PDF(Pubmed)
Abstract：
Background: Teledermatology is the application of information and telecommunication technologies in the field of dermatology to provide remote care services based on the exchange of clinical information within a network of professionals or between professionals and patients. Tele-trichoscopy is a non-invasive, inexpensive, and easy-to-use method that applies the principle of surface microscopy at different magnifications. Alopecia areata is a non-scarring alopecia with a chronic evolution, which often needs a close follow-up. Objectives: The aim of our work was to analyze the possible benefits of telemedicine for the follow-up of patients with alopecia areata. Materials and Methods: We enrolled patients with alopecia areata, identified during the first trichological evaluation, and we divided the patients into two groups. One group was provided with the devices necessary for a telemedicine follow-up. The other group had a conventional follow-up. The total follow-up time was one year. All of the patients\' photos were blindly evaluated by a team of expert dermatologists who were asked to indicate the quality of the images. The photos were also evaluated to identify disease markers. During the follow-up period, questionnaires were administered to both groups of patients to assess the quality of the visit, the level of patient satisfaction, and to identify any issues encountered by the patients. Results: There was a high degree of concordance between the images obtained by outpatient trichoscopy and those obtained by telemedicine. The satisfaction levels were the same between the patients followed via telemedicine and those seen in the outpatient clinic. Conclusions: Telemedicine applied to trichology using trichoscopy was proven to be a valid system for managing the follow-up of patients suffering from chronic recurrent scalp diseases and, above all, for maintaining continuity of care.
摘要：
背景：远程皮肤病学是信息和电信技术在皮肤病学领域的应用，以基于专业人员网络内或专业人员与患者之间的临床信息交换提供远程护理服务。远距镜检查是非侵入性的,便宜,和易于使用的方法，应用表面显微镜的原理在不同的放大倍数。斑秃是一种慢性演变的非瘢痕性脱发，这通常需要密切跟进。目标：我们的工作目的是分析远程医疗对斑秃患者随访的可能益处。材料和方法：我们招募了斑秃患者，在第一次毛发学评估中确定，我们把病人分成两组。向一组提供了远程医疗后续行动所需的设备。另一组进行了常规随访。总随访时间为一年。所有患者的照片都是由一组专家皮肤科医生盲目评估的，他们被要求指出图像的质量。还对照片进行了评估以鉴定疾病标志物。在后续期间,对两组患者进行问卷调查，以评估访视质量，患者满意度，并确定患者遇到的任何问题。结果：通过门诊内窥镜检查获得的图像与通过远程医疗获得的图像之间具有高度的一致性。通过远程医疗随访的患者与门诊就诊的患者的满意度水平相同。结论：远程医疗应用于毛眼镜检查已被证明是管理慢性复发性头皮疾病患者随访的有效系统，最重要的是,保持护理的连续性。
