Lalama Maria J, Nguyen Betty, Peterson Erik L, Tosti Antonella
Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
University of California Riverside School of Medicine, Riverside, California, USA.
Skin Appendage Disord. 2023 Mar;9(2):137-140. doi: 10.1159/000527651. Epub 2022 Dec 1.
Teledermatology has been shown to improve efficiency and reduce barriers to care for patients. However, teledermatology is limited by the inability to perform diagnostic tests. With proper planning, teletrichoscopy can be utilized with teledermatology to evaluate patients with hair loss.
Diagnosis of this patient was made using images taken during the televisit, including scalp images taken by the patient using a handheld microscope and images of the hair roots taken by her referring doctor.
Hair tests that can be conducted during teledermatology visits include a self-performed pull test, measurement of the thickness of the ponytail, measurement of the distance from the hairline to the glabella, and evaluation of the shedding scale. These tests, in addition to mobile applications for imaging or low-cost handheld microscopes, can be utilized to virtually evaluate patients with hair loss.
远程皮肤病学已被证明可提高效率并减少患者的就医障碍。然而，远程皮肤病学受到无法进行诊断测试的限制。通过适当规划，远程毛发镜检查可与远程皮肤病学结合使用，以评估脱发患者。
该患者的诊断是通过远程就诊期间拍摄的图像做出的，包括患者使用手持显微镜拍摄的头皮图像以及她的转诊医生拍摄的发根图像。
在远程皮肤病学就诊期间可进行的毛发测试包括自我进行的拔发试验、马尾辫厚度测量、从发际线到眉间距离的测量以及脱落鳞屑评估。除了用于成像的移动应用程序或低成本手持显微镜外，这些测试可用于对脱发患者进行虚拟评估。
