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Teledermatology: Inflammatory Skin Diseases

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Teledermatology

Part of the book series: Updates in Clinical Dermatology ((UCD))

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Abstract

Few studies have synthesized the progress of electronic methods of dermatologic care delivery among common inflammatory dermatoses like psoriasis, eczema, acne, and rash. Fifty-three studies were analyzed to summarize the impact of teledermatology on access to dermatologic care, general management, and outcomes for patients with inflammatory skin disease. Teledermatology may serve to increase racial and socioeconomic access to dermatologic care, though technologic limitations are a barrier to synchronous video consultations. Large-scale studies have demonstrated efficient and equivalent management capabilities and outcomes between common inflammatory conditions, although complex diseases, rare diagnoses, and infiltrative processes may require subsequent face-to-face management.

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References

  1. Su MY, Das S. Expansion of asynchronous teledermatology during the COVID-19 pandemic. J Am Acad Dermatol. 2020;83(6):e471–2. https://doi.org/10.1016/j.jaad.2020.08.054.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Giavina-Bianchi M, Sousa R, Cordioli E. Part I: accuracy of teledermatology in inflammatory dermatoses. Front Med (Lausanne). 2020;7:585792. https://doi.org/10.3389/fmed.2020.585792.

    Article  PubMed  Google Scholar 

  3. Marasca C, Annunziata MC, Camela E, et al. Teledermatology and inflammatory skin conditions during COVID-19 era: new perspectives and applications. J Clin Med. 2022;11(6):1511. https://doi.org/10.3390/jcm11061511.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Kennedy J, Arey S, Hopkins Z, et al. Dermatologist perceptions of teledermatology implementation and future use after COVID-19: demographics, barriers, and insights. JAMA Dermatol. 2021;157(5):595–7. https://doi.org/10.1001/jamadermatol.2021.0195.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Low ZM, Scardamaglia L, Morgan V, Kern JS. Australian teledermatology experience during COVID-19. Australas J Dermatol. 2021;62(4):e596–600. https://doi.org/10.1111/ajd.13681.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Asabor EN, Bunick CG, Cohen JM, Perkins SH. Patient and physician perspectives on teledermatology at an academic dermatology department amid the COVID-19 pandemic. J Am Acad Dermatol. 2021;84(1):158–61. https://doi.org/10.1016/j.jaad.2020.09.029.

    Article  CAS  PubMed  Google Scholar 

  7. Wang RF, Trinidad J, Lawrence J, et al. Improved patient access and outcomes with the integration of an eConsult program (teledermatology) within a large academic medical center. J Am Acad Dermatol. 2020;83(6):1633–8. https://doi.org/10.1016/j.jaad.2019.10.053.

    Article  PubMed  Google Scholar 

  8. Kjærsgaard Andersen R, Jemec GBE. Teledermatology management of difficult-to-treat dermatoses in the Faroe Islands. Acta Dermatovenerol Alp Pannonica Adriat. 2019;28(3):103–5.

    PubMed  Google Scholar 

  9. Lowe A, Stone NM. Five-year experience of a new inflammatory teledermoscopy service. Clin Exp Dermatol. 2021;46(3):564–5. https://doi.org/10.1111/ced.14467.

    Article  CAS  PubMed  Google Scholar 

  10. Krueger S, Leonard N, Modest N, et al. Identifying trends in patient characteristics and visit details during the transition to teledermatology: experience at a single tertiary referral center. J Am Acad Dermatol. 2021;85(6):1592–4. https://doi.org/10.1016/j.jaad.2020.11.040.

    Article  PubMed  Google Scholar 

  11. Byrom L, Lucas L, Sheedy V, et al. Tele-Derm national: a decade of teledermatology in rural and remote Australia. Aust J Rural Health. 2016;24(3):193–9. https://doi.org/10.1111/ajr.12248.

    Article  PubMed  Google Scholar 

  12. Uscher-Pines L, Malsberger R, Burgette L, Mulcahy A, Mehrotra A. Effect of teledermatology on access to dermatology care among medicaid enrollees. JAMA Dermatol. 2016;152(8):905–12. https://doi.org/10.1001/jamadermatol.2016.0938.

    Article  PubMed  Google Scholar 

  13. Seiger K, Hawryluk EB, Kroshinsky D, Kvedar JC, Das S. Pediatric dermatology eConsults: reduced wait times and dermatology office visits. Pediatr Dermatol. 2020;37(5):804–10. https://doi.org/10.1111/pde.14187.

