The Department of Defense (DoD) healthcare system supports the medical needs of service members while engaged in a variety of missions frequently in isolated, remote, and austere locations. As a result, the DoD has been a leader in the development of telemedicine, including teledermatology as a way to provide "good medicine in bad places." A brief technical history of teledermatology, representative DoD experiences including military unique concerns, and a novel approach to increase the access of DoD teledermatology consultation are presented in this article.
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Developing and evaluating a mobile-based teledermatology system for skin lesion diagnosis in Iran.
Sci Rep
September 2024
School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Article Synopsis
- Asynchronous teledermatology (TD) has the potential to enhance access to dermatological care, but studies show mixed outcomes and methods.* -
- This research developed a mobile app that enables the collection of patient histories and skin images using a store-and-forward model, involving 89 patients at a dermatology clinic in Iran.* -
- The study found excellent agreement in diagnoses made through the app compared to in-person assessments, suggesting the app could effectively support dermatological services in underserved areas, while further research is needed for wider implementation.*
The Past, the Present and the Future of Teledermatology: A Narrative Review.
Clin Cosmet Investig Dermatol
March 2024
Section of Dermatology - Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Teledermatology may be defined as the application of telemedicine to dermatology. According to published data, teledermatology is more widespread in Europe and North America, probably where resources for health care are greater than in other areas of the world. Indeed, teledermatology requires advanced technology to be efficient, as high image quality is necessary to allow the dermatologist to make correct diagnoses.
View Article and Find Full Text PDFTeledermatology Practice in a Department that Was Relocated Multiple Times during the COVID-19 Pandemic.
Clin Cosmet Investig Dermatol
February 2024
Dermatology Department, "Sfânta Cuvioasa Parascheva" Clinical Hospital of Infectious Diseases, Galati, Romania.
Article Synopsis
- - The COVID pandemic has significantly affected Dermatology practices, pushing them to adopt teledermatology to minimize in-person visits and streamline patient care.
- - Teledermatology allows for live consultations where resident physicians gather detailed patient histories, followed by case discussions with senior physicians that enhance learning and care quality.
- - Building international collaborations through teledermatology can lead to quicker and more accurate diagnoses for patients, even those who are away due to work or travel.
Insights, Advantages, and Barriers of Teledermatology vs. Face-to-Face Dermatology for the Diagnosis and Follow-Up of Non-Melanoma Skin Cancer: A Systematic Review.
Cancers (Basel)
January 2024
Departments of Dermatology, Venereology, Allergology and Immunology, Staedtisches Klinikum Dessau, Brandenburg Medical School Theodor Fontane and Faculty of Health Sciences Brandenburg, 06847 Dessau, Germany.
Background: Teledermatology is employed in the diagnosis and follow-up of skin cancer and its use was intensified during and after the COVID-19 pandemic. At the same time, demographic changes result in an overall increase in non-melanoma skin cancer and skin precancerous lesions. The aim of this study was to elucidate the role of teledermatology in comparison to conventional face-to-face dermatology for such lesions and determine the advantages and limitations of this workflow for patients and physicians.
View Article and Find Full Text PDFPatient-led teledermatology for skin lesion triage: a service evaluation of the DyplensTM dermoscope.
Clin Exp Dermatol
May 2024
Department of Dermatology, University Hospital Plymouth NHS Trust, Plymouth, UK.
Article Synopsis
- The study investigates the effectiveness of patients using smartphone attachments to capture dermoscopic images for skin lesion triage, as interest in teledermatology remains low in the UK despite advances in smartphone camera technology.
- It involved 78 patients who took dermoscopic and macroscopic images of their skin lesions, which were then assessed by five blinded dermatology consultants to determine the diagnosis and appropriate treatment pathway.
- The results showed 100% sensitivity for diagnosing melanoma and squamous cell carcinoma, with high specificity and an overall diagnostic accuracy of 77%, suggesting that smartphone-captured images could enhance the triage process for skin lesions.
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