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Dermoscopy Use in Africa: Determinants and Challenges.

Enechukwu Nkechi Anne1, Adebola O Ogunbiyi2, Awatef Kelati3

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Dermoscopy use among African dermatologists is low, with training and access to equipment being key barriers. Improving dermatoscope availability and integrating training can significantly boost its adoption for better dermatological diagnoses.

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Area of Science:

  • Dermatology
  • Medical Imaging
  • Public Health

Background:

  • Dermoscopy is a valuable diagnostic tool in dermatology, aiding in lesion identification and reducing unnecessary biopsies.
  • Current literature predominantly reflects dermoscopy use in lighter skin types (Fitzpatrick I-III).
  • Unique dermoscopic features exist in darker skin tones, necessitating broader application and study.

Purpose of the Study:

  • To assess the current utilization of dermoscopy among dermatologists in Africa.
  • To identify factors influencing the adoption and frequency of dermoscopy use across the continent.

Main Methods:

  • A cross-sectional study design was employed.
  • Online questionnaires were distributed to practicing dermatologists and members of the African Society of Dermatologists and Venereologists.

Main Results:

  • 196 dermatologists from 24 African countries participated, with 50% reporting dermoscopy use.
  • Significant determinants for use included training, practice setting, institutional provision of dermatoscopes, and knowledge of criteria.
  • Lack of training and insufficient dermatoscopes were the primary obstacles to wider adoption.

Conclusions:

  • Dermoscopy utilization in Africa remains suboptimal.
  • Integrating comprehensive dermoscopy training into medical curricula and ensuring equipment availability through educational institutions are crucial for promoting its use.