Autologous fat has become an ideal filler material due to its easy acquisition, good compatibility and no foreign body sensation after transplantation. In recent years, autologous fat has been widely used in facial rejuvenation or repair and reconstruction, and achieved satisfactory results, which is also in line with the currently advocated minimally invasive treatment direction. Autologous fat transplantation mainly includes fat extraction, separation, transplantation and postoperative treatment, each of which can affect the activity of fat particles and/or fat retention rate after transplantation. In this paper, the application of autologous fat in facial rejuvenation or reconstruction is described in detail.
{"title":"Application of facial fat injections","authors":"Lingling Sheng, W. Cao","doi":"10.18282/jsd.v7.i2.188","DOIUrl":"https://doi.org/10.18282/jsd.v7.i2.188","url":null,"abstract":"Autologous fat has become an ideal filler material due to its easy acquisition, good compatibility and no foreign body sensation after transplantation. In recent years, autologous fat has been widely used in facial rejuvenation or repair and reconstruction, and achieved satisfactory results, which is also in line with the currently advocated minimally invasive treatment direction. Autologous fat transplantation mainly includes fat extraction, separation, transplantation and postoperative treatment, each of which can affect the activity of fat particles and/or fat retention rate after transplantation. In this paper, the application of autologous fat in facial rejuvenation or reconstruction is described in detail.","PeriodicalId":213687,"journal":{"name":"Journal of Surgical Dermatology","volume":"80 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120818307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: to study the effect of cryotherapy and ALA-PDT therapy on skin cancer. Methods: this study selected 60 patients with skin cancer admitted to Ankang People’s Hospital of Shaanxi Province from January 2014 to December 2019. According to different treatment methods, 30 patients treated with ALA-PDT were included in the control group, while 30 patients treated with cryotherapy combined with ALA-PDT were included in the observation group. The total effective rate, pain score, surgical trauma area, incidence of adverse reactions and total satisfaction rate of appearance were compared between the two groups. Results: the treatment efficiency of the observation group was 96.7%, which was higher than that of the control group (73.3%), with a statistically significant difference (P < 0.05). The pain score in the observation group was (4.12 ± 1.03), higher than that of the control group (3.45 ± 0.86), and the surgical trauma area was (1.26 ± 0.04) cm2, lower than that of the control group (1.39 ± 0.05) cm2, with a statistically significant difference (P < 0.05). The difference was statistically significant (all P < 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05). Besides, the total satisfaction rate of the observation group was 93.3%, which was higher than that of the control group (66.7%), and the difference was statistically significant (P < 0.05). Conclusion: Cryotherapy combined with ALA-PDT therapy are clinically effective in the treatment of skin cancer, with less invasive surgical areas and higher patient satisfaction with appearance. However, the pain score is relatively higher. Therefore, the appropriate treatment can be clinically considered in a comprehensive manner.
{"title":"Effect of cryotherapy and ALA-PDT therapy on skin cancer","authors":"Zhi-lian Zhong, Hong-An Deng, Wei Liu","doi":"10.18282/jsd.v7.i2.187","DOIUrl":"https://doi.org/10.18282/jsd.v7.i2.187","url":null,"abstract":"Objective: to study the effect of cryotherapy and ALA-PDT therapy on skin cancer. Methods: this study selected 60 patients with skin cancer admitted to Ankang People’s Hospital of Shaanxi Province from January 2014 to December 2019. According to different treatment methods, 30 patients treated with ALA-PDT were included in the control group, while 30 patients treated with cryotherapy combined with ALA-PDT were included in the observation group. The total effective rate, pain score, surgical trauma area, incidence of adverse reactions and total satisfaction rate of appearance were compared between the two groups. Results: the treatment efficiency of the observation group was 96.7%, which was higher than that of the control group (73.3%), with a statistically significant difference (P < 0.05). The pain score in the observation group was (4.12 ± 1.03), higher than that of the control group (3.45 ± 0.86), and the surgical trauma area was (1.26 ± 0.04) cm2, lower than that of the control group (1.39 ± 0.05) cm2, with a statistically significant difference (P < 0.05). The difference was statistically significant (all P < 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05). Besides, the total