":"10.1016\/j.jaad.2020.04.182","article-title":"Prurigo nodularis: pathogenesis and management","author":"Williams","year":"2020","journal-title":"J Am Acad Dermatol"},{"issue":"8","key":"10.1016\/j.jnma.2020.07.002_bib40","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1007\/s00105-014-2755-x","article-title":"Prurigo nodularis bei dermatosen und systemischen erkrankungen","volume":"65","author":"Mettang","year":"2014","journal-title":"Hautarzt"},{"issue":"2","key":"10.1016\/j.jnma.2020.07.002_bib41","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1016\/j.jid.2019.07.697","article-title":"Real-world prevalence of prurigo nodularis and burden of associated diseases","volume":"140","author":"Huang","year":"2020","journal-title":"J Invest Dermatol"},{"issue":"4","key":"10.1016\/j.jnma.2020.07.002_bib42","first-page":"97","article-title":"Diagnostic workup and evaluation of\u00a0patients with prurigo nodularis","volume":"6","author":"Kwon","year":"2019","journal-title":"Medicines (Basel)"},{"issue":"12","key":"10.1016\/j.jnma.2020.07.002_bib43","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.1111\/j.1365-4632.2011.05098.x","article-title":"Central centrifugal cicatricial alopecia - an approach to diagnosis and management","volume":"50","author":"Summers","year":"2011","journal-title":"Int J Dermatol"},{"issue":"2","key":"10.1016\/j.jnma.2020.07.002_bib44","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.det.2013.12.005","article-title":"Central centrifugal cicatricial alopecia: what has been achieved, current clues for future research","volume":"32","author":"Ogunleye","year":"2017","journal-title":"Dermatol Clin"},{"key":"10.1016\/j.jnma.2020.07.002_bib45","series-title":"Central Centrifugal Cicatricial Alopecia Severity Is Associated with Cowhage-Induced Itch","first-page":"253","author":"Saif","year":"2013"},{"issue":"5","key":"10.1016\/j.jnma.2020.07.002_bib46","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1097\/DER.0000000000000220","article-title":"The association of race\/ethnicity and patch test results: north American contact dermatitis group, 1998-2006","volume":"27","author":"Deleo","year":"2016","journal-title":"Dermatitis"},{"issue":"4","key":"10.1016\/j.jnma.2020.07.002_bib47","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.semnephrol.2015.06.009","article-title":"Pruritus in kidney disease","volume":"35","author":"Combs","year":"2017","journal-title":"Semin Nephrol"},{"key":"10.1016\/j.jnma.2020.07.002_bib48","series-title":"Pruritus","first-page":"166","article-title":"Chronic kidney disease-associated pruritus","author":"Mettang","year":"2010"},{"issue":"4","key":"10.1016\/j.jnma.2020.07.002_bib49","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1007\/s11255-015-1208-5","article-title":"Epidemiology and determinants of pruritus in pre - dialysis chronic kidney disease patients","volume":"48","author":"Solak","year":"2016","journal-title":"Int Urol Nephrol"},{"issue":"3","key":"10.1016\/j.jnma.2020.07.002_bib50","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.jpainsymman.2010.01.021","article-title":"Symptoms in the month before death for stage 5 chronic kidney disease patients managed without dialysis","volume":"40","author":"Murtagh","year":"2017","journal-title":"J\u00a0Pain Symptom Manag"},{"issue":"September","key":"10.1016\/j.jnma.2020.07.002_bib51","first-page":"3495","article-title":"Pruritus in haemodialysis patients: international results from the dialysis outcomes and practice patterns study","author":"Pisoni","year":"2006","journal-title":"DOPPS"},{"issue":"8","key":"10.1016\/j.jnma.2020.07.002_bib52","first-page":"28S","article-title":"Race and kidney disease: role of social and environmental factors","volume":"94","author":"Nzerue","year":"2002","journal-title":"J\u00a0Natl Med Assoc"},{"key":"10.1016\/j.jnma.2020.07.002_bib53","series-title":"Review Article: Pruritus in Cholestatic and Other Liver Diseases","first-page":"857","author":"Mela","year":"2003"},{"issue":"1","key":"10.1016\/j.jnma.2020.07.002_bib54","first-page":"73","article-title":"Cholestatic liver disease","volume":"98","author":"Gossard","year":"2014","journal-title":"Med Clin NA"},{"issue":"2","key":"10.1016\/j.jnma.2020.07.002_bib55","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.cld.2012.03.010","article-title":"Pruritus in chronic cholestatic liver disease","volume":"16","author":"Bunchorntavakul","year":"2012","journal-title":"Clin Liver Dis"},{"issue":"3","key":"10.1016\/j.jnma.2020.07.002_bib56","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1002\/hep.21759","article-title":"Differences