Teledermatological monitoring of psoriasis patients on biologic therapy.

Abstract
Patients with psoriasis who are being treated with biologics require intensive monitoring However the monitoring tool teledermatology is not commonly used We investigated the applicability of a mobile phone based teledermatological system for monitoring psoriasis patients on biologic therapy Nineteen patients were given mobile phones with built in cameras in order to transmit health status data and images mobile visits weekly for a 6 month period Face to face visits were carried out at weeks 0 4 12 and 24 Image quality the Psoriasis Area and Severity Index PASI the handling of adverse events and patients feedback questionnaires were evaluated Ninety five percent of the images were of sufficient quality to enable accurate assessment of the PASI The distance between the interpolated face to face PASIs and the corresponding mobile visit PASIs was 0 46 2 15 median interquartile range All 155 adverse events were handled correctly by the system This teledermatological system represents a reliable tool for management of psoriasis patients who are on systemic treatment
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