A Retrospective Analysis of WhatsApp as a Mode of Teledermatology: A Need of the Present Bringing in a Newer Consultation Mode in Future

Abstract

Background: Telemedicine is usually considered a provision of health-care services, where distances are a critical factor. WhatsApp is a popular instant messaging app used worldwide, which incorporates encrypted text/voice/video-based communication making it ideal for dermatology consults in the current situation. Objectives: The aim of the study was to do a retrospective analysis of new and follow-up patients seen through teledermatology (TD) using WhatsApp and telemedicine platform as a communication tool during the lockdown due to COVID-19 pandemic. Materials and Methods: Retrospective analysis of new and follow-up patients seen through teledermatology during the lockdown was done. The teleconsultation was provided through WhatsApp and telemedicine platform. Consent was sought, and a detailed history was obtained through messaging and by call. Clinical pictures sent by WhatsApp were analyzed, and a diagnosis was made by correlating the history and image findings. Treatment was individualized for each patient, and a teleprescription was sent as per the guidelines provided by the health-care regulators. Results: This study retrospectively analyzed the usefulness of WhatsApp-based teleconsultations for 60 patients comprising 32 new and 28 follow-up cases during the lockdown. The conditions ranged from various forms of dermatitis, papulosquamous disorders, and autoimmune blistering disorders to cutaneous infections. Conclusion: Diagnosis could be made in all 60 patients. Positive patient perception and prognosis, with decreased financial liabilities were noticed. WhatsApp provides a way to move forward in these uncertain times. Specific guidelines on TD have to be inculcated in routine practice.