satisfaction rate of the observation group was 93.3%, which was higher than that of the control group (66.7%), and the difference was statistically significant (P < 0.05). Conclusion: Cryotherapy combined with ALA-PDT therapy are clinically effective in the treatment of skin cancer, with less invasive surgical areas and higher patient satisfaction with appearance. However, the pain score is relatively higher. Therefore, the appropriate treatment can be clinically considered in a comprehensive manner.","PeriodicalId":213687,"journal":{"name":"Journal of Surgical Dermatology","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116743302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Keloids are still therapeutic glitches, mostly disfiguring lesions which cause physical, functional and psychological burdens. Most patients with keloids are worried about cosmetic, some have grievances of itchy pain or a burning sense around them, though. The firmness can range from pliable to rigid. Most lesions tend to nurture gradually over a few months to a year. Most of them finally discontinue growing and stay unchanging or even withdraw to some extent[1,3]. No particular therapeutic modality is best for all lesions. The place, extent, penetration of the lesion, age of the patients and the previous reaction to treatments conclude the type of next step of therapy. The main key would be prevention, but intralesional steroid injections are usually the first-line strategy in the treatment of restricted keloid or hypertrophic scars. Other currently used treatments consist of occlusive silicon bandages, compression therapy , cryotherapy, surgical excision, radiation, laser surgery, interferons (IFN), 5-fluorouracil (5-FU), retinoic acid, doxorubicin, bleomycin, verapamil, retinoic acid, imiquimod 5% cream, tamoxifen, tacrolimus, botulinum toxin injection, hydrogel scaffolding, and over-the-counter treatments (such as onion extract, Lemon Juice, Baking Soda, and the combination of hydrocortisone, silicon, and vitamin E)[4]. Some promising treatments comprise anti-angiogenic factors, such as the inhibitors of vascular endothelial growth factor (VEGF) (for example bevacizumab), inhibitors of mannose-6-phosphate (M6P), combination of butyrate and docosahexaenoic acid, topical captopril, and phototherapies such as: (photodynamic therapy [PdT], intense pulsed light [IPL], ultraviolet A [UVA]-1 therapy, narrowband ultraviolet B [UVB] therapy). Inhibitors of transforming growth factor (TGF)–beta, inhibitors of tumor necrosis factor (TNF)–alpha (etanercept), recombinant human epidermal growth factor (rhEGF), and recombinant human interleukin (rhIL)–10 are some other newer modalities, which are focused at reducing collagen production[4,5]. A new study of keloids reveals that combined therapy of intralesional triamcinolone and verapamil injections results in noteworthy scar improvement with a long-term unchanging result[6]. Topical captopril could be considered as a prospective therapy for keloid lesions[5]. According to a recent study, captopril may decrease the expression of angiotensin, platelet-derived growth factor (PdGF), transforming growth factor beta 1 (TGF-β1) and heat shock protein 47 (HSP47), and more inhibit the proliferation and collagen production of fibroblasts in keloids, which were the key in keloid creation[7]. In another new research, favorable effects of the combination of 5-FU and verapamil merit further survey[8]. Mesenchymal stem cells would be a valuable source in regenerative medicine, and the medium acquired from stem cells seemingly hinders inflammation. Keloids are made up of abnormal fibrosis, produced by fibroblasts in reacti
{"title":"Treatment of keloids: What’s news?","authors":"S. Aghaei","doi":"10.18282/jsd.v7.i1.179","DOIUrl":"https://doi.org/10.18282/jsd.v7.i1.179","url":null,"abstract":"Keloids are still therapeutic glitches, mostly disfiguring lesions which cause physical, functional and psychological burdens. Most patients with keloids are worried about cosmetic, some have grievances of itchy pain or a burning sense around them, though. The firmness can range from pliable to rigid. Most lesions tend to nurture gradually over a few months to a year. Most of them finally discontinue growing and stay unchanging or even withdraw to some extent[1,3]. No particular therapeutic modality is best for all lesions. The place, extent, penetration of the lesion, age of the patients and the previous reaction to treatments conclude the type of next step of therapy. The main key would be prevention, but intralesional steroid injections are usually the first-line strategy in the treatment of restricted keloid or hypertrophic scars. Other currently used treatments consist of occlusive silicon bandages, compression therapy , cryotherapy, surgical excision, radiation, laser surgery, interferons (IFN), 5-fluorouracil (5-FU), retinoic acid, doxorubicin, bleomycin, verapamil, retinoic acid, imiquimod 