Tele-dermatology vs In-Person Dermatology: When to Choose One vs the Other for Pediatric Care

Audience: pediatric

Tele-dermatology allows children and their caregivers to consult dermatologists remotely using photos and video. It is often a convenient and timely way to address many common skin concerns like rashes, eczema, or acne. However, some skin conditions in children may need an in-person visit for a full physical exam, biopsy, or specialized treatment. Choosing between tele-dermatology and in-person care depends on the child's symptoms, the urgency, and the need for hands-on evaluation. Tele-dermatology is typically suitable for follow-ups and initial assessments of mild to moderate skin issues. In-person visits are important when the diagnosis is unclear, the condition worsens quickly, or if there are signs of infection or serious illness. Understanding when each option fits best helps ensure children receive timely and appropriate skin care.

Red flags — go in person / ER

• Rapidly spreading rash or swelling — seek urgent in-person care immediately.
• High fever with skin changes — get emergency medical attention.
• Signs of skin infection such as pus, increasing redness, or severe pain — arrange prompt evaluation.

What telemedicine can do

• Mild to moderate rashes and eczema flare-ups
• Acne and common skin conditions
• Follow-up visits for known skin issues
• Initial assessment of non-urgent skin concerns

What telemedicine cannot do

• Severe, rapidly worsening skin problems
• Skin infections requiring physical examination or treatment
• Procedures like biopsies or skin tests
• Unclear diagnoses needing hands-on evaluation

What is Tele-dermatology?

Tele-dermatology uses digital technology to connect patients with dermatologists remotely. Parents or caregivers send photos or join video calls to discuss their child's skin concerns. This method can save travel time and provide quicker access to specialists, especially in areas with limited dermatology services.

When Tele-dermatology Works Well for Children

Tele-dermatology is often effective for:

It allows dermatologists to review images and history to suggest treatments or next steps without an office visit.

When an In-Person Dermatology Visit is Needed

Some situations require a face-to-face appointment:

In-person exams allow doctors to touch, feel, and closely inspect the skin, which can be critical for accurate diagnosis and treatment.

Preparing for a Tele-dermatology Visit

To get the most from a tele-dermatology appointment:

After the Tele-dermatology Visit

After the appointment, follow the dermatologist's advice carefully. This may include:

How to prepare for your tele-visit

• Take clear photos of the affected skin from different angles.
• Write down when symptoms started and any changes noticed.
• List all current medications and allergies.
• Prepare to describe symptoms such as itching, pain, or fever.
• Ensure a quiet space with good internet connection for the video call.

After your tele-visit

• Follow prescribed treatment instructions carefully.
• Watch for improvement or worsening of symptoms.
• Schedule an in-person visit if recommended or if symptoms worsen.
• Contact healthcare provider immediately if red flags appear.
• Keep a record of any new symptoms or side effects.

FAQs

Can tele-dermatology diagnose all skin conditions in children?

Tele-dermatology can diagnose many common skin issues, but not all. Some conditions require a physical exam or tests that can only be done in person.

Is tele-dermatology safe for young children?

Yes, tele-dermatology is generally safe and can be convenient for children, but it depends on the child's condition and the quality of images or video provided.

What should I do if my child's skin condition worsens after a tele-dermatology visit?

If symptoms worsen or new concerning signs appear, seek an in-person evaluation promptly. Telemedicine is not a substitute for urgent care when needed.

How do I take good photos for a tele-dermatology appointment?

Use natural light, avoid shadows, focus clearly on the affected area, and take multiple pictures from different angles to help the dermatologist see details.

Can tele-dermatology prescribe medications?

Yes, dermatologists can often prescribe medications through telemedicine, but some treatments may require in-person visits for safety and monitoring.

Sources

1. Dermatology: Overview — MedlinePlus, U.S. National Library of Medicine.
2. Telemedicine: What You Need To Know — Centers for Disease Control and Prevention (CDC).
3. Teledermatology: A Review — National Library of Medicine.
4. Skin Conditions in Children — American Academy of Pediatrics (AAP).

This educational content about tele-dermatology is not a substitute for professional in-person medical care. If your child's condition is severe, worsening, or you are concerned, please seek direct evaluation by a healthcare provider.