Articles

  1. Home
  2. Articles

Case Report

Download

Mobile Teledermatology of Acute Allergic Angioedema Case Reported

Mohammed Abdul Qader AlMalmi

Consultant of dermatology and aesthetic medicine in Doctor AlMalmi Clinic Sanaa Yemen and specialist dermatology and aesthetic medicine in Be You Plus Clinic Dubai uae.


Article Info

Received Date: 24 December 2024, Accepted Date: 27 December 2024, Published Date: 31 December 2024
*Corresponding author: Mohammed Abdul Qader AlMalmi, Consultant of dermatology and aesthetic medicine in Doctor AlMalmi Clinic Sanaa Yemen and specialist dermatology and aesthetic medicine in Be You Plus Clinic Dubai uae, Email:
maqma1952@gmail.com.
Citation: Mohammed Abdul Qader AlMalmi. (2024). “Mobile Teledermatology of Acute Allergic Angioedema Case Reported”. International Journal of Medical Research and Medical Case Reports, 1(3); DOI: http;/12.2024/IJMRMCR/015.
Copyright: © 2024 Mohammed Abdul Qader AlMalmi. This is an open-access article distributed under the terms of the Creative Commons Attribution 4. 0 international License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract:

Background:
In addition, this type of angioedema can occur if an insect or spider bites you. Acute allergic angioedema happens quickly, usually within minutes to about one to two hours after youve made contact with the allergen. You almost always have. hives along with the swelling Patients.

Methods: Ten years old Yemeni boy children patient presented with two big swelling in his forehead of acute onset. His father take photo for him by mobile and sent me through WhatsApp.

Mobile Teledermatology: This occurred after insect bite. He was treated by oral antihistamine and topical steroid. There were no any investigations.
Results: The clinical data and the investigations showed that patient had acute allergic Angioedema.
Conclusion: Acute allergic Angioedema was common skin disease caused by insect bite.

Keywords: mobile; teledermatology; yemen; angioedema; social media; allergic; acute.

Case study:

10 years old Yemeni boy children patient presented with two big swellings in his forehead of acute onset. His father take photo by his mobile for his this son and sent it to me by WhatsApp teledermatology. I followed him out patient and no any investigations needed.The patient treated with oral antihistamine and topical steroid. The main cause is insect bite. (figure 1)

 

 

Figure 1: Forehead two big swellings of acute allergic angioedema

Comment: 

Teledermatology is a subspecialty in the medical field of dermatology and probably one of the most common applications of telemedicine and e-health. In teledermatology, telecommunication technologies are used to exchange medical information (concerning skin conditions and tumors of the skin) over a distance using audio, visual, and data communication. [1,2,3,4]. Applications comprise health care management such as diagnoses, consultation, and treatment as well as (continuous) education. The dermatologists Perednia and Brown were the first to coin the term "teledermatology" in 1995. In a scientific publication, they described the value of a teledermatologic service in a rural area underserved by dermatologists Mobile telemedicine is a system in which at least one. [5,6,7,8,9]. Participant (the person seeking advice or the doctor, for instance) uses wireless or mobile equipment i.e. mobile phones, handheld devices), in contrast to conventional stationary telemedicine platforms. Travelers who develop skin lesions as well as doctors who are on the move in hospital/non-hospital area can benefit from this new development in teledermatology. [10,11,12,13]. To facilitate access to medical advice and enable individuals to play a more active role in managing their own health status, mobile teledermatology seems to be especially suited for patient filtering or triage. (i.e. referral based on the severity and character of their skin condition). Another possible practical application is for follow-up of individuals with chronic skin conditions. However, currently available studies show a high rate of missed skin cancers including melanoma, and there is not enough robust data to recommend this method of diagnosis and treatment. Suitability of cases Not all cases are suitable for teledermatology. [14,15,16,17] .The type of cases. suited for teledermatology is a topic, which requires more studies. Some studies have observed that eczema and follicular lesions were diagnosed with relatively more certainty, while in some other studies it was seen that diagnoses were made with more certainty in cases like viral warts, herpes zoster, acne vulgaris, irritant dermatitis, vitiligo, and superficial bacterial and fungal infections. Implemented projects by country of Yemen. [18,10,20,21,22,23,24]. Angioedema is swelling that is similar to hives, but the swelling is under the skin instead of on the surface. Hives are often called welts. They are a surface swelling. It is possible to have angioedema without hives. Hives and angioedema may also occur after infections or with other illnesses (including autoimmune disorders such as lupus, and leukemia and lymphoma). A form of angioedema runs in families and has different triggers, complications, and treatments. This is called hereditary angioedema. The main symptom is sudden swelling below the skin surface. Welts or swelling on the surface of the skin can also develop. The swelling usually occurs around the eyes and lips. It may also be found on the hands, feet, and throat. The swelling may form a line or be more spread out. The welts are painful and may be itchy. This is known as hives (urticaria). They turn pale and swell if irritated. The deeper swelling of angioedema may also be painful. Angioedema that does not affect the breathing may be uncomfortable. It is usually harmless and goes away in a few days. [25,26,27,28,29,30].

