PowerPoint Presentation


PRESENTED AT THE FALL CLINICAL DERMATOLOGY CONFERENCE 2022 MEETING, OCTOBER 20–23, 2022, LAS VEGAS, NV, USA  

Figure 8. Reasons Patient Stopped Seeing HCP

HCP: healthcare provider; SD: seborrheic dermatitis.
n=43. Small sample size, results are qualitive in nature. 

Reason patient stopped seeing HCP

Figure 7. HCP-Reported Path to SD Diagnosis

HCP: healthcare provider; SD: seborrheic dermatitis.

77% 23%

Directly to Dermatology HCP Referral from another HCP

50% with SD as 
primary 
complaint

27% with a different/
non-SD primary 
complaint

6% with SD 
diagnosis 
already

17% with a different/
non-SD 
diagnosis

Figure 3. HCP- and Patient-Reported Time From Symptom Onset to 
Seeking Care

HCP: healthcare provider.

Figure 1. Patient Demographics and Disease Severity

Patients: N=300; HCPs: N=601.
HCP: healthcare provider.

Figure 6. Non-HCPs Who Helped Patients Identify SD Symptoms

HCP: healthcare provider; SD: seborrheic dermatitis.

Figure 2. HCP Demographics

HCPs (N=601) included dermatologists and NPs and PAs specializing in dermatology.  
HCP: healthcare provider; NP/PA: nurse practitioner/physician assistant; SD: seborrheic dermatitis.

Figure 4. Patient-Reported Initial Perceptions of SD Prior to Diagnosis

SD: seborrheic dermatitis.

DISCLOSURES
RC, LA, CH, MA, and MZ are investigators and/or 
consultants for Arcutis Biotherapeutics, Inc. and received 
grants/research funding and/or honoraria; DC, DH, and 
MS are employees of Arcutis Biotherapeutics, Inc. 
Additional disclosures provided on request.

INTRODUCTION
• Seborrheic dermatitis (SD) is a common chronic inflammatory skin 

disease with a worldwide prevalence of up to 5%1; however, little is 
known about patient and provider views, preferences, impressions, 
and path to diagnosis of SD

• The authors developed an online survey, conducted by the Harris Poll, 
on burden, experiences, and preferences of patients with SD and 
healthcare providers (HCPs)

• This poster presents the results related to the path to diagnosis of SD 

METHODS
• The patient survey was conducted online from December 2021 

through January 2022 among US adults diagnosed with SD by an HCP 
(Figure 1)
– Figures for age, sex, education, race/ethnicity, region, income, 

household size, and marital status were weighted where necessary 
to bring the data into line with actual proportions in the population 

– Self-identified Black/African American patients were adjusted to 
natural fall out among the qualified patients 

– A propensity score variable was also included to adjust for 
respondents’ propensity to be online 

• The HCP survey was conducted online from December 2021 through 
January 2022 by HCPs specializing in dermatology (including 
dermatologists, nurse practitioners [NPs], and physician assistants 
[PAs]) who see ≥1 patient per week and ≥1 patient with SD per year 
(Figure 2)
– For dermatologists, figures for years in practice, gender, and region 

were weighted where necessary to bring the data into line with 
actual proportions in the population

– For NP/PAs, raw data were not weighted and are therefore only 
representative of the individuals who completed the survey

RESULTS
• HCPs underestimated the time it takes for patients experiencing SD symptoms to seek 

care, with HCPs reporting an average of 1.6 years from symptom onset to diagnosis 
while patients reported an average of 3.6 years (Figure 3)

• A higher percentage of patients with severe disease reported visiting an HCP for their 
symptoms within 1 year (Figure 3)

• Before diagnosis, 56% of patients said it was hard to find information online about SD 
and 71% said they had not heard of SD prior to diagnosis(Figure 4)
– 86% of HCPs said that most patients had not heard of SD prior to their diagnosis

• Most (83%) patients did not realize all their symptoms were due to SD and 76% 
mistook their symptoms for another skin condition (Figure 4)
– Most HCPs agreed that patients did not realize all their symptoms were due to 

SD (96%) and thought they mistook their symptoms for another skin condition 
(91%)

• Almost all (90%) patients wished they had known that there were specific symptoms 
to identify SD (Figure 4), with 85% of HCPs agreeing that their patients feel similarly

• 63% of patients thought their symptoms were not severe enough to warrant medical attention, and the majority 
were embarrassed to talk to family or friends (59%) and HCPs (58%) about symptoms (Figure 5)

• 77% of HCPs reported that patients come to them directly about SD, with 50% having SD as their 
primary complaint and 6% already having an SD diagnosis (Figure 7)

