[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-406835-105":59,"doc-detail-406835-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","skin-tone-bias-in-online-psoriasis-imagery-insights-from-an-international-study","Skin tone bias in online psoriasis imagery: Insights from an international study","","Psoriasis is often recognized first through online image searches, yet search engines may produce results dominated by lighter skin tones influenced by geographic location. This observational study evaluated whether search algorithms tailor regional psoriasis imagery by skin color. Sixty-six participants from 18 countries searched “psoriasis” across web browsers, reporting skin-tone representation in the first three result rows. Findings showed a strong global bias toward light skin, with limited medium or darker representation, affecting early visibility for people of color.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/skin-tone-bias-in-online-psoriasis-imagery-insights-from-an-international-study/406835/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/skin-tone-bias-in-online-psoriasis-imagery-insights-from-an-international-study/406835.png","ImageObject",300,407,{"name":92,"@type":93},"Danger Angel","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why might people of color receive delayed recognition of psoriasis from online searches?","Question",{"text":112,"@type":113},"Because online psoriasis image results may be dominated by lighter skin tones, limiting early visual matching for people of color and potentially delaying care.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the skin tone bias assessed in the study?",{"text":117,"@type":113},"Sixty-six participants from 18 countries performed image searches for “psoriasis” across web browsers and recorded the skin-tone diversity in the first three rows of results using reference Fitzpatrick types.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the main findings about the representation of skin tones?",{"text":121,"@type":113},"A global bias toward lighter skin tones was found: 94% of participants reported light skin predominance in the first row, with minimal representation of medium or darker tones in subsequent rows verified by χ2 analysis.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},406835,1791062916,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":46,"preview_page_count":4},962090769052,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","| W | J | C | C | World Journal of\u003Cbr>Clinical Cases |\n| --- | --- | --- | --- | --- |\n\nSubmit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Clin Cases 2025 December 26; 13(36): 116656  \nDOI: 10.12998/wjcc.v13.i36.116656 ISSN 2307-8960 (online)  \nORIGINAL ARTICLE  \nObservational Study  \nSkin tone bias in online psoriasis imagery: Insights from an international study  \nAman Sandhu, Sanya Ailani, Smitesh Padte, Priyal Mehta, Neha Deo, Salim Surani, Rahul Kashyap  \nSpecialty type: Medicine, research and experimental  \nProvenance and peer review:  \nInvited article; Externally peer reviewed.  \nPeer-review model: Single blind  \nPeer-review report’s classification Scientific Quality: Grade C  \nNovelty: Grade C  \nCreativity or Innovation: Grade C  \nScientific Significance: Grade C  \nP-Reviewer: Georgakopoulou VE, MD, Greece  \nReceived: November 17, 2025  \nRevised: December 3, 2025  \nAccepted: December 12, 2025  \nPublished online: December 26, 2025  \nProcessing time: 38 Days and 14.9 Hours  \nAman Sandhu, Sanya Ailani, Department of Medicine, Drexel University College of Medicine, Philadelphia, PA 19104, United States  \nSmitesh Padte, Department of Medicine, WellSpan York Hospital, York, PA 17403, United States  \nPriyal Mehta, Department of Medicine, St. Vincent Hospital, Worcester, MA 01608, United States  \nNeha Deo, Department of Dermatology, University of Colorado, Boulder, CO 80309, United States  \nSalim Surani, Department of Medicine, University of Houston, Houston, TX 77004, United States  \nRahul Kashyap, Department of Research, WellSpan York Hospital, York, PA 17403, United States  \nCorresponding author: Salim Surani, MD, FACP, FCCP, Professor, Department of Medicine, University of Houston, 4302 University Drive, Houston, TX 77004, United States.  \n[srsurani@hotmail.com](srsurani@hotmail.com)  \nAbstract  \nBACKGROUND  \nPsoriasis is often first recognized by patients through online image searches. However, search engine algorithms influenced by geographic location may still produce results that predominantly feature lighter skin tones, regardless of the region’s majority skin type. This underrepresentation may limit recognition and delay care for people of color.  \nAIM  \nTo examine whether search algorithms tailor region-specific results in terms of skin color for psoriasis imagery.  \nMETHODS  \nThis observational study recruited 66 participants from 18 countries who conducted image searches for “psoriasis” across various web browsers. During the meeting, a Google form was posted to record observations, and participants reported the diversity of skin tones in the first three rows of search results using a  \n WJCC  [https://www.wjgnet.com](https://www.wjgnet.com) 1 December 26, 2025  Volume 13  Issue 36   \nSandhu A et al. Skin tone bias and psoriasis imagery  \nreference image depicting Fitzpatrick types.  \nRESULTS  \nResults showed a global bias toward lighter skin tones, with 94% of participants identifying light skin predominance in the first row and minimal representation of medium or darker skin tones in subsequent results, verified via χ2 analysis. Participants who observed darker or mixed skin tones typically found them further down their results.  \nCONCLUSION  \nThere remains a significant gap in global representation of psoriasis imagery. This paper deepens the current understanding of bias in online media and pushes for further exploration of more inclusive dermatologic imagery.  \nKey Words: Psoriasis; Internet; Skin tone bias; Image search; Global  \n©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.  \nCore Tip: In this global observational study, online psoriasis image search results across major web browsers were systematically analyzed to assess the representation of skin tone. Lighter skin tones overwhelmingly predominated early search results, while darker skin tones were consistently ranked lower in visibility, limiting early exposure for patients ","cbCaijf2FnnamFrT","https://ap.wps.com/l/cbCaijf2FnnamFrT","pdf",1206589,"English","# Background\n# Aim\n# Methods\n# Results\n# Conclusion\n# Core Tip\n# Introduction","[{\"question\":\"Why might people of color receive delayed recognition of psoriasis from online searches?\",\"answer\":\"Because online psoriasis image results may be dominated by lighter skin tones, limiting early visual matching for people of color and potentially delaying care.\"},{\"question\":\"How was the skin tone bias assessed in the study?\",\"answer\":\"Sixty-six participants from 18 countries performed image searches for “psoriasis” across web browsers and recorded the skin-tone diversity in the first three rows of results using reference Fitzpatrick types.\"},{\"question\":\"What were the main findings about the representation of skin tones?\",\"answer\":\"A global bias toward lighter skin tones was found: 94% of participants reported light skin predominance in the first row, with minimal representation of medium or darker tones in subsequent rows verified by χ2 analysis.\"}]","Skin tone bias in online psoriasis imagery: Insights from an international study | PDF",1790568285]