[Translated article] Bioethical Conflicts in Current Dermatology: A Narrative Review

Area of Science:

• Medical Ethics
• Dermatology

Background:

• Dermatology practice has expanded with new technologies and services, including cosmetic dermatology, artificial intelligence (AI), tele-dermatology, and social media.
• These advancements, coupled with pharmaceutical industry involvement and cosmetic sales, introduce novel bioethical challenges into daily practice.

Purpose of the Study:

• To identify and analyze the bioethical conflicts arising in contemporary dermatology.
• To propose solutions and recommendations for navigating these ethical dilemmas.

Main Methods:

• A narrative review methodology was employed.
• Literature searches were conducted across major scientific databases: PubMed, Web of Science, and Scopus.
• Relevant Spanish and American deontological codes for physicians and dermatologists were reviewed.

Main Results:

• Bioethical conflicts stem from the integration of cosmetic dermatology, cosmetic selling, AI, tele-dermatology, and social media.
• Patient autonomy, confidentiality, and privacy are central ethical considerations.
• Existing deontological codes require updates to adequately address these emerging areas.

Conclusions:

• New dermatological fields and technologies are viable when adhering to established ethical standards.
• Recommendations include transparent declaration of all conflicts of interest.
• Updating professional ethical guidelines is crucial for responsible implementation of innovative dermatological practices.