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Journal of the American Academy of Dermatology
Volume 42, n° 5P1
pages 770-775 (mai 2000)
Doi : 10.1067/mjd.2000.103977
accepted : 25 October 1999
Teledermatoscopy in Switzerland: A preliminary evaluation

Ralph Peter Braun, MD a, M.-L. Meier, MD b, F. Pelloni, MD b, A.A. Ramelet, MD b, M. Schilling, MD b, B. Tapernoux, MD b, W. Thürlimann, MD b, Jean-Hilaire Saurat, MD a, Joachim Krischer, MD a
a Pigmented Skin Lesion Unit, Department of Dermatology, University Hospital Geneva and DHURDV Geneva/Lausanne Geneva, Switzerland 
b in private practice. Geneva, Switzerland 


Background: Since devices for digital epiluminescence microscopy and for telemedicine have become affordable, a critical evaluation of this new method has been needed. Objective: Our aim was a critical evaluation of teledermatoscopy under routine conditions in private practice. Methods: Pigmented skin lesions (PSLs) scheduled for excision were documented with a digital epiluminescence microscopy (DELM) system. Images were sent to the PSL consultation at the Department of Dermatology of the University Hospital Geneva, where a diagnosis was established. The histopathologic report including the initial diagnosis was sent afterward. Both approaches were compared concerning diagnostic accuracy. Results: Over a period of 6 months, 55 lesions on 51 patients have been included in this study. Picture quality was good or very good in more than 90%. Diagnostic accuracy of the teledermatoscopy approach was superior to that of the conventional approach for malignant melanocytic lesions. Conclusion: We have shown the feasibility of a teledermatoscopic consultation. The gain of diagnostic accuracy in this teledermatoscopic approach, especially for malignant melanocytic lesions, suggests that patients might benefit directly from such a consultation at distance. (J Am Acad Dermatol 2000;42:770-5.)

The full text of this article is available in PDF format.

 Reprint requests: R. P. Braun, Department of Dermatology, University Hospital Geneva, 24, rue Micheli-du-Crest, CH-1211 Geneva 14, Switzerland.

© 2000  American Academy of Dermatology, Inc. Published by Elsevier Masson SAS@@#104157@@