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JMIR dermatology · 2026

Assessment of Quality and Utility of Patient-Taken Smartphone Photographs of Atopic Dermatitis: Clinical Survey Study.

СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ali Zarqa, Thomsen Kenneth, Vestergaard Christian, Thomsen Simon Francis

Аннотация

BACKGROUND: Atopic dermatitis (AD) has a relapsing and remitting nature, and scheduled clinic visits only provide a snapshot of the skin condition at the moment.

OBJECTIVE: This study aimed to investigate the quality of patient-taken smartphone photographs of AD skin lesions and characterize patients using smartphone photographs as a tool to assist the physician to show disease activity in between consultations.

METHODS: Patients from 2 university outpatient clinics specialized in AD were surveyed. A questionnaire regarding digital readiness was completed, and a previously taken skin lesion photograph on the patients' own smartphone was evaluated.

RESULTS: Between February 2024 and September 2024, a total of 100 questionnaires were completed, 60 (60%) by participants from the capital region of Denmark and 40 (40%) by participants from an urban area, including 62 (62%) men and 38 (38%) women. The mean age of the recruited patients was 33.9 (SD 19.9) years. A total of 78% (78/100) of the patients used a desktop computer, laptop, or tablet often or always, and 86% (86/100) corresponded with the health care system using technology (eg, via email to the general practitioner or contact with hospitals via apps). More than 50% (52/100, 52%) strongly agreed or agreed with the statement that they would prefer a remote online visit with, for example, upload of skin lesion photographs over a routine in-person office visit. Almost 3 out of 4 patients had a photograph of their AD skin lesion on their smartphone, most (38/71, 54%) with the sole intention of presenting it to a physician. The photographs were of good quality in 85% (60/71) of the cases, and most (61/71, 86%) of the smartphone photographs were assessed to be useful for diagnostic and clinical evaluation. Receiving topical monotherapy was significantly associated with increased risk of having taken a skin lesion smartphone photograph (P=.006).

CONCLUSIONS: Patients with AD followed up on in an outpatient clinic often took good-quality photographs of their skin lesions before consultations with the intention of presenting them to the physician.

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