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10.1111/dth.13695

http://scihub22266oqcxt.onion/10.1111/dth.13695
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suck abstract from ncbi


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pmid32458588
      Dermatol+Ther 2020 ; 33 (4 ): e13495
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  • Teledermatologic monitoring for chronic cutaneous autoimmune diseases with smartworking during COVID-19 emergency in a tertiary center in Italy #MMPMID32458588
  • Brunasso AMG ; Massone C
  • Dermatol Ther 2020[Jul]; 33 (4 ): e13495 PMID32458588 show ga
  • Because of the coronavirus disease 2019 (COVID-19) emergency, on March 9, 2020 Italy went in lock-down imposing the closure of non-urgent outpatient clinics devoted to care of chronic, severe, inflammatory skin diseases that require periodic follow-up. In this emergency situation, due to the lack of a teledermatology platform and in order not to leave our vulnerable high-need patients without proper follow-up, we started a teledermatologic service in smartworking using phone calls and emails. The total number of patients scheduled was 195; in 12 cases, we were not able to talk to the patients. Remote monitoring was performed in 183 patients (126 moderate to severe psoriasis, 10 severe acne, 11 severe atopic dermatitis, 11 hidradenitis suppurativa, 9 blistering autoimmune diseases, and 16 other autoimmune skin diseases). During remote-visits, several interventions were conducted: triage for COVID-19 suspected symptoms, email check of clinical pictures and of laboratory examinations, advices for topical and systemic therapy continuation or discontinuation/switch and reschedule of next appointment. Only five patients required personal office visit (2.7%), reducing consistently the number of face-to face visits. Our real-life experience shows that remote monitoring was effective in preventing unnecessary worsening of severe chronic skin diseases and poor outcomes due to withdrawal of current therapy.
  • |*Betacoronavirus [MESH]
  • |Adolescent [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Autoimmune Diseases/epidemiology/*therapy [MESH]
  • |COVID-19 [MESH]
  • |Chronic Disease [MESH]
  • |Comorbidity [MESH]
  • |Coronavirus Infections/*epidemiology [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Italy/epidemiology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Monitoring, Physiologic/*methods [MESH]
  • |Pandemics [MESH]
  • |Pneumonia, Viral/*epidemiology [MESH]
  • |SARS-CoV-2 [MESH]
  • |Skin Diseases/epidemiology/immunology/*therapy [MESH]
  • |Telemedicine/*methods [MESH]


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