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Artificial Intelligence (AI) is the ability for computers to simulate human intelligence. In dermatology, there is substantial interest in using AI to identify skin lesions from images. Due to increasing research and interest in the use of AI, the Australasian College of Dermatologists has developed a position statement to inform its members of appropriate use of AI. This article presents the ACD Position Statement on the use of AI in dermatology, and provides explanatory information that was used to inform the development of this statement., (© 2022 Australasian College of Dermatologists.)

Despite the potential of teledermatology to increase access to dermatology services and improve patient care, it is not widely practised in Australia. In an effort to increase uptake of teledermatology, Australian-specific practice guidelines for teledermatology are being developed by the Australasian College of Dermatologist. This paper reports finding from literature reviews that were undertaken to inform the development of these guidelines. Results cover the following sections: Modalities of teledermatology; Patient selection and consent; Imaging; Quality and safety; Privacy and security; Communication; and Documentation and retention. The document educates providers about the benefits and limitations of telehealth while articulating how to enhance patient care and reduce risk when practicing teledermatology., (© 2020 The Australasian College of Dermatologists.)

The article presents a study regarding the incidence of dermatological conditions in private practice in Australia, including conditions such as Eczema, Acne, and Scabies, among others. The author indicates that the latest report of this type shows an increase in the incidence of chronic solar dermatitis in temperate Australia.

The article offers the author's insights on "Australian Journal of Dermatology." The author states that the journal will increase the stature in the world of dermatology and elevate the importance of dermatology in general medicine in Australia. Meanwhile, it mentions that proposal of the publication of the journal during the inaugural meeting of the Dermatological Association of Australia in April 1949.

The burden of non-infectious skin disease in the Indigenous Australian population has not been previously examined. This study considers the published data on the epidemiology and clinical features of a number of non-infectious skin diseases in Indigenous Australians. It also outlines hypotheses for the possible differences in the prevalence of such diseases in this group compared with the general Australian population. There is a paucity of literature on the topic but, from the material available, Indigenous Australians appear to have a reduced prevalence of psoriasis, type 1 hypersensitivity reactions and skin cancer but increased rates of lupus erythematosus, kava dermopathy and vitamin D deficiency when compared to the non- Indigenous Australian population. This article profiles the prevalence and presentation of non-infectious skin diseases in the Indigenous Australian population to synthesise our limited knowledge and highlight deficiencies in our understanding. [ABSTRACT FROM AUTHOR]

Solar keratosis is a common problem encountered by dermatologists, particularly in Australia. Solar keratosis is most commonly found on sun-exposed areas such as the scalp, face and forearms. UV radiation is thought to be the major aetiological factor, with age, immunosuppression and human papillomavirus being important contributing factors. Solar keratosis usually presents as a discrete, variably erythematous and irregular lesion with a scaly surface. Although the exact rate of malignant transformation to squamous cell carcinoma is unknown, the majority of squamous cell carcinomas appear to arise from within solar keratosis. For this reason, solar keratosis is commonly treated and, consequently, an increasing number of therapeutic options is now available. Traditional therapies, such as liquid nitrogen cryotherapy, are still popular, but newer choices, such as photodynamic therapy and imiquimod cream, are now providing further options with similar efficacy and superior adverse effect profiles, albeit at a higher cost. [ABSTRACT FROM AUTHOR]

Hairdressers are one of the largest groups affected by occupational contact dermatitis. In this population-based study, 193 trainee hairdressers and 184 practising hairdressers each completed a questionnaire and had their hands examined. Participants were asked about past or present atopy including eczema, asthma or hayfever, which occurred in 59.2%, and were individually correlated with a history of occupational skin problems. Almost 60% of hairdressers and trainees had experienced changes on their hands since commencing hairdressing, while 29% had evidence of abnormal skin on examination on the day of participation. Atopic individuals, who plan to work in a career such as hairdressing with known high rates of occupational contact dermatitis, should be advised to care for and protect their skin from the outset to prevent the development of this condition. There has been little awareness of this issue in Australia, despite longstanding knowledge of the association of hairdressing and contact dermatitis. [ABSTRACT FROM AUTHOR]

