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Because of dermatologist shortages, teledermatology has been used in rural and underserved communities. Typically, the primary care provider sends patient information and images to the dermatologist, who then relays back information. This system is time-consuming, and dermatologic follow-up is problematic. Investigators performed a randomized, controlled equivalency study comparing a direct-access, asynchronous online model with in-person office visits for follow-up care of atopic dermatitis (AD).
One hundred fifty-six patients with moderate AD were recruited from primary care clinics. Inclusion criteria were Spanish- or English-speaking; patient age >4 years; and computer, Internet, and digital camera access and literacy. Patients receiving…