5% cream, tamoxifen, tacrolimus, botulinum toxin injection, hydrogel scaffolding, and over-the-counter treatments (such as onion extract, Lemon Juice, Baking Soda, and the combination of hydrocortisone, silicon, and vitamin E)[4]. Some promising treatments comprise anti-angiogenic factors, such as the inhibitors of vascular endothelial growth factor (VEGF) (for example bevacizumab), inhibitors of mannose-6-phosphate (M6P), combination of butyrate and docosahexaenoic acid, topical captopril, and phototherapies such as: (photodynamic therapy [PdT], intense pulsed light [IPL], ultraviolet A [UVA]-1 therapy, narrowband ultraviolet B [UVB] therapy). Inhibitors of transforming growth factor (TGF)–beta, inhibitors of tumor necrosis factor (TNF)–alpha (etanercept), recombinant human epidermal growth factor (rhEGF), and recombinant human interleukin (rhIL)–10 are some other newer modalities, which are focused at reducing collagen production[4,5]. A new study of keloids reveals that combined therapy of intralesional triamcinolone and verapamil injections results in noteworthy scar improvement with a long-term unchanging result[6]. Topical captopril could be considered as a prospective therapy for keloid lesions[5]. According to a recent study, captopril may decrease the expression of angiotensin, platelet-derived growth factor (PdGF), transforming growth factor beta 1 (TGF-β1) and heat shock protein 47 (HSP47), and more inhibit the proliferation and collagen production of fibroblasts in keloids, which were the key in keloid creation[7]. In another new research, favorable effects of the combination of 5-FU and verapamil merit further survey[8]. Mesenchymal stem cells would be a valuable source in regenerative medicine, and the medium acquired from stem cells seemingly hinders inflammation. Keloids are made up of abnormal fibrosis, produced by fibroblasts in reacti","PeriodicalId":213687,"journal":{"name":"Journal of Surgical Dermatology","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127124389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Yang, M. M. Liau, Jun Khee Heng, Han Sim Matthias Toh, Chen Wee Derrick Aw, S. Ho
Glycolic acid peels have been shown in many studies to improve the appearance of photoaged skin. Vitamin C is known to be a potent natural antioxidant and plays an important role in the collagen biosynthetic pathway. In this study, we report our clinical experience with 70% glycolic acid peel added with vitamin C. We found that all parameters of photoaging, in particular the composite wrinkling score, discolouration score and the global photoaged score, showed statistically significant improvement. Patient satisfaction also revealed improvement in keeping with the physician assessment. It is also associated with an excellent safety profile. In conclusion, a combination of 70% glycolic acid with vitamin C chemical peel is a well-tolerated effective treatment of photoaging in Asian skin.
{"title":"The efficacy and safety of a 70% glycolic acid peel with vitamin C for the treatment of photoaging","authors":"S. Yang, M. M. Liau, Jun Khee Heng, Han Sim Matthias Toh, Chen Wee Derrick Aw, S. Ho","doi":"10.18282/jsd.v6.i1.80","DOIUrl":"https://doi.org/10.18282/jsd.v6.i1.80","url":null,"abstract":"Glycolic acid peels have been shown in many studies to improve the appearance of photoaged skin. Vitamin C is known to be a potent natural antioxidant and plays an important role in the collagen biosynthetic pathway. In this study, we report our clinical experience with 70% glycolic acid peel added with vitamin C. We found that all parameters of photoaging, in particular the composite wrinkling score, discolouration score and the global photoaged score, showed statistically significant improvement. Patient satisfaction also revealed improvement in keeping with the physician assessment. It is also associated with an excellent safety profile. In conclusion, a combination of 70% glycolic acid with vitamin C chemical peel is a well-tolerated effective treatment of photoaging in Asian skin.","PeriodicalId":213687,"journal":{"name":"Journal of Surgical Dermatology","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126146138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We report a case of 23-year-old male patient with tuberculosis verrucous cutis on the foot for a duration of six months without responding to routine treatment. Tuberculosis is a common disease worldwide. Extrapulmonary tuberculosis contributes to 10% of cases. Cutaneous tuberculosis occupies a small spectrum of extrapulmonary tuberculosis. Tuberculosis verrucosa cutis is an exogenous infection occurring in a previously sensitized patient by direct inoculation of the organism. It occurs in sensitized patients with a moderate to high immune response. The diagnosis in our patient was confirmed by history, clinical examination, histopathological examination and the patient’s response to anti-tuberculous therapy.
