BACKGROUND: The role of teledermatology in the diagnosis of pediatric skin conditions has not been studied exclusively. OBJECTIVE: To determine the ability of a pediatric dermatologist to correctly diagnose rashes by history and digital images. METHODS: Consecutive, new referrals to the pediatric dermatology clinic with a rash were enrolled in the study. A history, demographic data, and digital photographs were obtained from each patient. The data were reviewed by a pediatric dermatologist who made a preliminary diagnosis. The child was then seen in person and a final diagnosis was made. Concordance and kappa values were calculated. Cases of diagnostic disagreement were analyzed for their effect on management. RESULTS: One hundred thirty-five patients were enrolled. Diagnostic concordance was 82% (95% confidence interval [CI], 73%-88%), and the kappa value was 0.80. Clinically relevant disagreement occurred in 12% of cases. LIMITATIONS: The study was performed at a single site, theoretically limiting generalizability. CONCLUSION: Teledermatology appears to have a useful role in the care of children with rashes.
BACKGROUND: The role of teledermatology in the diagnosis of pediatric skin conditions has not been studied exclusively. OBJECTIVE: To determine the ability of a pediatric dermatologist to correctly diagnose rashes by history and digital images. METHODS: Consecutive, new referrals to the pediatric dermatology clinic with a rash were enrolled in the study. A history, demographic data, and digital photographs were obtained from each patient. The data were reviewed by a pediatric dermatologist who made a preliminary diagnosis. The child was then seen in person and a final diagnosis was made. Concordance and kappa values were calculated. Cases of diagnostic disagreement were analyzed for their effect on management. RESULTS: One hundred thirty-five patients were enrolled. Diagnostic concordance was 82% (95% confidence interval [CI], 73%-88%), and the kappa value was 0.80. Clinically relevant disagreement occurred in 12% of cases. LIMITATIONS: The study was performed at a single site, theoretically limiting generalizability. CONCLUSION: Teledermatology appears to have a useful role in the care of children with rashes.
Authors: Daniel M O'Connor; Olivia S Jew; Marissa J Perman; Leslie A Castelo-Soccio; Flaura K Winston; Patrick J McMahon Journal: JAMA Dermatol Date: 2017-12-01 Impact factor: 10.282
Authors: Rashid L Bashshur; Gary W Shannon; Trilokraj Tejasvi; Joseph C Kvedar; Michael Gates Journal: Telemed J E Health Date: 2015-09-22 Impact factor: 3.536
Authors: Anne Marchetti; Stephane Dalle; Delphine Maucort-Boulch; Mona Amini-Adl; Sébastien Debarbieux; Nicolas Poulalhon; Marie Perier-Muzet; Alice Phan; Luc Thomas Journal: Dermatol Pract Concept Date: 2020-06-29
Authors: Naomi Chuchu; Jacqueline Dinnes; Yemisi Takwoingi; Rubeta N Matin; Susan E Bayliss; Clare Davenport; Jacqueline F Moreau; Oliver Bassett; Kathie Godfrey; Colette O'Sullivan; Fiona M Walter; Richard Motley; Jonathan J Deeks; Hywel C Williams Journal: Cochrane Database Syst Rev Date: 2018-12-04
Authors: Jacqueline L Bender; Laura A O'Grady; Amol Deshpande; Andrea A Cortinois; Luis Saffie; Don Husereau; Alejandro R Jadad Journal: Open Med Date: 2011-12-20