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Página de Inicio arrow Artículos Científicos arrow Pediatric teledermatology: Observations based on 429 consults.
Pediatric teledermatology: Observations based on 429 consults. Imprimir E-Mail
J Am Acad Dermatol. 2009 Nov 17. [Epub ahead of print]
Pediatric teledermatology: Observations based on 429 consults.
Chen TS, Goldyne ME, Mathes EF, Frieden IJ, Gilliam AE.

Department of Dermatology, University of California, Irvine.
BACKGROUND: Store-and-forward teledermatology is an emerging means of access for patients with skin disease lacking direct access to dermatologists. OBJECTIVES: We sought to examine the patient demographics, diagnostic concordance, and treatment patterns in teledermatology for patients younger than 13 years. METHODS: We conducted a descriptive retrospective cohort study involving 429 patients. RESULTS: Diagnoses were concordant in 48% of cases, partially concordant in 10%, and discordant in 42%. Management recommendations were concordant in 28% of cases, partially concordant in 36%, and discordant in 36%. Primary care providers tended to underuse topical steroids and overuse topical antifungals and systemic antibiotics. Only 1.4% and 6.0% of patients required repeated teledermatology consultation and in-person dermatology consultation, respectively. LIMITATIONS: Limitations were the inability to generalize the data from the population studied and the chances of error and bias in teledermatology diagnoses. CONCLUSIONS: Store-and-forward teledermatology can improve diagnostic and therapeutic care for skin disease in children who lack direct access to dermatologists.
 
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