Comparison of skin biopsy triage decisions in 49 patients with pigmented lesions and skin neoplasms: store-and-forward teledermatology vs face-to-face dermatology.

Objective: To determine the relative efficacy of store-and-forward teledermatology vs face-to-face dermatology consultations in triage decisions about the need for a biopsy of neoplastic skin changes.

Design: Prospective study of consecutive patients judged by an internist to require dermatologic consultation for a skin growth.

Setting: Private primary care and dermatology practices and an academic dermatology practice.