Telemedicine in Skin Emergencies

  • Jim Muir
  • Terri M. Campbell
  • H. Peter Soyer
  • Tele-dermatology has comparable diagnostic accuracy to face-to-face consultation.

  • Skin emergencies need rapid turnaround.

  • Tele-dermatology can reduce patient morbidity from skin emergencies.

  • Tele-dermatology is cost effective in skin emergencies.

  • Tele-dermatology is an under-utilised service, particularly for skin emergencies.

  • The technical requirements for tele-dermatology may be limited to a digital camera and effective telecommunication.

  • Most dermatological investigation and treatment can be carried out easily by medical practitioners and medical staff in A and E units.


Toxic Epidermal Necrolysis Telemedicine Service Online Consultation Leucocytoclastic Vasculitis Staphylococcal Scald Skin Syndrome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Ebner C, Gabler G, Massone C, Hofmann-Wellenhof R, Lozzi GP, Wurm E, Soyer HP. Mobile teledermatology coming of age. Elektrotechnik und Informationstechnik 2006:148–51.Google Scholar
  2. 2.
    Wurm EM, Hofmann-Wellenhof R, Wurm R, Soyer HP. Telemedicine and teledermatology: past, present and future. J Dtsch Dermatol Ges 2008;6(2):106–12.PubMedCrossRefGoogle Scholar
  3. 3.
    Wurm E, Campbell TM, Soyer HP. Teledermatology: how to start a new teaching and diagnostic era in medicine. Dermatol Clin 2008;26(2):295–300.PubMedCrossRefGoogle Scholar
  4. 4.
    Eedy DJ, Wootton R. Teledermatology: a review. Br J Dermatol 2001;144:696–707.PubMedCrossRefGoogle Scholar
  5. 5.
    Burg G, Hasse U, Cipolat C, Kropf R, Djamei V, Soyer HP, Chimenti S. Teledermatology: just cool or a real tool? Dermatology 2005;210:169–73.PubMedCrossRefGoogle Scholar
  6. 6.
    Burg G, Soyer HP, Chimenti S. Teledermatology. In: Fritsch P, Burgdorf W, eds, EDF White Book: Skin Diseases in Europe. Berlin: ABW-Wissenschaftsverlag. 2005.Google Scholar
  7. 7.
    Oztas MO, Calikoglu E, Baz K, Birol A, Onder M, Calikoglu T, Kitapci MT. Reliability of Web-based teledermatology consultations. J Telemed Telecare 2004;10:25–8.PubMedCrossRefGoogle Scholar
  8. 8.
    Lozzi GP, Soyer HP, Massone C, et al. The additive value of second opinion teleconsulting in the management of patients with challenging inflammatory, neoplastic skin diseases: a best practice model in dermatology? J Eur Acad Dermatol Venereol 2007;21:30–4.PubMedCrossRefGoogle Scholar
  9. 9.
    Soyer HP, Hofmann-Wellenhof R, Massone C, Gabler G, Dong H, Ozdemir F, Argenziano G. freely available online consultations in dermatology. PLoS Med Publ Libr Sci 2005;2:e87.Google Scholar
  10. 10.
    Muir J. Teledermatology: is web-based teleconsulting effective? Expert Rev Dermatol 2007;2:271–5.CrossRefGoogle Scholar
  11. 11.
    Norton SA, Burdick AE, Phillips CM, Berman B. Tele-dermatology and underserved populations. Arch Dermatol 1997;133:197–200.PubMedCrossRefGoogle Scholar
  12. 12.
    Loane MA, Bloomer SE, Corbett R, et al. A randomized controlled trial to assess the clinical effectiveness of both realtime and store-and-forward teledermatology compared with conventional care. J Telemed Telecare 2000;6 Suppl 1:S1–3.PubMedCrossRefGoogle Scholar
  13. 13.
    Shapiro M, James WD, Kessler R, et al. Comparison of skin biopsy triage decisions in 49 patients with pigmented lesions and skin neoplasms: store-and-forward telederma-tology vs face-to-face dermatology. Arch Dermatol 2004;140:525–8.PubMedCrossRefGoogle Scholar
  14. 14.
    Piccolo D, Smolle J, Wolf IH, et al. Face-to-face diagnosis vs telediagnosis of pigmented skin tumors: a teledermo-scopic study. Arch Dermatol 1999;135:1467–71.PubMedCrossRefGoogle Scholar
  15. 15.
    Chao LW, Cestari TF, Bakos L, et al. Evaluation of an Internet-based teledermatology system. J Telemed Telecare 2003;9 Suppl 1:S9–12.PubMedCrossRefGoogle Scholar
  16. 16.
    Nordal EJ, Moseng D, Kvammen B, Lochen ML. A comparative study of teleconsultations versus face-to-face consultations. J Telemed Telecare 2001;7:257–65.PubMedCrossRefGoogle Scholar
  17. 17.
    Hofmann-Wellenhof R, Salmhofer W, Binder B, Okcu A, Kerl H, Soyer HP. Feasibility and acceptance of telemedicine for wound care in patients with chronic leg ulcers. J Telemed Telecare 2006;12 Suppl 1:15–7.PubMedCrossRefGoogle Scholar
  18. 18.
    Whited JD, Hall RP, Foy ME, et al. Patient and clinician satisfaction with a store-and-forward teledermatology consult system. Telemed J E Health 2004;10:422–31.PubMedCrossRefGoogle Scholar
  19. 19.
    Davidovici BB, Wolf R. Emergencies in dermatology: diagnosis, classification and therapy. Expert Rev Dermatol 2007;2:549–62.CrossRefGoogle Scholar
  20. 20.
    Chave TA, Mortimer NJ, Sladden MJ, Hall AP, Hutchinson PE. Toxic epidermal necrolysis: current evidence, practical management and future directions. Br J Dermatol 2005;153:241–53.PubMedCrossRefGoogle Scholar
  21. 21.
    Bachot N, Roujeau JC. Differential diagnosis of severe cutaneous drug eruptions. Am J Clin Dermatol 2003;4:561–72.PubMedCrossRefGoogle Scholar
  22. 22.
    Garcia-Doval I, LeCleach L, Bocquet H, Otero XL, Roujeau JC. Toxic epidermal necrolysis and Stevens—Johnson syndrome: does early withdrawal of causative drugs decrease the risk of death? Arch Dermatol 2000;136:323–7.PubMedCrossRefGoogle Scholar
  23. 23.
    Palmieri TL, Greenhalgh DG, Saffle JR, et al. A multicenter review of toxic epidermal necrolysis treated in U.S. burn centers at the end of the twentieth century. J Burn Care Rehab 2002;23:87–96.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Jim Muir
    • 1
  • Terri M. Campbell
    • 1
  • H. Peter Soyer
    • 2
  1. 1.Dermatology Group, School of Medicine, Southern Clinical DivisionThe University of QueenslandBrisbaneAustralia
  2. 2.The Queensland Institute of Dermatology, School of MedicineUniversity of Queensland, Princess Alexandra HospitalBrisbaneAustralia

Personalised recommendations