JAMA Pediatr 2016 Dec;170(12):1202-1208

Institute of Primary Care and Public Health, Cardiff University School of Medicine, Neuadd Meirionnydd, Cardiff, Wales7Johns Hopkins Center for Clinical Global Health Education, Johns Hopkins University Baltimore-Washington-India Clinical Trials, B. J. Medical College, Pune, India.

Importance: Sleep is vital to children's biopsychosocial development. Inadequate sleep quantity and quality is a public health concern with an array of detrimental health outcomes. Portable mobile and media devices have become a ubiquitous part of children's lives and may affect their sleep duration and quality. Read More

J Am Acad Dermatol 2016 Nov;75(5):1063-1064.e1

Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia. Electronic address:

Emerg Med J 2017 Feb 5;34(2):95-99. Epub 2016 Oct 5.

Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.

Background: Mobile health has promising potential in improving healthcare delivery by facilitating access to expert advice. Enabling experts to review images on their smartphone or tablet may save valuable time. This study aims at assessing whether images viewed by medical specialists on handheld devices such as smartphones and tablets are perceived to be of comparable quality as when viewed on a computer screen. Read More

J Am Acad Dermatol 2016 Nov 7;75(5):887-888. Epub 2016 Sep 7.

Dermatology, Stanford University School of Medicine, Stanford, California; Stanford University School of Medicine, Stanford, California. Electronic address:

Direct-to-consumer teledermatology is radically changing the way some patients obtain dermatologic care. Many direct-to-consumer teledermatology services offer care to patients younger than 18 years, but policies and standards are nonuniform. For pediatric patients, direct-to-consumer teledermatology is a substantial departure from in-person care. Read More

J Am Acad Dermatol 2016 Jul;75(1):e27-8

Section of Dermatology, Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy.

J Am Acad Dermatol 2016 Jun;74(6):e123-5

Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, New York. Electronic address:

Dermatol Surg 2016 Jun;42(6):793-5

Tulane University School of Medicine, New Orleans, Louisiana Department of Dermatology, State University at Buffalo School of Medicine, Buffalo, New York Department of Dermatology, State University of New York, Buffalo, New York.

J Wound Care 2016 Apr;25(4):177-80, 182

Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Objective: To verify the reliability and validity of FLIR ONE, a device connected to a smartphone, for the assessment of inflammation based on relative temperature increase compared with the thermography routinely used in pressure ulcer (PU) and diabetic foot assessment.

Method: Participants in this pilot cross-sectional observational study were recruited from the patients in the PU team rounds and the diabetic foot outpatient clinic at the university hospital in January 2015. Cohen's kappa coefficient with its 95% confidence intervals was used to evaluate the criterion-related validity and inter- and intra-rater reliability for the thermal imaging assessment. Read More

Med J Aust 2016 Mar;204(5):198-200e1

University of Queensland, Brisbane, QLD.

Capturing clinical images is becoming more prevalent in everyday clinical practice, and dermatology lends itself to the use of clinical photographs and teledermatology. "Store-and-forward", whereby clinical images are forwarded to a specialist who later responds with an opinion on diagnosis and management is a popular form of teledermatology. Store-and-forward teledermatology has proven accurate and reliable, accelerating the process of diagnosis and treatment and improving patient outcomes. Read More

J Am Acad Dermatol 2016 Apr;74(4):e63-4

Skineplex, Burdwan, West Bengal, India.

JAMA Intern Med 2016 May;176(5):619-25

Department of Dermatology, University of California-San Francisco, San Francisco.

Importance: Conversational agents are smartphone-based computer programs designed to respond to users in natural language, thereby mimicking conversations between people. Many people use their smartphones to obtain health information.

Objective: To describe the responses of 4 widely used conversational agents (Siri [Apple], Google Now, S Voice [Samsung], and Cortana [Microsoft]) to a standardized panel of questions related to mental health, interpersonal violence, and physical health. Read More

Orv Hetil 2016 Mar;157(10):363-9

Orvosi Fizikai és Orvosi Informatikai Intézet, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged.

Technological advances in the fields of information and telecommunication technologies have affected the health care system in the last decades, and lead to the emergence of a new discipline: telemedicine. The appearance and rise of internet and smart phones induced a rapid progression in telemedicine. Several new applications and mobile devices are published every hour even for medical purposes. Read More

Dermatol Surg 2016 Mar;42(3):305-9

*Department of Dermatology, Emory University, Atlanta, Georgia; †Dermatologists of Southwest Ohio, Cincinnati, Ohio; ‡Department of Dermatology, University of Connecticut, Farmington, Connecticut.

