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[Implementation of teledermatological consultations at Leipzig University Medical Center].

Dermatologie (Heidelb)

January 2025

Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Leipzig AöR, Philipp-Rosenthal-Str. 23, 04103, Leipzig, Deutschland.

Background: Numerous patients admitted to a general hospital present skin changes as secondary findings. Approximately 800 dermatological consultations are performed annually at the Leipzig University Medical Center.

Objectives: The aim of this study was, after implementation of teledermatological consulting, the retrospective evaluation of that and the resulting satisfaction of the physicians involved.

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Article Synopsis
  • There is a significant shortage of dermatologists in rural Australia, especially in north Queensland, where the population faces a high risk of skin cancer and related skin issues.
  • A store-and-forward teledermatology system called eConsult was piloted in 2022 to improve access to dermatology care for the Townsville community, focusing on clinician experiences and service outcomes over a 9-month period.
  • Results showed that clinicians found the service beneficial for diagnosing and managing skin conditions, highlighting the potential for sustainable teledermatology services to enhance care in rural areas and suggesting further research into broader applications and cost-effectiveness.
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Background: Teledermatology has been widely deployed over the past decade in France, becoming an indispensable tool in daily practice. Pediatric dermatology is a subspecialty of dermatology limited to a small number of specialists. In 2013, the Argenteuil Hospital developed a structured store-and-forward (SAF) service that is particularly well-suited for the field of pediatric dermatology.

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Remote cutaneous confocal microscopy: A multicentric prospective study evaluating diagnostic accuracy for melanoma and keratinocyte carcinoma in tertiary settings.

J Am Acad Dermatol

February 2025

Melanoma Institute Australia, The University of Sydney, Sydney, Australia; Faculty of Medicine and Health, The University of Sydney, Sydney, Australia; Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital, Sydney, Australia.

Article Synopsis
  • Cutaneous confocal microscopy (CCCM) is a technique that allows for detailed imaging of the skin at a cellular level, and this study tested a remote version (Remote-CCM) to enhance access to skin cancer diagnoses.
  • In the study, 201 lesions were assessed, with Remote-CCM showing a sensitivity of 89% for detecting skin malignancies and a specificity of 64%, effectively reducing unnecessary biopsies in 90% of benign cases.
  • The findings suggest that while Remote-CCM is accurate and can lower biopsy rates, it may not be suitable for potential cases of squamous cell carcinoma (SCC), indicating a need for follow-up on uncertain melanoc
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Diagnosing skin neglected tropical diseases with the aid of digital health tools: A scoping review.

PLOS Digit Health

October 2024

Department of Health, Ethics & Society, Care and Public Health Research Institute (CAPHRI)/MHeNs School for Mental Health and Neuroscience, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.

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  • Delays in diagnosing skin neglected tropical diseases (NTDs) hinder timely treatment, emphasizing the need for better diagnostic solutions, especially in resource-poor areas.
  • Recent advancements in digital health, such as mobile apps and telemedicine, show potential for improving access to diagnosis and supporting healthcare providers at the community level.
  • However, challenges including data security, infrastructure issues, and the need for more research on diagnostic accuracy remain significant barriers to effective implementation of these digital health tools.
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