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1.
J Cutan Med Surg ; 26(4): 393-397, 2022.
Article in English | MEDLINE | ID: covidwho-1731469

ABSTRACT

Accelerated by the COVID-19 pandemic, telemedicine has changed the landscape of dermatology practice. This manuscript aims to review the role of telemedicine in acne management and provide management recommendations. A literature search of the PubMed and Scopus databases was conducted using keywords "acne," "telemedicine," "teledermatology," "telehealth," "virtual," and "video." Eight articles directly related to telemedicine and acne management were included in the study. In-person vs. telemedicine management of acne patients had high diagnostic concordance and similar efficacy and remission rates. Survey-based studies of acne patients reported high interest and satisfaction and no safety concerns with acne management via telemedicine. Telemedicine was reported as an effective triage tool. Prescription patterns for acne medications during telemedicine vs. in-person visits varied. It is likely that dermatologists will continue to treat acne and other common skin conditions via teledermatology. Therefore, it is important for dermatologists to gain comfort in utilizing virtual visits to diagnose and manage acne patients. Further studies are needed to establish a standardized structural framework for telemedicine visits to optimize patient care and outcomes for acne patients.


Subject(s)
Acne Vulgaris , COVID-19 , Dermatology , Telemedicine , Acne Vulgaris/therapy , Humans , Pandemics
3.
J Drugs Dermatol ; 20(4): 432-435, 2021 Apr 01.
Article in English | MEDLINE | ID: covidwho-1184133

ABSTRACT

Telemedicine, defined as practicing medicine at a distance, has grown in popularity over the past ten years, as advances in consumer technology have permitted its expansion. Dermatology is a field that especially lends itself to this method of care, as many common dermatological diagnoses can be made upon visual inspection. With social distancing becoming the new standard in this age of COVID-19, telemedicine emerges as a key tool in continuing patient care without interruption. In this pilot study, we examine the reliability of acne vulgaris diagnostic assessments made via patient-taken photos compared to in-office assessments in patients between the ages of 16 and 23 with mild to moderate acne. Fourteen patient encounters were clinically examined for three outcomes: inflammatory lesions, noninflammatory acne lesions, and facial nodules. On the same day patient outcomes were counted and recorded in-person, patients were instructed to photograph their faces. These images were reviewed 8–12 weeks later by investigators for the same assessment. Initial findings suggest strong concordance between in-person and digital diagnosis, with a Spearman’s correlation coefficient of 0.96 across all lesion and nodule scores. These data support further research on the expansion and implementation of telemedicine for dermatology. J Drugs Dermatol. 20(4):432-435. doi:10.36849/JDD.5688.


Subject(s)
Acne Vulgaris/diagnosis , Acne Vulgaris/therapy , Dermatology/methods , Telemedicine/methods , Adolescent , COVID-19 , Face , Female , Humans , Male , Pandemics , Physical Distancing , Pilot Projects , Smartphone , Treatment Outcome , Young Adult
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