Abstract
To the Editor: Store-and-forward teledermatology relies on primary care providers' (PCPs') ability to detect suspicious lesions. Incidental findings, defined as imaged lesions beyond the reason for consultation and undocumented by the referring PCP, have not yet been quantified in teledermatology. Although others have studied incidental skin cancers comparing teledermatology to in-person evaluation and found 8 of 9 incidental malignancies in patients with history of neoplasia, 1 Keleshian V. Ortega-Loayza A.G. Tarkington P. Incidental skin malignancies in teledermatology and in-person cohorts in the Veterans Affairs Health System. J Am Acad Dermatol. 2017; 77: 965-966 Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar to our knowledge none have investigated incidental lesions that were missed but visible during the consultation itself. 1 Keleshian V. Ortega-Loayza A.G. Tarkington P. Incidental skin malignancies in teledermatology and in-person cohorts in the Veterans Affairs Health System. J Am Acad Dermatol. 2017; 77: 965-966 Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar , 2 Kingsley-Loso J.L. Grey K.R. Hanson J.L. et al. Incidental lesions found in veterans referred to dermatology: the value of a dermatologic examination. J Am Acad Dermatol. 2015; 72: 651-655.e651 Abstract Full Text Full Text PDF PubMed Scopus (19) Google Scholar We aimed to evaluate clinically significant incidental lesions in teledermatology consultations of veterans with a skin cancer history and factors associated with higher likelihood of lesion discovery as evidenced by teledermatologist documentation.
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