Implementation of teledermatology to identify and expedite care for Kaposi sarcoma

We piloted teledermatology to support detection of skin conditions, including Kaposi sarcoma (KS), at HIV clinics in Kenya and Uganda. Dermatologists remotely reviewed clinical information and images submitted by providers via a mobile platform. Of 273 consults, 18 were suspected of KS; 9 were biopsied, 7 were diagnosed as KS, and 4 received KS-specific treatment. Teledermatology supported identification of KS; however, biopsy follow-up was limited, highlighting the need for integrated service delivery with on-site diagnostics.