    Article  PubMed  Google Scholar 

  14. Gisondi P, Bellinato F, Piaserico S, Di Leo S, Cazzaniga S, Naldi L. Preference for telemedicine versus in-person visit among patients with psoriasis receiving biological drugs. Dermatol Ther (Heidelb). 2021;11(4):1333–43. https://doi.org/10.1007/s13555-021-00555-3.

    Article  PubMed  Google Scholar 

  15. Mehrtens SH, Shall L, Halpern SM. A 14-year review of a UK teledermatology service: experience of over 40 000 teleconsultations. Clin Exp Dermatol. 2019;44(8):874–81. https://doi.org/10.1111/ced.13928.

    Article  CAS  PubMed  Google Scholar 

  16. Sendagorta E, Servera G, Nuño A, Gil R, Pérez-España L, Herranz P. Direct-to-patient Teledermatology during COVID-19 lockdown in a Health District in Madrid, Spain: the EVIDE-19 pilot study. Estudio piloto de la teledermatología directa durante el estado de alarma por la pandemia COVID-19 en un área sanitaria de Madrid (Estudio EVIDE-19). Actas Dermosifiliogr (Engl Ed). 2021;112(4):345–53. https://doi.org/10.1016/j.ad.2020.11.020.

    Article  CAS  PubMed  Google Scholar 

  17. Giavina-Bianchi M, Azevedo MFD, Cordioli E. Clinical features of acne in primary care patients assessed through teledermatology. J Prim Care Community Health. 2022;13:21501319221074117. https://doi.org/10.1177/21501319221074117.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Khosravi H, Zhang S, Siripong N, Moorhead A, English Iii JC. Comparing acne follow-up: teledermatology versus outpatient dermatology visits. Dermatol Online J. 2020;26(4):13030/qt1424r02m.

    Article  PubMed  Google Scholar 

  19. Mori WS, Houston N, Moreau JF, et al. Personal burden of isotretinoin therapy and willingness to pay for electronic follow-up visits. JAMA Dermatol. 2016;152(3):338–40. https://doi.org/10.1001/jamadermatol.2015.4763.

    Article  PubMed  Google Scholar 

  20. Das S, Su MY, Kvedar JC, Smith GP. Asynchronous telemedicine for isotretinoin management: a direct care pilot. J Am Acad Dermatol. 2022;86(1):184–6. https://doi.org/10.1016/j.jaad.2021.01.039.

    Article  PubMed  Google Scholar 

  21. Lee MS, Kassamali B, Shah N, LaChance A, Nambudiri VE. Differences in virtual care utilization for acne by vulnerable populations during the COVID-19 pandemic: a retrospective review. J Am Acad Dermatol. 2021;85(3):718–9. https://doi.org/10.1016/j.jaad.2021.05.008.

    Article  CAS  PubMed  Google Scholar 

  22. Gu L, Diaz SM, Lipner SR. Retrospective study of acne telemedicine and in-person visits at an academic center during the COVID-19 pandemic. J Cosmet Dermatol. 2022;21(1):36–8. https://doi.org/10.1111/jocd.14606.

    Article  PubMed  Google Scholar 

  23. Naka F, Makkar H, Lu J. Teledermatology: kids are not just little people. Clin Dermatol. 2017;35(6):594–600. https://doi.org/10.1016/j.clindermatol.2017.08.009.

    Article  PubMed  Google Scholar 

  24. Schmid-Grendelmeier P, Takaoka R, Ahogo KC, et al. Position statement on atopic dermatitis in Sub-Saharan Africa: current status and roadmap. J Eur Acad Dermatol Venereol. 2019;33(11):2019–28. https://doi.org/10.1111/jdv.15972.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Armstrong AW, Johnson MA, Lin S, Maverakis E, Fazel N, Liu F. Patient-centered, direct-access online care for management of atopic dermatitis: a randomized clinical trial. JAMA Dermatol. 2015;151(2):154–60. https://doi.org/10.1001/jamadermatol.2014.2299.

