News Release

Black and Hispanic children in the US have more severe eczema than white children

Black children are also less likely to report overall excellent health

Peer-Reviewed Publication

American College of Allergy, Asthma, and Immunology

ACAAI 2020 Annual Scientific Meeting

image: This year's ACAAI Annual Scientific Meeting will be remote! view more 

Credit: ACAAI

ARLINGTON HEIGHTS, Ill (November 13, 2020) - While research shows Black and Hispanic children suffer disproportionately with asthma, other allergic diseases have also been found to be more prevalent in those groups. A presentation at this year's virtual American College of Allergy, Asthma and Immunology (ACAAI) Annual Scientific Meeting reveals the disparities that exist for Black and Hispanic children when it comes to Atopic Dermatitis (AD), commonly known as eczema.

"Not only do Black children in the U.S. have significantly higher incidence of AD and more nights of disturbed sleep compared to white children, their AD also tends to last longer into childhood," says dermatologist Jonathan Silverberg, MD, presenter at the meeting. "In addition, Black children and adults with AD are more likely to have an emergency department or urgent care visit for AD and be hospitalized for AD."

Allergists and other health care specialists who treat AD recognize the need to approach the issue of health disparities with increased education, innovation, and evidence-based solutions.

"AD looks different on black and brown skin than it does on white skin," says allergist Luz Fonacier, MD, ACAAI president-elect. "Unfortunately, the textbooks from which medical students learn often don't contain images of AD in Black and Hispanic patients, and that's something we are looking to change. When AD in Black and Hispanic patients goes undiagnosed due to lack of education on the part of the medical community, getting positive treatment outcomes becomes even more difficult."

Dr. Silverberg's presentation outlined potential solutions to helping minorities get the treatment they need for skin allergies. Among the suggestions:

  • Increased diversity of physicians and staff.
  • Increased local community engagement to build trust.
  • Expand office hours to nights and weekend to increase access.
  • Have flexible appointment slots to allow for urgent visits.
  • 24-hour telephone coverage for patients.
  • Telehealth visits to reduce travel and lost productivity.
  • Spend adequate time to educate patients about their disease and treatment course.

Says Dr. Silverberg, "We need to pay special attention to minorities when it comes to treating skin allergies because how these conditions appear on a person's skin varies, and the treatment will also vary. We need to consider all patients' individual needs."


Presentation Title: Addressing Racial and Ethnic Disparities in Allergy/Immunology Populations
Presenter: Jonathan Silverberg, MD

For more information about skin allergies, or to find an allergist in your area, visit The ACAAI Virtual Annual Meeting is Nov. 13-15. For more news and research from the ACAAI Scientific Meeting, go to our newsroom - and follow the conversation on Twitter #ACAAI20.


The ACAAI is a professional medical organization of more than 6,000 allergists-immunologists and allied health professionals, headquartered in Arlington Heights, Ill. The College fosters a culture of collaboration and congeniality in which its members work together and with others toward the common goals of patient care, education, advocacy, and research. ACAAI allergists are board-certified physicians trained to diagnose allergies and asthma, administer immunotherapy, and provide patients with the best treatment outcomes. For more information and to find relief, visit Join us on Facebook, Pinterest and Twitter.

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