ArticleJMIR dermatology2026
Assessment of Quality and Utility of Patient-Taken Smartphone Photographs of Atopic Dermatitis: Clinical Survey Study.
Article in JMIR dermatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Atopic dermatitis (AD) has a relapsing and remitting nature, and scheduled clinic visits only provide a snapshot of the skin condition at the moment. Objective: This study aimed to investigate the quality of patient-taken smartphone photographs of AD skin lesions and characterize patients using smartphone photographs as a tool to assist the physician to show disease activity in between consultations. Methods: Patients from 2 university outpatient clinics specialized in AD were surveyed. A questionnaire regarding digital readiness was completed, and a previously taken skin lesion photograph on the patients' own smartphone was evaluated. Results: Between February 2024 and September 2024, a total of 100 questionnaires were completed, 60 (60%) by participants from the capital region of Denmark and 40 (40%) by participants from an urban area, including 62 (62%) men and 38 (38%) women. The mean age of the recruited patients was 33.9 (SD 19.9) years. A total of 78% (78/100) of the patients used a desktop computer, laptop, or tablet often or always, and 86% (86/100) corresponded with the health care system using technology (eg, via email to the general practitioner or contact with hospitals via apps). More than 50% (52/100, 52%) strongly agreed or agreed with the statement that they would prefer a remote online visit with, for example, upload of skin lesion photographs over a routine in-person office visit. Almost 3 out of 4 patients had a photograph of their AD skin lesion on their smartphone, most (38/71, 54%) with the sole intention of presenting it to a physician. The photographs were of good quality in 85% (60/71) of the cases, and most (61/71, 86%) of the smartphone photographs were assessed to be useful for diagnostic and clinical evaluation. Receiving topical monotherapy was significantly associated with increased risk of having taken a skin lesion smartphone photograph (P=.006). Conclusions: Patients with AD followed up on in an outpatient clinic often took good-quality photographs of their skin lesions before consultations with the intention of presenting them to the physician.
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