{"title":"Tuberculosis verrucosa cutis","authors":"K. S","doi":"10.18282/jsd.v6.i1.160","DOIUrl":"https://doi.org/10.18282/jsd.v6.i1.160","url":null,"abstract":"We report a case of 23-year-old male patient with tuberculosis verrucous cutis on the foot for a duration of six months without responding to routine treatment. Tuberculosis is a common disease worldwide. Extrapulmonary tuberculosis contributes to 10% of cases. Cutaneous tuberculosis occupies a small spectrum of extrapulmonary tuberculosis. Tuberculosis verrucosa cutis is an exogenous infection occurring in a previously sensitized patient by direct inoculation of the organism. It occurs in sensitized patients with a moderate to high immune response. The diagnosis in our patient was confirmed by history, clinical examination, histopathological examination and the patient’s response to anti-tuberculous therapy.","PeriodicalId":213687,"journal":{"name":"Journal of Surgical Dermatology","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125658506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analysis of chemokine receptors from angiosarcoma as the potential tumor marker","authors":"Editorial Office","doi":"10.18282/jsd.v7.i1.152","DOIUrl":"https://doi.org/10.18282/jsd.v7.i1.152","url":null,"abstract":"","PeriodicalId":213687,"journal":{"name":"Journal of Surgical Dermatology","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131850560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rare manifestation of neoplastica alopecia in metastatic cancer","authors":"Editorial Office","doi":"10.18282/jsd.v6.i1.132","DOIUrl":"https://doi.org/10.18282/jsd.v6.i1.132","url":null,"abstract":"","PeriodicalId":213687,"journal":{"name":"Journal of Surgical Dermatology","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130452332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
“The successful outcome of this case report suggested that IPL may represent a worthwhile option in the treatment of NL, offering low risks of collateral effects, especially when administered by experienced professionals,” wrote Dr. Marisa Gonzaga da Cunha and her co-authors from São Paulo‟s Faculty of Medicine of ABC and Federal University of São Paulo, Brazil, in a case study published by Journal of Surgical Dermatology (JSD).
“该病例报告的成功结果表明，IPL可能是治疗NL的一种有价值的选择，附带效应风险低，特别是当由经验丰富的专业人员管理时，”Marisa Gonzaga da Cunha博士和她的合著者来自巴西圣保罗大学医学院和巴西圣保罗联邦大学，在《外科皮肤病学杂志》(JSD)上发表的一项案例研究中写道。
{"title":"Effective treatment of necrobiosis lipoidica using intense pulsed light therapy","authors":"Editorial Office","doi":"10.18282/jsd.v6.i2.129","DOIUrl":"https://doi.org/10.18282/jsd.v6.i2.129","url":null,"abstract":"“The successful outcome of this case report suggested that IPL may represent a worthwhile option in the treatment of NL, offering low risks of collateral effects, especially when administered by experienced professionals,” wrote Dr. Marisa Gonzaga da Cunha and her co-authors from São Paulo‟s Faculty of Medicine of ABC and Federal University of São Paulo, Brazil, in a case study published by Journal of Surgical Dermatology (JSD).","PeriodicalId":213687,"journal":{"name":"Journal of Surgical Dermatology","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121648477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Krishnan, Christy Badgwell, D. Yoshor, I. Orengo
There is a known association between nevus of Ota and melanomas involving the brain parenchyma and/or the meninges. We present the unusual case of a 32-year-old African-American female with a nevus of Ota and a contralateral parenchymal, primary CNS melanoma. We discuss the unique features of this case and provide a brief review of the literature regarding nevi of Ota and associated CNS melanoma. Our patient is a 32 year-old, African-American female with a left-sided nevus of Ota who presented with a three month history of headaches and paresthesias involving her left face and arm. An MRI of the brain revealed a hemorrhagic mass in the right temporal lobe, which, after craniotomy, was determined to be a melanoma. Extensive imaging, ophthamologic examination and full-body skin examination revealed no other foci of melanoma. To our knowlege, this is the only case of a nevus of Ota associated with contralateral parenchymal melanoma in an African-American patient. The association of contralateral parenchymal primary CNS melanoma with nevus of Ota is extremely unusual. Futhermore, despite the association of nevus of Ota with CNS melanoma, the literature does not support routine screening of patients with nevus of Ota for CNS melanoma with imaging modalities.