References:

    1. "ATA Teledermatology SIG". American Telemedicine Association. Archived from the original on 2 February 2007.
    2. Wootton R (December 2017). "Realtime Telemedicine". In Wootton R, Craig J, Patterson V (eds.). Introduction to Telemedicine (Second ed.). CRC Press. p. 88. ISBN 978-1-351-98946-6.
    3. Wurm EM, Hofmann-Wellenhof R, Wurm R, Soyer HP (February 2008). "Telemedicine and teledermatology: Past, present and future". Journal of the German Society of Dermatology. 6 (2): 106–12. doi:10.1111/j.1610-0387.2007.06440.xPMID 18005076S2CID 41450493.
    4. Burg G, Soyer HP, Chimenti S (2005). "Teledermatology". In Frisch P, Burgdorf W (eds.). EDF White Book, Skin Diseases in Europe. Berlin. pp. 130–133.
    5. Perednia DA, Brown NA (January 1995). "Teledermatology: one application of telemedicine". Bulletin of the Medical Library Association. 83 (1): 42–7. PMC 225996PMID 7703938.
    6. Chuchu, Naomi; Dinnes, Jacqueline; Takwoingi, Yemisi; Matin, Rubeta N; Bayliss, Susan E; Davenport, Clare; Moreau, Jacqueline F; Bassett, Oliver; Godfrey, Kathie; OSullivan, Colette; Walter, Fiona M (4 December 2018). Cochrane Skin Group (ed.). "Teledermatology for diagnosing skin cancer in adults". Cochrane Database of Systematic Reviews. 2018 (12): CD013193. doi:10.1002/14651858.CD013193PMC 6517019PMID 30521686.
    7. "Telederm.org". eDermConsult.
    8. Binder B, Hofmann-Wellenhof R, Salmhofer W, Okcu A, Kerl H, Soyer HP (December 2007). "Teledermatological monitoring of leg ulcers in cooperation with home care nurses". Archives of Dermatology. 143 (12): 1511–4. doi:10.1001/archderm.143.12.1511PMID 18086999.
    9. Ford, Adam R.; Gibbons, Caitlin M.; Torres, Josefina; Kornmehl, Heather A.; Singh, Sanminder; Young, Paulina M.; Chambers, Cindy J.; Maverakis, Emanual; Dunnick, Cory A.; Armstrong, April W. (2019). "Access to Dermatological Care with an Innovative Online Model for Psoriasis Management: Results from a Randomized Controlled Trial". Telemedicine and e-Health. 25 (7): 619–627. doi:10.1089/tmj.2018.0160ISSN 1530-5627PMC 6417973PMID 30222518.
    10. "IDD International Dermoscopy Diploma". Medizinische Universität Graz. Archived from the original on 13 January 2011.
    11. "DermNet NZ". New Zealand Dermatological Society.
    12. Massone C, Soyer HP, Lozzi GP, Di Stefani A, Leinweber B, Gabler G, et al. (April 2007). "Feasibility and diagnostic agreement in teledermatopathology using a virtual slide system". Human Pathology. 38 (4): 546–54. doi:10.1016/j.humpath.2006.10.006hdl:11567/255271PMID 17270240.
    13. * Bauer J, Leinweber B, Metzler G, Blum A, Hofmann-Wellenhof R, Leitz N, et al. (September 2006). "Correlation with digital dermoscopic images can help dermatopathologists to diagnose equivocal skin tumours". The British Journal of Dermatology. 155 (3): 546–51. 