    Article  PubMed  Google Scholar 

  26. Giavina-Bianchi M, Giavina-Bianchi P, Santos AP, Rizzo LV, Cordioli E. Accuracy and efficiency of telemedicine in atopic dermatitis. JAAD Int. 2020;1(2):175–81. https://doi.org/10.1016/j.jdin.2020.08.002.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Loh CH, Chong Tam SY, Oh CC. Teledermatology in the COVID-19 pandemic: a systematic review. JAAD Int. 2021;5:54–64. https://doi.org/10.1016/j.jdin.2021.07.007.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Bergamo S, Calacione R, Fagotti S, et al. Teledermatology with general practitioners and pediatricians during COVID-19 outbreak in Italy: preliminary data from a second-level dermatology department in north-eastern Italy. Dermatol Ther. 2020;33(6):e14040. https://doi.org/10.1111/dth.14040.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Faucon C, Gribi D, Courvoisier DS, et al. Performance accuracy, advantages and limitations of a store-and-forward teledermatology platform developed for general practitioners: a retrospective study of 298 cases [published online ahead of print, 2022 Jun 17]. Ann Dermatol Venereol. 2022;S0151-9638(22):00034–5. https://doi.org/10.1016/j.annder.2022.01.012.

    Article  Google Scholar 

  30. Calafiore R, Khan A, Anderson D, Wu ZH, Lu J. Impact of dermoscopy-aided pediatric teledermatology program on the accessibility and efficiency of dermatology care at community health centers [published online ahead of print, 2021 Dec 28]. J Telemed Telecare. 2021:1357633X211068275. https://doi.org/10.1177/1357633X211068275.

  31. Giavina Bianchi M, Santos AP, Cordioli E. The majority of skin lesions in pediatric primary care attention could be managed by teledermatology. PLoS One. 2019;14(12):e0225479. https://doi.org/10.1371/journal.pone.0225479=.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Perkins S, Cohen JM, Nelson CA, Bunick CG. Teledermatology in the era of COVID-19: experience of an academic department of dermatology. J Am Acad Dermatol. 2020;83(1):e43–4. https://doi.org/10.1016/j.jaad.2020.04.048.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Dobry A, Begaj T, Mengistu K, et al. Implementation and impact of a store-and-forward teledermatology platform in an urban academic safety-net health care system. Telemed J E Health. 2021;27(3):308–15. https://doi.org/10.1089/tmj.2020.0069.

    Article  PubMed  Google Scholar 

  34. Brunasso AMG, Massone C. Teledermatologic monitoring for chronic cutaneous autoimmune diseases with smartworking during COVID-19 emergency in a tertiary center in Italy. Dermatol Ther. 2020;33(4):e13495. https://doi.org/10.1111/dth.13695.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Frühauf J, Schwantzer G, Ambros-Rudolph CM, et al. Pilot study using teledermatology to manage high-need patients with psoriasis. Arch Dermatol. 2010;146(2):200–1. https://doi.org/10.1001/archdermatol.2009.375.

    Article  PubMed  Google Scholar 

  36. Koller S, Hofmann-Wellenhof R, Hayn D, et al. Teledermatological monitoring of psoriasis patients on biologic therapy. Acta Derm Venereol. 2011;91(6):680–5. https://doi.org/10.2340/00015555-1148.

    Article  PubMed  Google Scholar 

  37. Singh P, Soyer HP, Wu J, Salmhofer W, Gilmore S. Tele-assessment of psoriasis area and severity index: a study of the accuracy of digital image capture. Australas J Dermatol. 2011;52(4):259–63. https://doi.org/10.1111/j.1440-0960.2011.00800.x.

    Article  PubMed  Google Scholar 

  38. Foolad N, Ornelas JN, Clark AK, et al. International inter-rater agreement in scoring acne severity utilizing cloud-based image sharing of mobile phone photographs. Int J Dermatol. 2017;56(9):920–5. https://doi.org/10.1111/ijd.13621.

    Article  PubMed  Google Scholar 

  39. Singer HM, Almazan T, Craft N, et al. Using network oriented research assistant (NORA) technology to compare digital photographic with in-person assessment of acne vulgaris. JAMA Dermatol. 2018;154(2):188–90. https://doi.org/10.1001/jamadermatol.2017.5141.

    Article  PubMed  Google Scholar 

  40. McAfee JL, Vij A, Warren CB. Store-and-forward teledermatology improves care and reduces dermatology referrals from walk-in clinics: a retrospective descriptive study. J Am Acad Dermatol. 2020;82(2):499–501. https://doi.org/10.1016/j.jaad.2019.08.006.

    Article  PubMed  Google Scholar 

  41. Wong CY, Colven RM, Gibran NS, et al. Accuracy and cost-effectiveness of a telemedicine triage initiative for patients with suspected stevens-Johnson syndrome/toxic epidermal necrolysis. JAMA Dermatol. 2021;157(1):114–5. https://doi.org/10.1001/jamadermatol.2020.4490.