• Most (79%) patients said they prefer a dermatology HCP for SD management

CONCLUSIONS
• Prior to diagnosis, most patients said they had not heard of SD and found it difficult 

to find information online
• HCPs underestimated the time it takes for patients experiencing SD symptoms to reach 

out, with a 2-year difference between what HCPs thought and patients reported
• These findings reveal major needs in optimization of diagnosis, management, and 

education for SD
• Future studies are needed to better characterize and address these burdens

Raj Chovatiya,1 Lakshi Aldredge,2 Candrice Heath,3 Moises Acevedo,4 David Chu,5 Diane Hanna,5 Melissa Seal,5 Matthew Zirwas6
1Northwestern University, Chicago, IL, USA; 2Veterans Administration Portland Health Care System, Portland, OR, USA; 3Temple University, Philadelphia, PA, USA; 4 Park Plaza Dermatology, New York, NY, USA;  
5Arcutis Biotherapeutics, Westlake Village, CA, USA; 6Dermatologists of the Central States, Probity Medical Research, and Ohio University, Bexley, OH, USA

Patient and Healthcare Provider Perspectives on the Path to Diagnosis of Seborrheic Dermatitis: 
Results From a National Survey of Adults With Seborrheic Dermatitis in the United States

• Patients reported visiting an average of 2.3 HCPs for SD treatment and 75% have seen more 
than one HCP

• Patients said they visit their primary HCP for SD management an average of 4.6 times per year, 
and 85% said they still actively work with their HCP for SD treatment
– Of the 15% of patients who have stopped visiting their HCP, the reasons were 

improvement in symptoms (50%), ability to manage SD without prescription treatments 
(24%), and difficulty navigating insurance coverage for treatments (20%) (Figure 8)

90% of patients wish they had known that there are specific symptoms that can help identify SD

83%
“I didn’t realize all of my symptoms 

(e.g., on face, body, scalp, etc.)
were due to SD”

agree 76%

“I mistook my symptoms for a 
different type of skin condition”

agree71%

“I had not heard of SD prior 
to my diagnosis”

agree

0 20 40 60 80 100

No one else but HCP
Other

Esthetician
Other with SD or similar condition

Nutritionist
Friends

Hairstylist/Barber
Family member

Patients (%)

45%

25%

22%

19%

19%

14%

5%

24%

0 20 40 60 80 100

None of these

Worried about safety of
treatments prescribed

Treatment options 
were too expensive

Lack of prescription treatment
options that worked

Insurance coverage for treatments
was too difficult to navigate

Ability to manage symptoms
without prescription treatments

Improvement in symptoms

Patients (%)

50%

24%

20%

16%

13%

5%

13%

Patient is actively meeting with
HCP to manage SD

REFERENCE
1. Dessinioti C, Katsambas A. Clin Dermatol 2013;31:343–351.

ACKNOWLEDGEMENTS 
• This study was supported by Arcutis Biotherapeutics, Inc.
• Thank you to the investigators and their staff for their participation in the trial
• We are grateful to the study participants and their families for their time and commitment
• Writing support was provided by Lauren Ramsey, PharmD, Alligent Biopharm Consulting LLC, and 

funded by Arcutis Biotherapeutics, Inc.

Sex
Men: 55%

Women: 45% 

Mean age
40 years old

White: 52%
Hispanic: 31% 

Black or African
American: 12%

Asian: 3% 

Race and Ethnicity

Patient-Reported Severity HCP-Reported Severity

Mild
Moderate
Severe

71%

16%13% 19%

40%

41%

Sex
Men: 41%     Women: 59% 

Mean years of practice
Dermatologist: 3.3 years     NP/PA: 2.9 years

Mean number of patients
seen in a typical WEEK

157.7
patients

Mean number of patients
with SD seen per YEAR

323.7
patients

HCPs Patients
0

1

2

3

4

Ye
ar

s 
Fr

om
 S

ym
pt

om
O

ns
et

 t
o 

D
ia

gn
os

is

HCPs
Patients

1.5

3.6 Patient-reported severity in 
those who sought treatment 
<1 year after symptom onset

Mild Moderate Severe
0

20

40

60

80

100

Pa
ti

en
ts

 (%
)

31%
20%

66%

85%

15%

85%

Yes
No

• Before visiting an HCP for SD symptoms, patients said family members (45%), hair stylists/barbers (25%), 
and friends (22%) helped them identify SD as the cause of their symptoms (Figure 6)

• Among these patients (n=223), 48% said conversations with non-HCPs made them feel better. 

Figure 5. Patient- and HCP-Reported Initial Patient Perceptions of SD Prior to Diagnosis

HCP: healthcare provider; SD: seborrheic dermatitis.

