The main advantage of asynchronous teledermatology is the improvement of the quality triage, allowing the detection of malignant or suspicious lesions. However, we need more comparable studies on a larger scale to evaluate the disadvantages (photographic technique limitation, evaluation of other lesions, legal aspects, professional motivation...).

No abstract

A girl younger than 2 years presented with a 7-month history of an inflammatory plaque on her left index finger (Figure , A). This lesion had started as a light erythema a few months before, initially oriented as a bacterial paronychia or herpetic whitlow and treated with an oral antibiotic (amoxicillin) and antiviral (acyclovir) without improvement. There was no relevant medical history. The family reported living in a rural area on the Mediterranean coast.Physical examination findings revealed an inflammatory erythematous plaque with a central shiny orange crust on the left index finger (Figure , B). No other fingers were affected. There were no systemic symptoms or family history of similar lesions. Given the chronic course, with no improvement with empiric therapy, a biopsy specimen was obtained for further evaluation (Figure, C and D). Erythematous nodule on proximal nail fold A Inflammatory erythematous plaque B Original magnification ×10 C Original magnification ×40 D Figure. A, Erythematous nodule on the proximal nail fold. B, Inflammatory erythematous plaque with a central shiny orange crust on the left index. C, Diffuse dermatitis with epithelioid granulomas (hematoxylin-eosin stain). D, Intracellular amastigotes in the dermal macrophages (hematoxylin-eosin stain).

No abstract