We recently had the pleasure of chatting with Esther Olajide Manner, PA-C, specializing in dermatology, about hidradenitis suppurativa (HS). This chronic (long-term) skin condition often affects the Black community, and Mrs. Manner shared valuable insights on diagnosis, treatment, and the importance of culturally competent care.
Mrs. Manner’s passion for dermatology shines through as she describes her journey, starting as a Medical Assistant in 2006. “Seeing patients’ skin transform and heal was incredibly rewarding,” she shared, “and it inspired me to become a PA-C. I love helping people feel confident and comfortable in their own skin.” This dedication is especially crucial for individuals with HS, who often experience significant emotional and social challenges due to their condition.
When it comes to diagnosing HS, Mrs. Manner emphasizes a thorough and patient-centered approach. “It’s all about listening to the patient and taking a thorough history,” she explains. This includes asking about recurring boils, family history, and other symptoms, followed by a detailed skin exam. This comprehensive approach is essential for understanding the unique needs of each patient and developing a personalized treatment plan.
Mrs. Manner also highlights a common misconception in the Black community: “Many people, especially if they have a family history of HS, might think that recurring boils are just a normal thing.” This normalization of symptoms can lead to delayed diagnosis and treatment, potentially worsening the condition. She stresses the importance of raising awareness and educating patients about the signs of HS, encouraging them to seek medical attention sooner rather than later.
Another crucial point Mrs. Manner raises is the unique way HS can present in Black patients. “We tend to see more hyperpigmentation (dark spots) and scarring,” she notes. This can have a significant impact on both physical and emotional well-being, making it essential for healthcare providers to be aware of these nuances and provide culturally competent care.
Mrs. Manner advocates for a multidisciplinary approach to HS treatment involving dermatologists, primary care providers, surgeons, and even mental health professionals. This holistic approach recognizes that HS affects not only the skin but also a person’s overall quality of life. Treatment plans are tailored to each patient’s needs and may include topical medications, oral antibiotics, hormonal therapies, or even surgery in some cases.
For those living with HS, Mrs. Manner offers this encouragement: “Don’t hesitate to see a dermatologist! Even if you think your skin issue is minor, it’s always best to get it checked out. Early diagnosis and treatment can make a huge difference in preventing long-term problems and improving your quality of life.”
Mrs. Manner’s insights provide valuable guidance for both patients and healthcare professionals in addressing the challenges of HS in Black communities. By raising awareness, promoting early diagnosis, and providing culturally competent care, we can empower individuals with HS to live full and confident lives.
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