Background: Digital photography is pervasive in dermatology. Potential uses include monitoring untreated disease, disease progression and treatment response, evaluating medical and cosmetic treatment, determining surgical sites, educating trainees and colleagues, and publishing reports in scientific journals. However, the nature of use, storage, and informed consent practices for digital photography among dermatologic surgeons has not been investigated. Read More

Dermatol Surg 2016 Feb;42(2):249-50

*Division of Dermatology, Department of Internal Medicine, Washington University, St. Louis, Missouri; †Department of Dermatology, Henry Ford Hospital, Detroit, Michigan.

Background: The use of video can enhance the learning experience by demonstrating procedural techniques that are difficult to relay in writing. Several peer-reviewed journals allow publication of videos alongside articles to complement the written text.

Objective: The purpose of this article is to instruct the dermatologic surgeon on how to create and edit a video using a smartphone, to accompany a article. Read More

Arch Pathol Lab Med 2016 Jan;140(1):86-90

From the Departments of Dermatology and Pathology, University of Texas Houston Health Science Center, Houston (Drs Jahan-Tigh and Rapini);

Context: The incorporation of high-resolution cameras into smartphones has allowed for a variety of medical applications including the use of lens attachments that provide telescopic, macroscopic, and dermatoscopic data, but the feasibility and performance characteristics of such a platform for use in dermatopathology have not been described.

Objective: To determine the diagnostic performance of a smartphone microscope compared to traditional light microscopy in dermatopathology specimens.

Design: A simple smartphone microscope constructed with a 3-mm ball lens was used to prospectively evaluate 1021 consecutive dermatopathology cases in a blinded fashion. Read More

J Cutan Pathol 2016 May 17;43(5):472-4. Epub 2015 Dec 17.

University of Arkansas for Medical Sciences, Department of Pathology and Dermatology, 4301 West Markham, #517, Little Rock, AR, 72205, USA.

S D Med 2015 Oct;68(10):449-53, 455

Timely access to specialty care by dermatologists is a significant problem in South Dakota. This is especially germane to patients in rural areas, the elderly, and those with socioeconomic barriers. Implementation of a modality utilizing smartphone technology called mobile teledermatology (MTD) should improve access to dermatologic care. Read More

W V Med J 2015 Sep-Oct;111(5):22-8

Primary care physicians occupy a vital position to impact many devastating conditions, especially those dependent upon early diagnosis, such as skin cancer. Skin cancer is the most common cancer in the United States and despite improvements in skin cancer therapy, patients with a delay in diagnosis and advanced disease continue to have a grave prognosis. Due to a variety of barriers, advanced stages of skin cancer are more prominent in rural populations. Read More

Health Care Manag (Frederick) 2015 Oct-Dec;34(4):297-307

Author Affiliations: Healthcare Administration Program, College of Business, Marshall University Graduate College, South Charleston, West Virginia.

Mobile technology has begun to change the landscape of the medical profession, with more than two-thirds of physicians regularly using smartphones. Smartphones have allowed health care professionals and the general public to communicate more efficiently, collect data, and facilitate clinical decision making. The methodology for this study was a qualitative literature review following a systematic approach of smartphone use among physicians in hospitals. Read More

JAMA Dermatol 2016 Jan;152(1):95-7

Infectious and Dermatology Unit, Centre Hospitalier Intercommunal (CHI) Fréjus Saint Raphaël, Fréjus, France.

Int J Dermatol 2016 Jun 4;55(6):645-52. Epub 2015 Sep 4.

Department of Dermatology, Kyung Hee University School of Medicine, Seoul, South Korea.

Background: Although acne scar is a permanent sequela that may be induced by improper management of active acne lesion, patient behavior patterns and awareness regarding acne are unclear. The aim of this study was to identify awareness and behavioral patterns concerning acne and acne scar of people having acne and differences between those with and without acne scars.

Methods: The survey was performed via smartphone application for 900 participants in their second to fourth decade having current or previous acne lesions. Read More

J Am Acad Dermatol 2015 Sep;73(3):526-8

Department of Dermatology, University of New Mexico, Albuquerque, New Mexico.

J Cutan Pathol 2016 Jan 17;43(1):82-4. Epub 2015 Aug 17.

Ackerman Academy of Dermatopathology, New York, NY, USA.

Br J Dermatol 2015 Jun;172(6):1474-5

Dermatology Research Centre University of Queensland, School of Medicine Level 5, Translational Research Institute, 37 Kent Street, Wooloongabba, QLD, 4102, Australia.

J Am Acad Dermatol 2015 May;72(5):e119

Dermatology Center, University of Manchester, Manchester Academic Health Science Center, Salford Royal National Health Service Foundation Trust, Manchester, United Kingdom. Electronic address:

Telemed J E Health 2015 Feb 13;21(2):132-7. Epub 2015 Jan 13.

