ORIGINAL ARTICLE★National Psoriasis FoundationTelemedicine Task Force guidance formanagement of psoriatic diseasevia telemedicineNatalia Pelet del Toro,MD,*Rayan Yahia,BS,Steven R.Feldman,MD,PhD,Abby Van Voorhees,MD,dLawrence Green,MD,Sergio Schwartzman,MD,'Evan Siegel,MD,Kelly M.Cordoro,MD,"Seemal R.Desai,MD,'Leon Kircik,MD,'Wilson Liao,MD,"Jason E.Hawkes,MD,MS,'Jeffrey Weinberg,MD,'John Koo,MD,Elizabeth Brezinski Wallace,MD,Leah M.Howard,JD,"April Armstrong,MD,"andGeorge Han,MD,PhDTelemedicine emerged as an alternative care delivery system used to offer effective long-term managementto patients with chronic,inflammatory conditions such as psoriatic disease.Teledermatology can providereliable clinical information through thorough history-taking and virtual evaluations that include patient-provided images and disease activity assessment tools that may help accurately diagnose and managepatients with psoriasis.The integration of validated screening tools for psoriatic arthritis and effectiveteledemmatology practices may improve access to specialists,thus avoiding preventable delays in thediagnosis and treatment of patients with psoriatic arthritis.Although the provision of telehealthcare shouldnot completely replace high quality,in-person dermatologic or rheumatologic visits,the convenience andcollaborative nature of teledemmatology may lead to expanded access and expedited care in theappropriate setting,whether it be in a virtual or in-person visit.(JAAD Int 2023;12:32-6.)Key words:biologics;psoriasis;psoriatic arthritis;telemedicine;teledermatology;topical therapy.INTRODUCTIONhealth care delivery and access.Telemedicine utili-The use of technology to provide access to healthzation among dermatologists increased from undercare is not a new idea,with reports dating back to the15%to >95%after the pandemic,reflecting its1870s with the use of telephone.Physicians havemarked popularity among patients and uptake forsince continued to leverage emerging technologiesphysicians.Importantly,this has highlighted thatto deliver quality care from remote locations.'Thisteledermatology can be used beyond the context of awas especially apparent when the COVID-19global health crisis to provide continuity of care andpandemic caused sudden and drastic changes inimprove access to health care more broadly.From the Department of Dermatology,Donald and Barbara ZuckerDermatology,University of Colorado,Aurora,Colorado";Na-School of Medicine at Hofstra/Northwell,New Hyde Park,Newtional Psoriasis Foundation,Portland,Oregon";and Depart-York;University of Califomia,Riverside School of Medicine,ment of Dermatology,Keck School of Medicine,University ofCalifornia;Department of Demmatology,Wake Forest School ofSouthern Califomia,Los Angeles,California.Medicine,Winston-Salem,North Carolina;Department ofDrs Han and Armstrong are co-senior authors of this article.Dermatology,Eastern Virginia Medical School,Norfolk,Virgin-Funding sources:Supported by the National Psoriasis Foundation