    14. "Handyscope". FotoFinder Systems GmbH. Archived from the original on 10 April 2020. Retrieved 27 November 2018.
    15. Snoswell C, Finnane A, Janda M, Soyer HP, Whitty JA (June 2016). "Cost-effectiveness of Store-and-Forward Teledermatology: A Systematic Review" (PDF). JAMA Dermatology. 152 (6): 702–8. 
    16. Chuchu N, Takwoingi Y, Dinnes J, Matin RN, Bassett O, Moreau JF, et al. (December 2018). "Smartphone applications for triaging adults with skin lesions that are suspicious for melanoma". The Cochrane Database of Systematic Reviews. 2018 (12): CD013192. 
    17. * Kaliyadan F, Venkitakrishnan S (2009). "Teledermatology: clinical case profiles and practical issues". Indian Journal of Dermatology, Venereology and Leprology. 75 (1): 32–5. 
    18. Schofield J, Grindlay D, Williams H. Skin conditions in the UK: a health care needs assessment. Nottingham: Centre of Evidence Based Dermatology, University of Nottingham, 2009.
    19. "The Operating Framework for the NHS in England 2011/12". Department of Health. GOV.UK.
    20. "Skin cancer responds to around 30% of all malignant tumors in the Country". Sociedade Brasileira de Medicina Tropical (in Portuguese). 2019.
    21. von Wangenheim A, Nunes DH (2019). "Creating a Web Infrastructure for the Support of Clinical Protocols and Clinical Management: An Example in Teledermatology". Telemed J e Health. 25 (9): 781–790. 
    22. Giavina Bianchi M, Santos A, Cordioli E (2021). "Dermatologists perceptions on the utility and limitations of teledermatology after examining 55,000 lesions". J Telemed Telecare. 27 (3): 166–173. 
    23. Snoswell CL, Caffery LJ, Whitty JA, Soyer HP, Gordon LG (June 2018). "Cost-effectiveness of Skin Cancer Referral and Consultation Using Teledermoscopy in Australia". JAMA Dermatology. 154 (6): 694–700.
    24. Snoswell CL, Whitty JA, Caffery LJ, Finnane A, Soyer HP (August 2019). "What do Australian dermatologists expect to be paid for store-and-forward teledermoscopy? A preliminary investigation" (PDF). Journal of Telemedicine and Telecare. 25 (7): 438–444.
    25. American Academy of Asthma, Allergy & Immunology. Multiple pages reviewed for this article. Treatment of Hereditary Angioedema Accessed 3/23/2022.
    26. Bernstein JA, Cremonesi P, Hoffmann TK, Hollingsworth J. Angioedema in the emergency department: a practical guide to differential diagnosis and management Int J Emerg Med. 2017;10(1):15. doi:10.1186/s12245-017-0141-z Accessed 3/23/2022.
    27. Maurer M, Fluhr JW, Khan DA. How to Approach Chronic Inducible Urticaria J Allergy Clin Immunol Pract. 2018;6(4):1119-1130.
    28. Memon RJ, Tiwari V. Angioedema [Updated 2021 Dec 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Accessed 3/23/2022.
    29. Merck Manuals. Angioedema Accessed 3/23/2022.
    30. Tarbox JA, Bansal A, Peiris AN. Angioedema JAMA. 2018;319(19):2054.