Store-and-forward teledermatology versus in-person visits: A comparison in pediatric teledermatology clinic

    loading  Checking for direct PDF access through Ovid

Abstract

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.

Related Topics

    loading  Loading Related Articles