Psoriasis among full-blood Australian Aborigines appears to be rare or absent. After examination of some three thousand of these people in central, northern, and southern Australia, I have not seen psoriasis. Other medical and nursing observers have also not seen psoriasis in these people. Two references in the literature to psoriasis in Aborigines are reviewed briefly. The author has seen only one, male, part-Aborigine (more Caucasian than Aborigine), with typical but limited psoriasis. A second example, personally reported to me, was in a female Aborigine whose father was said to be "not tribal". A third was recently reported to me. Other conditions common among Aborigines, which should not be confused with psoriasis, are outlined. Certain aspects of the apparent absence of psoriasis in full-blood Australian Aborigines are discussed. Previous research about the essential causes of psoriasis has not been particularly rewarding. An important question must, therefore, be asked. Should some research projects in future be directed to reasons why some human groups seem not to get psoriasis rather than to why others do? [ABSTRACT FROM AUTHOR]

A brief account is given of the clinical records of one of Australia's early dermatologists. The records are not complete, but cover a period from 1902 to 1929. [ABSTRACT FROM AUTHOR]

Stucco keratosis is one form of the numerous papular papillomatous keratoses. It is a condition diagnosed with ease if its essential clinical and histological characteristics are considered together. However, the clinical features taken alone or the histological features taken alone are not diagnostic. Clinically similar lesions are seen over the ankle region of some patients with ichthyosis vulgaris or acquired ichthyosis. The histology in these cases does not show papillomatosis, but ichthyosiform atrophy of the epidermis. The histology of the skin of the ankle region of elderly male patients in Australia shows a high proportion of ichthyosis-like features. The papillomatous keratoses should be distinguished from papillomatous seborrhoeic keratoses by the lack of horn cysts and lack of basaloid cells. This distinction is Important because the papillomatous keratoses may be of precancerous nature, while seborrhoeic keratoses are not. There is good indication that some of the papillomatous keratoses, including stucco keratosis, are reversible. [ABSTRACT FROM AUTHOR]

SUMMARY Two hundred consecutive patients with solar keratoses (SK) seen in a private dermatology practice had on average 61.9 SK compared with eight reported in the general population. Non-melanoma skin cancer was present in 41% of patients and 17% had squamous cell carcinoma (SCC). The ratio of basal cell carcinoma to SCC in the cohort was 1.7:1. The commonest site of SK was the upper limbs but the greatest density of lesions was on the face, particularly the nose. Squamous cell carcinomas were most commonly found on the upper and lower limbs. Basal cell carcinomas were most common on the head and neck. [ABSTRACT FROM AUTHOR]

SUMMARY Eighty-three participants with psoriasis were followed over a 2-year period assessing the severity, morbidity and cost of their disease over time. At recruitment, they were examined by a dermatologist who classified them on a global basis as mild (47%), moderate (35%) or severe (18%). A Psoriasis Area and Severity Index (PASI) score was also recorded at the initial interview. Participants completed questionnaires on the morbidity related to having psoriasis using the Psoriasis Disability Index (PDI) and a self-administered PASI (SAPASI) score at the initial interview and at 3-monthly intervals over the 2-year period. During the 3-monthly follow ups, patients also collected information on the cost of treatment. Using the PDI data, two-thirds of the respondents said that, as a result of their psoriasis, they altered the way they carried out their normal daily activities; more than 50% wore different types or colours of clothing; more than 50% said their home was made more messy or untidy; and over a third had problems at the hairdresser or difficulties playing sport. The annual out-of-pocket expense for medical products was around AUD$250 per person, with costs ranging from zero to more than AUD$2000 per individual over the 2-year period. Costs were highest for over-the-counter products purchased without a medical prescription. There were similar variations in the out-of-pocket expenses of medical consultations depending on the level of medical care required. The study revealed that the standard methods used for classification of severity of psoriasis, such as the PASI or SAPASI scores, do not take into account the treatment being used at the time the score is recorded and therefore may not accurately reflect the true severity. [ABSTRACT FROM AUTHOR]

Ever since the first isolation of Trichophyton soudanense in Australia in 1970, it was expected that more cases would follow. This article gives a report on the recovery of Trichophyton soudanense from five more patiets. Cultures from both scalp lesions were apricot coloured with radial furrows and heaped, folded centres. The reverse was brownish-red. Cultures from tinea cruris produced a violet strain of Trichophyton soudanense. Those from tinea pedis and tinea corporis were first white and fluffy without grooves but after 14 days appeared yellowish with an irregular folded surface and a slightly raised centre. With age, the reverse became bright golden yellow.