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Digital dermatology uses technology to improve skin health, especially for underserved groups. Ensuring AI fairness and combating misinformation are key to equitable care.

Keywords:
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Area of Science:

  • Dermatology and Digital Health
  • Health Equity
  • Artificial Intelligence in Medicine

Background:

  • Skin diseases are a major global health burden, causing significant disability.
  • Digital dermatology offers potential to address disparities in dermatologic care based on geography, income, and skin type.
  • Existing digital health tools risk exacerbating inequities if not designed and implemented thoughtfully.

Purpose of the Study:

  • To examine how digital dermatology can promote equitable skin health.
  • To identify priorities for leveraging digital technologies in dermatology.
  • To propose strategies for navigating the ethical complexities of digital dermatology.

Main Methods:

  • Conceptual and narrative review drawing on expert dialogues and literature.
  • Analysis of multistakeholder exchanges from the Skin and Digital Summit (2023-2025) and global forums.
  • Examination of case studies, including the World Health Organization's AI skin health app.

Main Results:

  • Digital dermatology can expand access to care, improve diagnosis, and empower patients.
  • Key priorities include scalable digital platforms, AI fairness with diverse datasets, and countering misinformation.
  • A proposed bot concept can analyze literature, rank evidence, and deliver personalized guidance.

Conclusions:

  • Digital dermatology holds transformative potential for equitable skin health but faces challenges like algorithmic bias and uneven digital access.
  • Intentional design and deployment are crucial to prevent digital tools from amplifying existing disparities.
  • A proactive approach, termed 'radical dermatology,' is needed for dermatologists and stakeholders to lead the digital transformation in skin health.