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Pediatric teledermatology: observations based on 429 consults
Tina S Chen1, Marc E Goldyne2, Erin F D Mathes3
1Department of Dermatology, University of California, Irvine, California.
Background:
Store-and-forward teledermatology is an emerging means of access for patients with skin disease lacking direct access to dermatologists.
Objectives:
We sought to examine the patient demographics, diagnostic concordance, and treatment patterns in teledermatology for patients younger than 13 years.
Methods:
We conducted a descriptive retrospective cohort study involving 429 patients.
Results:
Diagnoses were concordant in 48% of cases, partially concordant in 10%, and discordant in 42%. Management recommendations were concordant in 28% of cases, partially concordant in 36%, and discordant in 36%. Primary care providers tended to underuse topical steroids and overuse topical antifungals and systemic antibiotics. Only 1.4% and 6.0% of patients required repeated teledermatology consultation and in-person dermatology consultation, respectively.
Limitations:
Limitations were the inability to generalize the data from the population studied and the chances of error and bias in teledermatology diagnoses.
Conclusions:
Store-and-forward teledermatology can improve diagnostic and therapeutic care for skin disease in children who lack direct access to dermatologists.
