Prevention of work-related skin diseases: teledermatology as an alternative approach in occupational screenings
| Autor: | Hans Drexler, Wobbeke Weistenhöfer, Birgitta Kütting, Thomas Baumeister |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Teledermatology Early signs Hand Dermatoses Dermatology Sensitivity and Specificity Work related Statistics Nonparametric Occupational medicine medicine Humans Immunology and Allergy Occupational skin diseases Physical Examination Alternative methods business.industry Remote Consultation medicine.disease Surgery Cross-Sectional Studies Dermatitis Occupational Hand eczema Skin lesion business |
| Zdroj: | Contact Dermatitis. 61:224-230 |
| ISSN: | 1600-0536 0105-1873 |
| DOI: | 10.1111/j.1600-0536.2009.01606.x |
| Popis: | Background: Prevention of occupational skin diseases is of high socio-economic impact. Implementing teledermatology into preventive occupational screenings holds obvious advantages; nevertheless, studies concerning this subject are scarce. Objectives: The present cross-sectional study was aimed at determining if results of a teledermatological examination are equally sensitive and specific at detecting minimal skin lesions as the conventional face-to-face examination. Methods: The skin condition of the hands of 100 male wet workers was assessed in a face-to-face examination and a tele-examination by means of a score for minimal skin lesions. Results: The comparison of the total score values that each participant received in face-to-face examination with those obtained in tele-examination proved the skin condition to be estimated significantly worse when seen in tele-examination (P < 0.0001). The median values of the sum totals and the median values for secondary lesions were higher in the tele-examination than in the face-to-face examination. Conclusions: Our findings show a tendency in tele-examination to assess the skin condition more critically in comparison with face-to-face examination. The teledermatological examination is sufficiently sensitive in detecting early signs of hand eczema, whereas signs for chronicity may get overestimated. |
| Databáze: | OpenAIRE |
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