{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T13:20:11Z","timestamp":1792761611936,"version":"4.5.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Dermatitis\u00ae"],"published-print":{"date-parts":[[2025,3,1]]},"abstract":"<jats:p>\n                    <jats:underline>\n                      <jats:bold>\n                        <jats:italic toggle=\"yes\">Abstract:<\/jats:italic>\n                      <\/jats:bold>\n                      <jats:bold>\n                        <jats:italic toggle=\"yes\">Background:<\/jats:italic>\n                      <\/jats:bold>\n                    <\/jats:underline>\n                    Patch testing reactions can be difficult to interpret in patients with skin of color (higher Fitzpatrick skin types [FSTs]) due to limited erythema or vesiculation. Missed reactions may lead to prolonged allergic contact dermatitis duration and prevent disease clearance in this population.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:underline>\n                      <jats:bold>\n                        <jats:italic toggle=\"yes\">Objective:<\/jats:italic>\n                      <\/jats:bold>\n                    <\/jats:underline>\n                    To compare the frequency of borderline patch test reactions in patients with different FSTs (I, II, III, IV, V, VI).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:underline>\n                      <jats:bold>\n                        <jats:italic toggle=\"yes\">Methods:<\/jats:italic>\n                      <\/jats:bold>\n                    <\/jats:underline>\n                    Retrospective study of 1899 patients comprehensively patch tested in a major metropolitan area over a 4-year period. Borderline (doubtful, \u00b1) reaction frequency and patient FST were recorded and used for analysis.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:underline>\n                      <jats:bold>\n                        <jats:italic toggle=\"yes\">Results:<\/jats:italic>\n                      <\/jats:bold>\n                    <\/jats:underline>\n                    There were statistically significant differences in the frequency of borderline reactions between FSTs I\/II and V\/VI (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.0001) and across all 6 FSTs (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.0001). Patients with FST V or VI had 43% lower odds of having a borderline reaction (OR: 0.57, 95% CI: 0.47\u20130.69) compared with patients with FST I or II. Patients with FST VI showed the lowest proportion of borderline reactions.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:underline>\n                      <jats:bold>\n                        <jats:italic toggle=\"yes\">Conclusions:<\/jats:italic>\n                      <\/jats:bold>\n                    <\/jats:underline>\n                    Among patients with skin of color, borderline reactions are diagnosed less commonly and may be missed. This has the potential to prolong dermatitis symptoms and prevent disease clearance.\n                  <\/jats:p>","DOI":"10.1089\/derm.2024.0470","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T12:04:07Z","timestamp":1734955447000},"page":"147-151","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Are Patch Testing Reactions Underrecognized in Skin of Color? Evaluating the Frequency of Borderline Reactions by Fitzpatrick Skin Type"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3946-0159","authenticated-orcid":false,"given":"Brailyn","family":"Weber","sequence":"first","affiliation":[{"name":"From the, *Department of Dermatology, Park Nicollet, Park Nicollet Contact Dermatitis Clinic, Minneapolis, Minnesota, USA"},{"name":"School of Medicine, University of North Dakota, Grand Forks, North Dakota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1758-8003","authenticated-orcid":false,"given":"Sarah","family":"Karels","sequence":"additional","affiliation":[{"name":"From the, *Department of Dermatology, Park Nicollet, Park Nicollet Contact Dermatitis Clinic, Minneapolis, Minnesota, USA"},{"name":"University of Minnesota Medical School, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Hylwa","sequence":"additional","affiliation":[{"name":"From the, *Department of Dermatology, Park Nicollet, Park Nicollet Contact Dermatitis Clinic, Minneapolis, Minnesota, USA"},{"name":"Department of Dermatology, University of Minnesota, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Neeley","sequence":"additional","affiliation":[{"name":"From the, *Department of Dermatology, Park Nicollet, Park Nicollet Contact Dermatitis Clinic, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solveig","family":"Ophaug","sequence":"additional","affiliation":[{"name":"From the, *Department of Dermatology, Park Nicollet, Park Nicollet Contact Dermatitis Clinic, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Lee","sequence":"additional","affiliation":[{"name":"From the, *Department of Dermatology, Park Nicollet, Park Nicollet Contact Dermatitis Clinic, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,3,28]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2019.07.010"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/derm.2022.29011.abu"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/DER.0000000000000497"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.2310\/6620.2010.09047"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/DER.0000000000000533"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/cod.14178"},{"key":"e_1_3_1_8_2","article-title":"Visual tools in diagnosis of contact dermatitis in patients with skin of color: A call to action","author":"Fontane Hoyos CN","year":"2024","unstructured":"Fontane Hoyos CN, , Boos J, , Flamm A, et al. Visual tools in diagnosis of contact dermatitis in patients with skin of color: A call to action. Dermatitis. 2024; doi: 10.1089\/derm.2023.0198","journal-title":"Dermatitis"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/cod.14526"},{"issue":"6","key":"e_1_3_1_10_2","first-page":"55","article-title":"Comparison of patch testing results of White and Black patients","volume":"17","author":"Nguyen L","year":"2024","unstructured":"Nguyen L, , Parker L, , Hennessy K, et al. Comparison of patch testing results of White and Black patients. J Clin Aesthet Dermatol. 2024; 17(6):55\u201357.","journal-title":"J Clin Aesthet Dermatol"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/DER.0000000000000729"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/pde.14578"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-024-01148-8"},{"key":"e_1_3_1_14_2","unstructured":"Skin of Color Curriculum. Available from: https:\/\/learning.aad.org\/Listing\/Skin-of-Color-Curriculum-5719 [Last accessed: September20 2024]."},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.12788\/cutis.0292"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/DER.0000000000000840"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/DER.0000000000000831"}],"container-title":["Dermatitis\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/derm.2024.0470","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/derm.2024.0470","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/derm.2024.0470","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:08:58Z","timestamp":1777399738000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.1089\/derm.2024.0470"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,1]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3,1]]}},"alternative-id":["10.1089\/derm.2024.0470"],"URL":"https:\/\/doi.org\/10.1089\/derm.2024.0470","relation":{},"ISSN":["1710-3568","2162-5220"],"issn-type":[{"value":"1710-3568","type":"print"},{"value":"2162-5220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,1]]}}}