Usefulness of teledermatology in monitoring the efficacy and safety of a topical treatment for actinic keratosis

Published:January 13, 2021DOI:https://doi.org/10.1016/j.jid.2020.12.020
      We recently reported that teledermatology (TD) is valid and reliable in the diagnosis of actinic keratosis (AK) and field cancerization (Sola-Ortigosa et al.,2020). Although AK is mostly treated by dermatologists, primary care physicians (PCP) participate in the management and follow-up (Lowel et al., 2001;
      • de Berker D.
      • McGregor J.M.
      • Mohd Mustapa M.F.
      • Exton L.S.
      • Hughes B.R.
      British association of dermatologists’ guidelines for the care of patients with actinic keratosis 2017.
      ). Topical AK treatments usually produce local skin reactions (LSR) that lead to unscheduled dermatological consultations and treatment withdrawal. We hypothesized that TD could be used for monitoring topical AK therapy in the primary care setting thus reducing treatment-related referrals. The objectives of this study were to test TD as a tool for AK count, analyze the validity and reliability of TD in the clinical response to an AK topical treatment (ingenol mebutate [IMB]), and study by TD the LSR pattern of IMB in a real-life scenario of a gatekeeper healthcare system.

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