Teledermatology for managing COVID-19 patients with cutaneous manifestation: case series study in a rural primary hospital

Dedianto Hidajat; Hamsu Kadriyan; Slamet Tjahjono

doi:10.15562/ism.v13i1.1224

Teledermatology for managing COVID-19 patients with cutaneous manifestation: case series study in a rural primary hospital

Dedianto Hidajat ,

Hamsu Kadriyan ,

Slamet Tjahjono ,

PDF |
DOI: https://doi.org/10.15562/ism.v13i1.1224 |
Published: 2022-04-28

Abstract

Background: To provide information and experience about using WhatsApp as a tool in teledermatology to facilitate the identification, treatment, and follow-up of skin problems in COVID-19 patients hospitalized at one of a rural primary hospital located in Indonesia.

Methods: All COVID-19 patients with the dermatology manifestation were included in this study. All symptoms and signs of cutaneous manifestation and teledermatology consultation aspect were recorded.

Results: There were 7 cases confirmed with skin manifestation (0.9%) from 783 hospitalized patients from March 2020 to June 2021. There were 5 males and 2 females. The age range was 50 - 66 years old. Pruritus is the main complaint, followed by pain and swelling. The cutaneous lesions were mainly maculopapular, followed by papulovesicular and edematous eruptions. The onset of the lesions appeared between the 2^nd and 12^th day during hospitalization. Both patients and physicians feel comfortable using this platform in consultation.

Conclusion: There are advantages and disadvantages to utilizing this concept in the medicolegal aspects, including non-uniform audio-visual quality and also ethical and privacy issues, especially in a rural area.

References

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Jakhar D, Kaul S, Kaur I. WhatsApp messenger as a teledermatology tool during coronavirus disease (COVID-19): from bedside to phone-side. Clin Exp Dermatol. 2020;45(6):739-740. doi:10.1111/ced.14227.
Coates SJ, Kvedar J, Granstein RD. Teledermatology: from historical perspective to emerging techniques of the modern era: part I: History, rationale, and current practice. J Am Acad Dermatol. 2015;72(4):563-576. doi:10.1016/j.jaad.2014.07.061.
Tensen E, van der Heijden JP, Jaspers MW, Witkamp L. Two Decades of Teledermatology: Current Status and Integration in National Healthcare Systems. Curr Dermatol Rep. 2016;5:96-104. doi:10.1007/s13671-016-0136-7.
Gimeno-Vicente M, Alfaro-Rubio A, Gimeno-Carpio E. Teledermatology by WhatsApp in Valencia: Characteristics of Remote Consultation and Its Emotional Impact on the Dermatologist. Teledermatología por WhatsApp en la Comunidad Valenciana. Características de esta teleconsulta y su repercusión en la vida del dermatólogo. Actas Dermosifiliogr (Engl Ed). 2020;111(5):364-380. doi:10.1016/j.ad.2019.10.003.
Mars M, Scott RE. WhatsApp in Clinical Practice: A Literature Review. Stud Health Technol Inform. 2016;231:82-90.
Anissa, L., & Menaldi, S. Aplikasi Telemedicine dalam Merujuk Pasien dari Daerah Rural. EJournal Kedokteran Indonesia. 2015:3(3). https://doi/org/10.23886/ejki.3.5651.
Khalid T, Tariq R, Alia S, Ather R. Teledermatology using WhatsApp messenger during COVID 19 pan-demic; our experience of a cost-effective solution to reach out patients in limited resource settings: Teledermatology using WhatsApp Messenger. Health Informatics Journal. 2021;15(1).
Jindal R, Chauhan P. Cutaneous manifestations of coronavirus disease 2019 in 458 confirmed cases: A systematic review. J Family Med Prim Care. 2020;9(9):4563-4569. Published 2020 Sep 30. doi:10.4103/jfmpc.jfmpc_872_20.
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[1] Rahmandad H, Lim TY, Sterman J. Behavioral dynamics of COVID-19: estimating underreporting, multiple waves, and adherence fatigue across 92 nations. Syst Dyn Rev. 2021;37(1):5-31. doi:10.1002/sdr.1673.

[2] Jakhar D, Kaul S, Kaur I. WhatsApp messenger as a teledermatology tool during coronavirus disease (COVID-19): from bedside to phone-side. Clin Exp Dermatol. 2020;45(6):739-740. doi:10.1111/ced.14227.

[3] Coates SJ, Kvedar J, Granstein RD. Teledermatology: from historical perspective to emerging techniques of the modern era: part I: History, rationale, and current practice. J Am Acad Dermatol. 2015;72(4):563-576. doi:10.1016/j.jaad.2014.07.061.