“I didn’t think my symptoms were severe 
enough to warrant medical attention”

“Most did not think that SD symptoms 
warranted medical attention”

63% 
Patients agree

66% 
HCPs agree

“I was embarrassed to talk to my family 
or friends about my symptoms”

“Most were embarrassed to talk to their 
family or friends about their symptoms”

59% 
Patients agree

65% 
HCPs agree

“I was embarrassed to talk to my HCP 
about my symptoms”

“Most were embarrassed to talk to me 
about their symptoms”

58% 
Patients agree

32% 
HCPs agree


	Patient and Healthcare Provider Perspectives on the Path to Diagnosis of Seborrheic Dermatitis: Results From a National Survey of Adults With Seborrheic Dermatitis in the United States
















<<
  /ASCII85EncodePages false
  /AllowTransparency false
  /AutoPositionEPSFiles true
  /AutoRotatePages /None
  /Binding /Left
  /CalGrayProfile (Dot Gain 20%)
  /CalRGBProfile (sRGB IEC61966-2.1)
  /CalCMYKProfile (U.S. Web Coated \050SWOP\051 v2)
  /sRGBProfile (sRGB IEC61966-2.1)
  /CannotEmbedFontPolicy /Warning
  /CompatibilityLevel 1.3
  /CompressObjects /Off
  /CompressPages false
  /ConvertImagesToIndexed true
  /PassThroughJPEGImages true
  /CreateJobTicket false
  /DefaultRenderingIntent /Default
  /DetectBlends true
  /DetectCurves 0.0000
  /ColorConversionStrategy /sRGB
  /DoThumbnails false
  /EmbedAllFonts true
  /EmbedOpenType false
  /ParseICCProfilesInComments true
  /EmbedJobOptions true
  /DSCReportingLevel 0
  /EmitDSCWarnings false
  /EndPage -1
  /ImageMemory 1048576
  /LockDistillerParams false
  /MaxSubsetPct 100
  /Optimize true
  /OPM 1
  /ParseDSCComments true
  /ParseDSCCommentsForDocInfo true
  /PreserveCopyPage true
  /PreserveDICMYKValues true
  /PreserveEPSInfo true
  /PreserveFlatness false
  /PreserveHalftoneInfo false
  /PreserveOPIComments false
  /PreserveOverprintSettings true
  /StartPage 1
  /SubsetFonts true
  /TransferFunctionInfo /Apply
  /UCRandBGInfo /Remove
  /UsePrologue false
  /ColorSettingsFile ()
  /AlwaysEmbed [ true
  ]
  /NeverEmbed [ true
  ]
  /AntiAliasColorImages false
  /CropColorImages false
  /ColorImageMinResolution 300
  /ColorImageMinResolutionPolicy /OK
  /DownsampleColorImages true
  /ColorImageDownsampleType /Bicubic
  /ColorImageResolution 600
  /ColorImageDepth -1
  /ColorImageMinDownsampleDepth 1
  /ColorImageDownsampleThreshold 1.00000
  /EncodeColorImages true
  /ColorImageFilter /DCTEncode
  /AutoFilterColorImages true
  /ColorImageAutoFilterStrategy /JPEG
  /ColorACSImageDict <<
    /QFactor 0.15
    /HSamples [1 1 1 1] /VSamples [1 1 1 1]
  >>
  /ColorImageDict <<
    /QFactor 0.15
    /HSamples [1 1 1 1] /VSamples [1 1 1 1]
  >>
  /JPEG2000ColorACSImageDict <<
    /TileWidth 256
    /TileHeight 256
    /Quality 30
  >>
  /JPEG2000ColorImageDict <<
    /TileWidth 256
    /TileHeight 256
    /Quality 30
  >>
  /AntiAliasGrayImages false
  /CropGrayImages false
  /GrayImageMinResolution 300
  /GrayImageMinResolutionPolicy /OK
  /DownsampleGrayImages true
  /GrayImageDownsampleType /Bicubic
  /GrayImageResolution 450
  /GrayImageDepth -1
  /GrayImageMinDownsampleDepth 2
  /GrayImageDownsampleThreshold 1.00000
  /EncodeGrayImages true
  /GrayImageFilter /DCTEncode
  /AutoFilterGrayImages true
  /GrayImageAutoFilterStrategy /JPEG
  /GrayACSImageDict <<
    /QFactor 0.15
    /HSamples [1 1 1 1] /VSamples [1 1 1 1]
  >>
  /GrayImageDict <<
    /QFactor 0.15
    /HSamples [1 1 1 1] /VSamples [1 1 1 1]
  >>
  /JPEG2000GrayACSImageDict <<
    /TileWidth 256
    /TileHeight 256
    /Quality 30
  >>
  /JPEG2000GrayImageDict <<
    /TileWidth 256
    /TileHeight 256
    /Quality 30
  >>
  /AntiAliasMonoImages false
  /CropMonoImages false
  /MonoImageMinResolution 1200
  /MonoImageMinResolutionPolicy /OK
  /DownsampleMonoImages true
  /MonoImageDownsampleType /Bicubic
  /MonoImageResolution 600
  /MonoImageDepth -1
  /MonoImageDownsampleThreshold 1.00000
  /EncodeMonoImages true
  /MonoImageFilter /CCITTFaxEncode
  /MonoImageDict <<
    /K -1
  >>
  /AllowPSXObjects false
  /CheckCompliance [
    /None
  ]
  /PDFX1aCheck false
  /PDFX3Check false
  /PDFXCompliantPDFOnly true
  /PDFXNoTrimBoxError false
  /PDFXTrimBoxToMediaBoxOffset [
    0.00000
    0.00000
    0.00000
    0.00000
  ]
  /PDFXSetBleedBoxToMediaBox false
  /PDFXBleedBoxToTrimBoxOffset [
    0.00000
    0.00000
    0.00000
    0.00000
  ]
  /PDFXOutputIntentProfile (U.S. Web Coated \050SWOP\051 v2)
  /PDFXOutputConditionIdentifier (CGATS TR 001)
  /PDFXOutputCondition ()
  /PDFXRegistryName (http://www.color.org)
  /PDFXTrapped /False

