Pediatric teledermatology: observations based on 429 consults
Abstract
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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Few studies of teledermatology experiences focused on children's skin conditions have been reported to date.
“few studies of teledermatology experiences focused on children's skin conditions have been reported to date [12,20,36].”
From Lessons learned after a three-year store and forward teledermatology experience using internet: Strengths and limitations (2012) · cites this paper as [20]
The agreement rate between GPs and dermatologists was medium (43%), similar to [20] where 48% of total concordance was reported for paediatricians and dermatologists.
“The agreement rate between GPs and dermatologists was medium (43%), similar to [20] where 48% of total concordance was reported for paediatricians and dermatologists.”
From Lessons learned after a three-year store and forward teledermatology experience using internet: Strengths and limitations (2012) · cites this paper as [20]
Pre-COVID-19, diagnoses during pediatric teledermatology consults were similar to in-person visits, including inflammatory dermatoses, infective issues, tumors, wound care, pigmentary conditions, and alopecia.
“Pre–COVID-19, diagnoses during pediatric teledermatology consults were similar to in-person visits, including inflammatory dermatoses such as atopic dermatitis; pityriasis alba; acne; xerosis; infective issues such as molluscum contagiosum; verruca vulgaris; benign and malignant tumors including melanocytic nevi, infantile hemangiomas (IH), and other skin tumors; wound care; pigmentary conditions”
From A Glance at the Practice of Pediatric Teledermatology Pre- and Post–COVID-19: Narrative Review (2022) · cites this paper as [10]
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Hussain, A. N., & Khachemoune, A. (2023) · Updates in clinical dermatology · doi:10.1007/978-3-031-27276-9_13
Valeska, L., Sophie, A., Streit, M., Gantenbein, L., Müller, S., Greis, C., Navarini, A. A., & Maul, J. (2023) · doi:10.26226/m.649c5e4156241620f7b6a612
Parandeh, R., Shajirat, Z., Pazyar, N., & Azizi, A. (2024) · Comprehensive Health and Biomedical Studies · doi:10.5812/chbs-149451
Mashoudy, K. D., Perez, S. M., & Nouri, K. (2024) · Springer eBooks · doi:10.1007/978-3-031-69091-4_5 · Cited by 1 · see citing works
McDowell, M., Stulac, S. N., & Lee, M. S. (2024) · doi:10.2196/preprints.67728
Socioeconomic Evaluation of Pediatric Teledermatology in a Tertiary Hospital
Palazón‐Cabanes, J. C., Juan‐Carpena, G., Cabanes, B. P., de Gracia, L. B., Martínez-Miravete, M. T., & Betlloch, I. (2026) · Telemedicine Journal and e-Health · doi:10.1177/15305627261432980
Telemedicine and Access to Pediatric Dermatology Care
Everdell, E. M., Barry, K. K., & Hawryluk, E. B. (2026) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2026.03.008
Parvar, S. Y., Khosravi, F., Roozbehi, K., Amirian, A., Aghazadeh, N., & Maïbach, H. I. (2026) · Dermatologic Therapy · doi:10.1155/dth/5170301
- Authors
- Chen, T. S., Goldyne, M. E., Mathes, E. F. D., Frieden, I. J., & Gilliam, A. E.
- Affiliations
- University of California, Irvine (US)
- University of California, San Francisco (US)
- Corresponding author
- Gilliam, Amy E.
- ORCID
- Frieden, Ilona J.
- Venue
- Journal of the American Academy of Dermatology
- Publisher
- Elsevier BV
- Published
- 2010-01
- Volume
- 62
- Issue
- 1
- Pages
- 61-66
- ISSN
- 0190-9622 (ISSN-L)
- OpenAlex
- W2008974173
- Cited by
- 77
- References
- 26
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 5 · 2023: 12 · 2022: 2 · 2021: 3 · 2020: 7 · 2019: 7 · 2018: 2 · 2017: 6 · 2016: 3 · 2015: 9 · 2013: 4 · 2012: 2
- FWCI
- 3.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Healthcare Systems and Technology
- Keywords
- store-and-forward telemedicine, children's skin diseases, diagnostic agreement, treatment patterns, topical corticosteroids, topical antifungal agents, systemic antibiotics, primary care providers, access to dermatologic care
- MeSH terms
- Child, Child, Preschool, Female, Health Services Accessibility, Humans, Infant, Infant, Newborn, Male, Pediatrics, Practice Patterns, Physicians', Primary Health Care, Retrospective Studies, Skin Diseases, Remote Consultation
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