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J Am Acad Dermatol. 2000 May;42(5 Pt 1):770-5.

Teledermatoscopy in Switzerland: a preliminary evaluation.

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1
Pigmented Skin Lesion Unit, Department of Dermatology, University Hospital Geneva and DHURDV Geneva/Lausanne, Switzerland.

Abstract

BACKGROUND:

Since devices for digital epiluminescence microscopy and for telemedicine have become affordable, a critical evaluation of this new method has been needed.

OBJECTIVE:

Our aim was a critical evaluation of teledermatoscopy under routine conditions in private practice.

METHODS:

Pigmented skin lesions (PSLs) scheduled for excision were documented with a digital epiluminescence microscopy (DELM) system. Images were sent to the PSL consultation at the Department of Dermatology of the University Hospital Geneva, where a diagnosis was established. The histopathologic report including the initial diagnosis was sent afterward. Both approaches were compared concerning diagnostic accuracy.

RESULTS:

Over a period of 6 months, 55 lesions on 51 patients have been included in this study. Picture quality was good or very good in more than 90%. Diagnostic accuracy of the teledermatoscopy approach was superior to that of the conventional approach for malignant melanocytic lesions.

CONCLUSION:

We have shown the feasibility of a teledermatoscopic consultation. The gain of diagnostic accuracy in this teledermatoscopic approach, especially for malignant melanocytic lesions, suggests that patients might benefit directly from such a consultation at distance.

PMID:
10775852
[Indexed for MEDLINE]
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