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远程皮肤病学在皮肤恶性肿瘤分诊和诊断中的临床实用性:病例系列。

The Clinical Utility of Teledermatology in Triaging and Diagnosing Skin Malignancies: Case Series.

机构信息

Department of Dermatology, University of Wisconsin, Madison. Drs. Korger, Xu, and Rosin also are from William S. Middleton Memorial Veterans Hospital, Madison.

出版信息

Cutis. 2024 May;113(5):211-213. doi: 10.12788/cutis.1000.

Abstract

With the increasing utilization of telemedicine since the COVID-19 pandemic, it is critical that clinicians have an appropriate understanding of the application of virtual care resources, including teledermatology. We present a case series of 3 patients to demonstrate the clinical utility of teledermatology in reducing the time to diagnosis of various rare and/or aggressive cutaneous malignancies, including Merkel cell carcinoma, malignant melanoma, and atypical fibroxanthoma. Cases were obtained from one large Midwestern medical center during the month of July 2021. Each case presented includes a description of the initial teledermatology presentation and reviews the clinical timeline from initial consultation submission to in-person clinic visit with lesion biopsy. This case series demonstrates real-world examples of how teledermatology can be utilized to expedite the care of specific vulnerable patient populations.

摘要

随着 COVID-19 大流行以来远程医疗的应用日益增多,临床医生必须正确理解虚拟护理资源的应用,包括远程皮肤病学。我们报告了 3 例患者的病例系列,以展示远程皮肤病学在缩短各种罕见和/或侵袭性皮肤恶性肿瘤(包括 Merkel 细胞癌、恶性黑色素瘤和非典型纤维黄色瘤)诊断时间方面的临床应用。这些病例是在 2021 年 7 月从一家中西部大型医疗中心获得的。每个病例都包括对初始远程皮肤病学表现的描述,并回顾了从初始咨询提交到进行病变活检的门诊就诊的临床时间线。该病例系列展示了远程皮肤病学如何用于加速特定弱势群体患者护理的实际示例。

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