{"title":"Nevus of Ota associated with intracranial melanoma: Case report and review of the literature","authors":"R. Krishnan, Christy Badgwell, D. Yoshor, I. Orengo","doi":"10.18282/JSD.V3.I2.180","DOIUrl":"https://doi.org/10.18282/JSD.V3.I2.180","url":null,"abstract":"There is a known association between nevus of Ota and melanomas involving the brain parenchyma and/or the meninges. We present the unusual case of a 32-year-old African-American female with a nevus of Ota and a contralateral parenchymal, primary CNS melanoma. We discuss the unique features of this case and provide a brief review of the literature regarding nevi of Ota and associated CNS melanoma. Our patient is a 32 year-old, African-American female with a left-sided nevus of Ota who presented with a three month history of headaches and paresthesias involving her left face and arm. An MRI of the brain revealed a hemorrhagic mass in the right temporal lobe, which, after craniotomy, was determined to be a melanoma. Extensive imaging, ophthamologic examination and full-body skin examination revealed no other foci of melanoma. To our knowlege, this is the only case of a nevus of Ota associated with contralateral parenchymal melanoma in an African-American patient. The association of contralateral parenchymal primary CNS melanoma with nevus of Ota is extremely unusual. Futhermore, despite the association of nevus of Ota with CNS melanoma, the literature does not support routine screening of patients with nevus of Ota for CNS melanoma with imaging modalities. ","PeriodicalId":213687,"journal":{"name":"Journal of Surgical Dermatology","volume":"205 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134024262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The positive predictive value (PPV) of smart mobile phone teledermatoscopy is not known. The main purpose of the present study was to investigate the sensitivity and positive predictive values (PPVs) of smart mobile phone teledermatoscopy. Over a period of 6 months, up to three clinical and dermatoscopic images were obtained of 67 skin lesions from 67 patients using a mobile phone camera and standard pocket dermatoscopy device. Out of the 67 patients, 44 were men (65.67%) and 23 were women (34.32%). The mean age of the patients was 39.56 ± 22.19 years (ranging from 18 to 92). The majority of the lesions (71.64%; n=48) were benign, while 11.94% (n=8) of the biopsies were premalignant and 16.41% (n=11) of the lesions were malignant. The sensitivity for the diagnosis of benign, premalignant, and malignant lesions were 93.8%, 100%, and 100%, respectively. PPVs for the diagnosis of benign, premalignant, and malignant lesions were 93.8%, 100%, and 100%, respectively. The sensitivity and PPVs of all lesions were 95.9% and 95.7%. The accuracy of the teledermatoscopic consultation with a mobile phone is very high. We therefore think that it can be a cost effective and useful method in the consultation at distance.
{"title":"The diagnostic accuracy of the mobile phone teledermatoscopy","authors":"H. Yıldız, Memet Erşan Bilgili, H. Simsek","doi":"10.18282/jsd.v3.i2.178","DOIUrl":"https://doi.org/10.18282/jsd.v3.i2.178","url":null,"abstract":"The positive predictive value (PPV) of smart mobile phone teledermatoscopy is not known. The main purpose of the present study was to investigate the sensitivity and positive predictive values (PPVs) of smart mobile phone teledermatoscopy. Over a period of 6 months, up to three clinical and dermatoscopic images were obtained of 67 skin lesions from 67 patients using a mobile phone camera and standard pocket dermatoscopy device. Out of the 67 patients, 44 were men (65.67%) and 23 were women (34.32%). The mean age of the patients was 39.56 ± 22.19 years (ranging from 18 to 92). The majority of the lesions (71.64%; n=48) were benign, while 11.94% (n=8) of the biopsies were premalignant and 16.41% (n=11) of the lesions were malignant. The sensitivity for the diagnosis of benign, premalignant, and malignant lesions were 93.8%, 100%, and 100%, respectively. PPVs for the diagnosis of benign, premalignant, and malignant lesions were 93.8%, 100%, and 100%, respectively. The sensitivity and PPVs of all lesions were 95.9% and 95.7%. The accuracy of the teledermatoscopic consultation with a mobile phone is very high. We therefore think that it can be a cost effective and useful method in the consultation at distance.","PeriodicalId":213687,"journal":{"name":"Journal of Surgical Dermatology","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131254652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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