between Caucasian, African American, and Hispanic patients with primary biliary cirrhosis in the United States","volume":"46","author":"Peters","year":"2007","journal-title":"Hepatology"},{"issue":"6","key":"10.1016\/j.jnma.2020.07.002_bib57","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjmed.2017.01.037","article-title":"Management of pruritus in primary biliary Cholangitis\u202f: a narrative review","volume":"130","author":"Trivedi","year":"2017","journal-title":"Am J Med"},{"issue":"2","key":"10.1016\/j.jnma.2020.07.002_bib58","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.det.2013.12.006","article-title":"The spectrum of HIV-associated infective and inflammatory dermatoses in pigmented skin","volume":"32","author":"Motswaledi","year":"2014","journal-title":"Dermatol Clin"},{"key":"10.1016\/j.jnma.2020.07.002_bib59","first-page":"1","article-title":"Diagnoses of HIV infections in the United States and dependent areas, 2015","volume":"27","author":"Hess","year":"2015","journal-title":"HIV Surveill Rep"},{"issue":"5","key":"10.1016\/j.jnma.2020.07.002_bib60","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1016\/j.jaad.2019.08.072","article-title":"Racial differences in dermatologic conditions associated with HIV: a cross-sectional study of 4679 patients in an urban tertiary care center","volume":"82","author":"Bender","year":"2020","journal-title":"J Am Acad Dermatol"},{"issue":"4","key":"10.1016\/j.jnma.2020.07.002_bib61","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1016\/j.jaad.2018.04.047","article-title":"Ethnic differences and comorbidities of 909 prurigo nodularis patients","volume":"79","author":"Boozalis","year":"2018","journal-title":"J Am Acad Dermatol"},{"issue":"3","key":"10.1016\/j.jnma.2020.07.002_bib62","first-page":"88","article-title":"Inpatient burden of prurigo nodularis in the United States","volume":"6","author":"Whang","year":"2019","journal-title":"Medicines (Basel)"},{"issue":"5","key":"10.1016\/j.jnma.2020.07.002_bib63","first-page":"387","article-title":"Common dermatologic disorders in skin of color: a comparative practice survey","volume":"80","author":"Alexis","year":"2007","journal-title":"Cutis"},{"issue":"4","key":"10.1016\/j.jnma.2020.07.002_bib64","first-page":"388","article-title":"Incidence of common dermatoses in a predominantly black dermatologic practice","volume":"32","author":"Halder","year":"1983","journal-title":"Cutis"},{"issue":"21","key":"10.1016\/j.jnma.2020.07.002_bib65","doi-asserted-by":"crossref","first-page":"2614","DOI":"10.1001\/jama.292.21.2614","article-title":"Etiology of pruritic papular eruption with HIV infection in Uganda","volume":"292","author":"Resneck","year":"2004","journal-title":"J\u00a0Am Med Assoc"},{"issue":"11","key":"10.1016\/j.jnma.2020.07.002_bib66","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1111\/j.1365-4362.1993.tb02762.x","article-title":"Pruritic\u00a0papular eruption of Hiv???Disease","volume":"32","author":"Bason","year":"1993","journal-title":"Int J Dermatol"},{"key":"10.1016\/j.jnma.2020.07.002_bib67","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1001\/archderm.1989.01670170043005","article-title":"Pruritic skin lesions. A common initial presentation of acquired immunodeficiency syndrome","volume":"125","author":"Liautaud","year":"1989","journal-title":"Arch Dermatol"}],"container-title":["Journal of the National Medical Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0027968420301401?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0027968420301401?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,21]],"date-time":"2025-09-21T06:18:09Z","timestamp":1758435489000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0027968420301401"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2]]},"references-count":67,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["S0027968420301401"],"URL":"https:\/\/doi.org\/10.1016\/j.jnma.2020.07.002","relation":{},"ISSN":["0027-9684"],"issn-type":[{"value":"0027-9684","type":"print"}],"subject":[],"published":{"date-parts":[[2021,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Pruritus in Black Skin: Unique Molecular Characteristics and Clinical Features","name":"articletitle","label":"Article Title"},{"value":"Journal of the National Medical Association","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jnma.2020.07.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 by the National Medical Association. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}