[4] Tensen E, van der Heijden JP, Jaspers MW, Witkamp L. Two Decades of Teledermatology: Current Status and Integration in National Healthcare Systems. Curr Dermatol Rep. 2016;5:96-104. doi:10.1007/s13671-016-0136-7.

[5] Gimeno-Vicente M, Alfaro-Rubio A, Gimeno-Carpio E. Teledermatology by WhatsApp in Valencia: Characteristics of Remote Consultation and Its Emotional Impact on the Dermatologist. Teledermatología por WhatsApp en la Comunidad Valenciana. Características de esta teleconsulta y su repercusión en la vida del dermatólogo. Actas Dermosifiliogr (Engl Ed). 2020;111(5):364-380. doi:10.1016/j.ad.2019.10.003.

[6] Mars M, Scott RE. WhatsApp in Clinical Practice: A Literature Review. Stud Health Technol Inform. 2016;231:82-90.

[7] Anissa, L., & Menaldi, S. Aplikasi Telemedicine dalam Merujuk Pasien dari Daerah Rural. EJournal Kedokteran Indonesia. 2015:3(3). https://doi/org/10.23886/ejki.3.5651.

[8] Khalid T, Tariq R, Alia S, Ather R. Teledermatology using WhatsApp messenger during COVID 19 pan-demic; our experience of a cost-effective solution to reach out patients in limited resource settings: Teledermatology using WhatsApp Messenger. Health Informatics Journal. 2021;15(1).

[9] Jindal R, Chauhan P. Cutaneous manifestations of coronavirus disease 2019 in 458 confirmed cases: A systematic review. J Family Med Prim Care. 2020;9(9):4563-4569. Published 2020 Sep 30. doi:10.4103/jfmpc.jfmpc_872_20.

[10] Tan SW, Tam YC, Oh CC. Skin manifestations of COVID-19: A worldwide review. JAAD Int. 2021;2:119-133. doi:10.1016/j.jdin.2020.12.003.

[11] Maulia F, Putri MK, Pamela RD. Cutaneous Manifestation in COVID-19 Hospitalized Patients: New Report from Secondary Hospital in Jakarta, Indonesia. J Clin Exp Dermatol Res. 2021;12(3).

[12] Singh H, Kaur H, Singh K, Sen CK. Cutaneous Manifestations of COVID-19: A Systematic Review. Adv Wound Care (New Rochelle). 2021;10(2):51-80. doi:10.1089/wound.2020.1309.

[13] Rahimi H and Tehranchinia Z. A Comprehensive Review of Cutaneous Manifestations Associated with COVID-19. BioMed Research International. 2020. p1-8. doi:10.1155/2020/1236520.

[14] Kaya G, Kaya A, Saurat JH. Clinical and Histopathological Features and Potential Pathological Mechanisms of Skin Lesions in COVID-19: Review of the Literature. Dermatopathology (Basel). 2020;7(1):3-16. Published 2020 Jun 30. doi:10.3390/dermatopathology7010002.

[15] Skayem C, Cassius C, Ben Kahla M, et al. Teledermatology for COVID-19 cutaneous lesions: substitute or supplement?. J Eur Acad Dermatol Venereol. 2020;34(10):e532-e533. doi:10.1111/jdv.16630.

[16] Oliveira JAQ, Wolff IS, Ribeiro LD, Silva MVRS, Silva LTD, Marcolino MS. Teledermatology: current perspectives. Smart Homecare Technology and TeleHealth. 2017;4:61-73 https://doi.org/10.2147/SHTT.S104305.

[17] Rusyda MI, Indrdewi GK, Pratama AW. Statistik Gender Provinsi Nusa Tenggara Barat. Badan Pusat Statistik Provinsi Nusa Tenggara Barat. 2021. Available from: https://ntb.bps.go.id/publication/2021/07/30/292f637875bea6dc39101151/statistik-gender-provinsi-nusa-tenggara-barat-2020.html.

[18] Kadriyan H, Endriani E, Andiwijaya FR, Harahap IL. Upper airway obstruction due to bilateral laryngeal polyp: a challenging of treatment in a rural area. Crit care shock. 2021;24(4). p212-217.

[19] Wahyudiyono. Use of Information and Communication Technology in Nusa Tenggara Barat. Jurnal Komunikasi, Media dan Informatika. 2016;5(1). p29-36.

[20] Kadriyan H, Wijaya IGPS, Yudhanto D, Yuliyani EA, Mulyana H. Ear image determination on computer assisted outer and midle ear images. IOP Conf. Series: Earth and Environmental Science. 2021. doi:10.1088/1755-1315/712/1/012022.

Teledermatology for managing COVID-19 patients with cutaneous manifestation: case series study in a rural primary hospital

Abstract

References

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