Dermoscopy Use in Africa: Determinants and Challenges

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.