1 Co-Editor in Chief, Journal of Mobile Technology in Medicine , Melbourne, Victoria, Australia .

Objective: The increasing capabilities of camera-equipped mobile phones have led to a growing body of evidence regarding their use in medical imaging across a broad range of medical specialties. This article reviews the current evidence for the use of mobile health (m-health) in medical imaging.

Materials And Methods: We performed a structured review of the published literature regarding m-health in medical imaging using the Medline, PubMed, and Web of Science databases (January 2002-August 2013). Read More

Int J Dermatol 2015 Jun 29;54(6):685-92. Epub 2014 Dec 29.

Division of Dermatology, Albert Einstein College of Medicine, Bronx, NY, USA.

Background: The expansion of mobile technology and coverage has unveiled new means for delivering medical care to isolated and resource-poor communities. Teledermatology, or dermatology consultation from a distance using technology, is gaining greater acceptance among physicians and patients.

Objectives: To evaluate feasibility and cost of a smartphone-based teledermatology consult service utilizing a designated medical student proxy to facilitate all consults on site, and to evaluate the service's effect upon diagnosis and management. Read More

J Fam Pract 2014 Sep;63(9):537-9

St. Joseph Mercy Hospital, Department of Dermatology, Ypsilanti, MI, USA. Email:

J Eur Acad Dermatol Venereol 2015 Apr 4;29(4):663-7. Epub 2014 Aug 4.

Department of Dermatology and Allergology, University Hospital of Munich, Munich, Germany.

Background: Lately, various smartphone applications have been introduced as diagnostic self-monitoring tools in the evaluation of pigmented moles, but most of these techniques have not been evaluated systematically.

Objectives: The purpose of this study was to evaluate prospectively the sensitivity and specificity of a recently developed smartphone application using fractal image analysis for the risk evaluation algorithm in the diagnosis of malignant melanoma compared to clinical diagnosis and histopathological result.

Methods: Consecutive patients with melanocytic lesions were recruited and clinical and dermoscopical diagnosis was documented by two dermatologists independently. Read More

JAMA Dermatol 2013 Nov;149(11):1305

Department of Dermatology, Northwestern University-Feinberg School of Medicine, Chicago, and The Dermatology Institute-Naperville, DuPage Medical Group, Naperville, Illinois.

JAMA Dermatol 2013 Nov;149(11):1300-4

College of Medicine, University of Arizona, Phoenix.

Importance: With advancements in mobile technology, cellular phone-based mobile applications (apps) may be used in the practice and delivery of dermatologic care.

Objective: To identify and categorize the variety of current mobile apps available in dermatology for patients and providers.

Design, Setting, And Participants: Dermatology-related search terms were queried in the online app stores of the most commonly used mobile platforms developed by Apple, Android, Blackberry, Nokia, and Windows. Read More

Skin Res Technol 2014 May 2;20(2):254-5. Epub 2013 Jul 2.

Department of Dermatology, The Warren Alpert Medical School of Brown University, Providence, RI, USA.

Klin Monbl Augenheilkd 2013 Jun 14;230(6):604-10. Epub 2013 May 14.

Augenklinik, Pallas Klinik, Olten, Switzerland.

Background: Many clinical investigations cannot be carried out at the examination unit or a slit lamp. Here we present three new options to obtain digital pictures in a routine clinic at a slit lamp and evaluate how user friendly they are.

Methods: A) First, a digital photo documentation is examined at a conventional slit lamp by a modified binocular ray splitter. Read More

Cutis 2012 Dec;90(6):278-81

JAMA Dermatol 2013 Apr;149(4):422-6

University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA.

Objective: To measure the performance of smartphone applications that evaluate photographs of skin lesions and provide the user with feedback about the likelihood of malignancy.

Design: Case-control diagnostic accuracy study.

Setting: Academic dermatology department. Read More

Stud Health Technol Inform 2012 ;177:242-7

Fraunhofer Portugal AICOS.

One of the greatest challenges in dermatology today is the early detection of melanoma since the success rates of curing this type of cancer are very high if detected during the early stages of its development. The main objective of the work presented in this paper is to create a prototype of a patient-oriented system for skin lesion analysis using a smartphone. This work aims at implementing a self-monitoring system that collects, processes, and stores information of skin lesions through the automatic extraction of specific visual features. Read More

Actas Dermosifiliogr 2012 Mar 28;103(2):111-9. Epub 2012 Jan 28.

Hospital Son Llàtzer, Servicio de Dermatología, Palma de Mallorca, España.