    Article  PubMed  Google Scholar 

  42. Okeke CAV, Shipman WD, Perry JD, Kerns ML, Okoye GA, Byrd AS. Treating hidradenitis suppurativa during the COVID-19 pandemic: teledermatology exams of sensitive body areas. J Dermatolog Treat. 2022;33(2):1163–4. https://doi.org/10.1080/09546634.2020.1781042.

    Article  CAS  PubMed  Google Scholar 

  43. Kang NC, Hsiao J, Shi V, Naik HB, Lowes MA, Alavi A. Remote management of hidradenitis suppurativa in a pandemic era of COVID-19. Int J Dermatol. 2020;59(9):e318–20. https://doi.org/10.1111/ijd.15022.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Patel NP. Remote consultations for patients with hidradenitis suppurativa during the COVID-19 pandemic: a single-centre experience. Clin Exp Dermatol. 2021;46(6):1079–81. https://doi.org/10.1111/ced.14687.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Lamel S, Chambers CJ, Ratnarathorn M, Armstrong AW. Impact of live interactive teledermatology on diagnosis, disease management, and clinical outcomes. Arch Dermatol. 2012;148(1):61–5. https://doi.org/10.1001/archdermatol.2011.1157.

    Article  PubMed  Google Scholar 

  46. Armstrong AW, Chambers CJ, Maverakis E, et al. Effectiveness of online vs in-person care for adults with psoriasis: a randomized clinical trial. JAMA Netw Open. 2018;1(6):e183062. https://doi.org/10.1001/jamanetworkopen.2018.3062.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Filippi F, Loi C, Evangelista V, Bardazzi F. COVID-19 era: a chance to learn something new about monitoring psoriatic patients in biological therapy. Dermatol Ther. 2020;33(4):e13805. https://doi.org/10.1111/dth.13805.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Armstrong AW, Ford AR, Chambers CJ, et al. Online care versus in-person care for improving quality of life in psoriasis: a randomized controlled equivalency trial. J Invest Dermatol. 2019;139(5):1037–44. https://doi.org/10.1016/j.jid.2018.09.039=.

    Article  CAS  PubMed  Google Scholar 

  49. Watson AJ, Bergman H, Williams CM, Kvedar JC. A randomized trial to evaluate the efficacy of online follow-up visits in the management of acne. Arch Dermatol. 2010;146(4):406–11. https://doi.org/10.1001/archdermatol.2010.29.

    Article  PubMed  Google Scholar 

  50. Marasca C, Ruggiero A, Fontanella G, Ferrillo M, Fabbrocini G, Villani A. Telemedicine and support groups could be used to improve adherence to treatment and health-related quality of life in patients affected by inflammatory skin conditions during the COVID-19 pandemic. Clin Exp Dermatol. 2020;45(6):749. https://doi.org/10.1111/ced.14245.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Ruggiero A, Megna M, Annunziata MC, et al. Teledermatology for acne during COVID-19: high patients’ satisfaction in spite of the emergency. J Eur Acad Dermatol Venereol. 2020;34(11):e662–3. https://doi.org/10.1111/jdv.16746.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Villani A, Annunziata MC, Abategiovanni L, Fabbrocini G. Teledermatology for acne patients: how to reduce face-to-face visits during COVID-19 pandemic. J Cosmet Dermatol. 2020;19(8):1828. https://doi.org/10.1111/jocd.13519.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Santer M, Muller I, Yardley L, et al. Supporting self-care for families of children with eczema with a web-based intervention plus health care professional support: pilot randomized controlled trial. J Med Internet Res. 2014;16(3):e70. https://doi.org/10.2196/jmir.3035.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. The Ohio State University Wexner Medical Center Department of Dermatology and The Ohio State University Wexner College of Medicine, Columbus, OH, USA

    Matthew Gallardo, Nassim Idouraine & Benjamin H. Kaffenberger

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  1. Matthew Gallardo
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  2. Nassim Idouraine
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  3. Benjamin H. Kaffenberger
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Correspondence to Benjamin H. Kaffenberger .

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  1. Department of Dermatology, University of Pittsburgh, Pittsburgh, PA, USA

    Joseph C English III

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Gallardo, M., Idouraine, N., Kaffenberger, B.H. (2023). Teledermatology: Inflammatory Skin Diseases. In: English III, J.C. (eds) Teledermatology. Updates in Clinical Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-031-27276-9_11

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  • DOI: https://doi.org/10.1007/978-3-031-27276-9_11

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