  /CreateJDFFile false
  /Description <<
    /ENU ([Based on 'EPG UPLOAD'] [Based on 'EPG UPLOAD'] [Based on 'HighResolution_NoCrops'] [Based on 'HighResolution_NoCrops'] [Based on 'HighResolution_NoCrops\\0501\\051'] [Based on 'HighResolution_WithCrops'] [Based on '[PDF/X-1a:2001]'] Use these settings to create Adobe PDF documents that are to be checked or must conform to PDF/X-1a:2001, an ISO standard for graphic content exchange.  For more information on creating PDF/X-1a compliant PDF documents, please refer to the Acrobat User Guide.  Created PDF documents can be opened with Acrobat and Adobe Reader 4.0 and later.)
  >>
  /Namespace [
    (Adobe)
    (Common)
    (1.0)
  ]
  /OtherNamespaces [
    <<
      /AsReaderSpreads false
      /CropImagesToFrames true
      /ErrorControl /WarnAndContinue
      /FlattenerIgnoreSpreadOverrides false
      /IncludeGuidesGrids false
      /IncludeNonPrinting false
      /IncludeSlug false
      /Namespace [
        (Adobe)
        (InDesign)
        (4.0)
      ]
      /OmitPlacedBitmaps false
      /OmitPlacedEPS false
      /OmitPlacedPDF false
      /SimulateOverprint /Legacy
    >>
    <<
      /AddBleedMarks false
      /AddColorBars false
      /AddCropMarks false
      /AddPageInfo false
      /AddRegMarks false
      /BleedOffset [
        0
        0
        0
        0
      ]
      /ConvertColors /ConvertToRGB
      /DestinationProfileName (sRGB IEC61966-2.1)
      /DestinationProfileSelector /UseName
      /Downsample16BitImages true
      /FlattenerPreset <<
        /PresetSelector /HighResolution
      >>
      /FormElements false
      /GenerateStructure true
      /IncludeBookmarks false
      /IncludeHyperlinks false
      /IncludeInteractive false
      /IncludeLayers false
      /IncludeProfiles false
      /MarksOffset 0
      /MarksWeight 0.250000
      /MultimediaHandling /UseObjectSettings
      /Namespace [
        (Adobe)
        (CreativeSuite)
        (2.0)
      ]
      /PDFXOutputIntentProfileSelector /DocumentCMYK
      /PageMarksFile /RomanDefault
      /PreserveEditing true
      /UntaggedCMYKHandling /UseDocumentProfile
      /UntaggedRGBHandling /LeaveUntagged
      /UseDocumentBleed false
    >>
    <<
      /AllowImageBreaks true
      /AllowTableBreaks true
      /ExpandPage false
      /HonorBaseURL true
      /HonorRolloverEffect false
      /IgnoreHTMLPageBreaks false
      /IncludeHeaderFooter false
      /MarginOffset [
        0
        0
        0
        0
      ]
      /MetadataAuthor ()
      /MetadataKeywords ()
      /MetadataSubject ()
      /MetadataTitle ()
      /MetricPageSize [
        0
        0
      ]
      /MetricUnit /inch
      /MobileCompatible 0
      /Namespace [
        (Adobe)
        (GoLive)
        (8.0)
      ]
      /OpenZoomToHTMLFontSize false
      /PageOrientation /Portrait
      /RemoveBackground false
      /ShrinkContent true
      /TreatColorsAs /MainMonitorColors
      /UseEmbeddedProfiles false
      /UseHTMLTitleAsMetadata true
    >>
  ]
>> setdistillerparams
<<
  /HWResolution [2400 2400]
  /PageSize [612.000 792.000]
>> setpagedevice