A retrospective review of cutaneous vascular lesions referred to a teledermatology clinic.

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dc.contributor.author Choi, Amy
dc.contributor.author Oakley, Amanda
dc.coverage.spatial Australia
dc.date.accessioned 2022-05-22T23:14:24Z
dc.date.available 2022-05-22T23:14:24Z
dc.date.issued 2021-03
dc.identifier.citation (2021). Journal of Primary Health Care, 13(1), 70-74.
dc.identifier.issn 1172-6164
dc.identifier.uri https://hdl.handle.net/2292/59418
dc.description.abstract INTRODUCTION Most cutaneous vascular lesions are benign and do not require treatment. Many are referred to specialist dermatologists from primary care. AIM This study aimed to investigate the characteristics of cutaneous vascular lesions and the reasons for their referral from primary care. METHODS Lesions diagnosed as cutaneous vascular abnormalities or dermatoses were retrospectively selected from a database of patients attending the Waikato Virtual Lesion Clinic. Demographic data, diagnosis and clinic outcome were recorded for each imaged lesion. Primary care referrals were reviewed to determine the reasons for referral. RESULTS In total, 229 referrals for vascular lesions were received between January 2010 and February 2019. Patient ages ranged from 6 to 95 years and 64.2% of patients were female. Nearly half the lesions (47.2%) were located on the head and neck; 64.1% had a dermatological diagnosis of a vascular tumour and 18.7% had a malformation. The most common reason for referral was pigmentation (45.7%) and bleeding was least common (8.2%). No diagnosis was given in 34.2% of referrals and less than one-quarter had a correct diagnosis. Malignancy was suspected in 40.2% of referrals; however, the dermatologists found that 95.2% of patients did not require further treatment. Half of excisions (n=2) were for bleeding and all were histologically benign. DISCUSSION Diagnostic uncertainty and suspected malignancy commonly result in referral of benign cutaneous vascular lesions to public dermatology services. This study highlights the usefulness of teledermatology in the timely access of specialist input, minimising the need for intervention or excision.
dc.format.medium Print
dc.language eng
dc.publisher CSIRO Publishing
dc.relation.ispartofseries Journal of primary health care
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject Humans
dc.subject Skin Diseases
dc.subject Retrospective Studies
dc.subject Dermatology
dc.subject Telemedicine
dc.subject Adolescent
dc.subject Adult
dc.subject Aged
dc.subject Aged, 80 and over
dc.subject Middle Aged
dc.subject Child
dc.subject Referral and Consultation
dc.subject Female
dc.subject Young Adult
dc.subject Clinical Research
dc.subject Health Services
dc.subject Cancer
dc.subject 1110 Nursing
dc.subject 1117 Public Health and Health Services
dc.title A retrospective review of cutaneous vascular lesions referred to a teledermatology clinic.
dc.type Journal Article
dc.identifier.doi 10.1071/hc20046
pubs.issue 1
pubs.begin-page 70
pubs.volume 13
dc.date.updated 2022-04-18T20:14:48Z
dc.rights.holder Copyright: The author en
dc.identifier.pmid 33785113 (pubmed)
pubs.author-url https://www.ncbi.nlm.nih.gov/pubmed/33785113
pubs.end-page 74
pubs.publication-status Published
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Journal Article
pubs.elements-id 852088
pubs.org-id Medical and Health Sciences
pubs.org-id School of Medicine
pubs.org-id Medicine Department
dc.identifier.eissn 1172-6156
dc.identifier.pii HC20046
pubs.record-created-at-source-date 2022-04-19

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