Search

Byline: João. Alves, Diogo. Matos, Constança. Furtado, Elvira Augusta. Fernandes Bártolo Sir, Bacillary angiomatosis is a rare infectious vasculoproliferative disorder caused by Bartonella henselae or Bartonella quintana . [sup][1] This [...]

The practice of telemedicine in general and teledermatology in particular has been gaining renewed interest given the technologically improved equipment, the potential benefits in terms of costs and waiting times and the ability to deliver specialised healthcare to more patients. The main aim of the study was to assess the diagnostic reliability and accuracy of a face-to-face consultation compared with store-and-forward teleconsultation in clinically suspicious solitary lesions. Material This is a retrospective study of all the patients included in a pilot project between Dermatology Department at Hospital Garcia de Orta and 5 regionally-dependent health centres from June to December 2016. It consisted in the referral of a clinically suspicious solitary lesion photograph by the general practitioner with a short clinical information. All the lesions were assigned a telediagnosis, followed by a face-to-face consultation performed by the same dermatologist. The gold-standard for measuring diagnostic accuracy was the histopathological diagnosis and, in some cases of benign straightforward lesions, the clinical and dermoscopic diagnosis performed by the dermatologist. 􀀵􀁈􀁖􀁘􀁏􀁗􀁖􀀝 A total of 68 patients, corresponding to a total of 68 lesions, were included in the study, 31(46%) female and 37 (54%) male patients. The mean age was 67 years, with a lower mean age in the male group (52 versus 88 years). 53% of cases corresponded to malignant and pre-malignant lesions. The diagnostic concordance was 84%. Face-to-face consultation showed a better diagnostic accuracy than teleconsultation (85% vs 77%). 􀀦􀁒􀁑􀁆􀁏􀁘􀁖􀁌􀁒􀁑􀀝 This study illustrates the potential of teledermatology to diagnose clinically suspicious solitary lesions referred from primary care. [ABSTRACT FROM AUTHOR]

The article describes the case of a 42-year-old human immunodeficiency virus (HIV)-seropositive male construction worker on irregular treatment with antiretroviral therapy who presented with an asymptomatic ulcer involving the distal phalanx on his finger and was diagnosed with bacillary angiomatosis. Topics discussed include treatment with oral doxycycline and morphological presentations of bacillary angiomatosis.

Discusses the case of a patient diagnosed of antiphospholipid syndrome (APS) with rapid progression. Cutaneous manifestations of the disease; Diagnostic procedures; Histopathology of APS; Treatment with pentoxiphilin.