Traditionally, psoriasis was considered to be a purely cutaneous disease affecting otherwise healthy patients (except for joint involvement). Recent studies have, however, shown a relationship between psoriasis and cardiovascular disease, with increased mortality in patients who have severe forms of psoriasis. Dermatologists are thus in a position to play an important role in identifying patients at greater risk of cardiovascular disease and detecting potential risk factors that are, for the most part, manageable and avoidable. Read More

Br J Dermatol 2012 Jul 4;167(1):220-1. Epub 2012 Apr 4.

Int J Med Inform 2012 May 9;81(5):303-13. Epub 2012 Jan 9.

Institute of Medical Informatics, University Münster, Albert-Schweitzer-Campus 1/A11, 48149 Münster, Germany.

Objectives: The objective of this evaluation study is to assess a web-based application, currently available on iPad, to document questionnaires regarding patient reported outcomes such as quality of life. Based on the single source approach, the results of these questionnaires are available in the electronic health record to be used for treatment and research purposes. The assessment focuses on the usability and efficiency of the system. Read More

J Am Acad Dermatol 2012 Jan 24;66(1):46-50. Epub 2011 Jun 24.

Department of Dermatology, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel.

Background: Human herpesvirus (HHV) 8, an essential etiologic agent of Kaposi sarcoma, is also associated with several lymphoproliferative disorders. The involvement of HHV 8 in mycosis fungoides (MF) and large plaque parapsoriasis (LPP) is controversial, with contradictory reports from various countries worldwide.

Objective: We sought to investigate the presence of the HHV 8 genome in skin lesions of LPP and early-stage sporadic, familial, and juvenile MF in patients in Israel. Read More

J Public Health Afr 2011 Mar 11;2(1):e3. Epub 2011 Feb 11.

Experimental Dermatology Unit, Department of Neuroscience, Karolinska Institute, Stockholm, Sweden.

In many countries or regions the capacity of health care resources is below the needs of the population and new approaches for health surveillance are needed. Innovative projects, utilizing wireless communication technology, contribute to reliable methods for field-work data collection and reporting to databases. The objective was to describe a new version of a wireless IT-support system for field-work data collection and administration. Read More

Am J Clin Dermatol 2009 ;10(3):193-6

Department of Dermatology, Warsaw Medical University, Warsaw, Poland.

All-in-one devices with mobile phone, web browser, and organizer are now owned by over 6 million people and their popularity is increasing. These devices are often called personal digital assistants (PDAs) or 'BlackBerry(R)' devices, after a popular brand name of these appliances. The use of PDAs is associated with exposure of distal thumbs and nails to repeated pressure with a frequency of up to a few thousand times per hour and several tens of thousands of times per day. Read More

Dermatology 2009 21;218(4):344-6. Epub 2009 Feb 21.

Centre of Evidence-Based Dermatology, C f loor, South block, Queen's Medical Centre, Nottingham NG 2UH, UK.

Data collection methods are critically important in observational studies. The use of electronic diaries is a novel method which to date has not been utilized in dermatology research. This method has the potential to reduce recall bias. Read More

Indian J Dermatol Venereol Leprol 2008 Jul-Aug;74(4):424-6

Kaya Skin Clinic, Dubai, United Arab Emirates.

Personal Digital Assistants (PDAs) have become a part of everyday life. DermaMan is a freely available, Java-based, dermatology-specific calculator for handheld devices. It includes modules to compute PASI, MASI, SCORAD, and for calculations related to topical PUVA and Botox (R) administration. Read More

Dermatol Online J 2006 Mar 30;12(3). Epub 2006 Mar 30.

Department of Dermatology, St Lukes Roosevelt Hospital Center, New York, NY, USA.

Skinmed 2005 Jan-Feb;4(1):33-7

Department of Dermatology, St. Luke's-Roosevelt Hospital Center, 1090 Amsterdam Avenue, Suite 11C, New York, NY 10025, USA.

Personal digital assistants are lightweight computers that capture and display data via tapping on their screens with a stylus and are easily linked to desktop and network computers. They have been used in medicine for a variety of purposes, and many believe personal digital assistant use can improve the provision of medical care. The author created a multimedia dermatology electronic medical record for a PocketPC (Microsoft Corp. Read More

Health Data Manag 2004 Nov;12(11):70, 72, 74

Semin Cutan Med Surg 2002 Sep;21(3):190-201

Department of Dermatology, University of Pittsburgh Medical Center, PA, USA.

For physicians, hand-held computers are gaining popularity as point of care reference tools. The convergence of hand-held computers, the Internet, and wireless networks will enable these devices to assume more essential roles as mobile transmitters and receivers of digital medical Information. In addition to serving as portable medical reference sources, these devices can be Internet-enabled, allowing them to communicate over wireless wide and local area networks. Read More