{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T06:38:02Z","timestamp":1786430282749,"version":"build-2736575974"},"reference-count":13,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T00:00:00Z","timestamp":1719964800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"2022 I&amp;I IT INNOVA-DERMA local competitive grant program"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Teledermatology is the application of information and telecommunication technologies in the field of dermatology to provide remote care services based on the exchange of clinical information within a network of professionals or between professionals and patients. Tele-trichoscopy is a non-invasive, inexpensive, and easy-to-use method that applies the principle of surface microscopy at different magnifications. Alopecia areata is a non-scarring alopecia with a chronic evolution, which often needs a close follow-up. Objectives: The aim of our work was to analyze the possible benefits of telemedicine for the follow-up of patients with alopecia areata. Materials and Methods: We enrolled patients with alopecia areata, identified during the first trichological evaluation, and we divided the patients into two groups. One group was provided with the devices necessary for a telemedicine follow-up. The other group had a conventional follow-up. The total follow-up time was one year. All of the patients\u2019 photos were blindly evaluated by a team of expert dermatologists who were asked to indicate the quality of the images. The photos were also evaluated to identify disease markers. During the follow-up period, questionnaires were administered to both groups of patients to assess the quality of the visit, the level of patient satisfaction, and to identify any issues encountered by the patients. Results: There was a high degree of concordance between the images obtained by outpatient trichoscopy and those obtained by telemedicine. The satisfaction levels were the same between the patients followed via telemedicine and those seen in the outpatient clinic. Conclusions: Telemedicine applied to trichology using trichoscopy was proven to be a valid system for managing the follow-up of patients suffering from chronic recurrent scalp diseases and, above all, for maintaining continuity of care.<\/jats:p>","DOI":"10.3390\/jcm13133901","type":"journal-article","created":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T04:23:43Z","timestamp":1719980623000},"page":"3901","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A New Method for the Follow-Up of Patients with Alopecia Areata"],"prefix":"10.3390","volume":"13","author":[{"given":"Giulio","family":"Bortone","sequence":"first","affiliation":[{"name":"Dermatology Unit, Department of Clinical Internal, Anesthesiological and Cardiovascular Science, Sapienza University of Rome, 00185 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gemma","family":"Caro","sequence":"additional","affiliation":[{"name":"Dermatology Unit, Department of Clinical Internal, Anesthesiological and Cardiovascular Science, Sapienza University of Rome, 00185 Rome, Italy"},{"name":"Dermatology-Ente Ospedaliero Cantonale (EOC), Ospedale Regionale di Bellinzona e Valli, 6500 Bellinzona, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Ala","sequence":"additional","affiliation":[{"name":"Dermatology Unit, Department of Clinical Internal, Anesthesiological and Cardiovascular Science, Sapienza University of Rome, 00185 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Gargano","sequence":"additional","affiliation":[{"name":"Dermatology Unit, Department of Clinical Internal, Anesthesiological and Cardiovascular Science, Sapienza University of Rome, 00185 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfredo","family":"Rossi","sequence":"additional","affiliation":[{"name":"Dermatology Unit, Department of Clinical Internal, Anesthesiological and Cardiovascular Science, Sapienza University of Rome, 00185 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1038\/jid.2013.464","article-title":"Lifetime incidence risk of alopecia areata estimated at 2.1% by Rochester Epidemiology Project, 1990\u20132009","volume":"134","author":"Mirzoyev","year":"2014","journal-title":"J. Investig. Dermatol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1111\/j.1365-2133.2011.10466.x","article-title":"Genetic association of HLA-DQB1 and HLA-DRB1 polymorphisms with alopecia areata in the Italian population","volume":"165","author":"Megiorni","year":"2011","journal-title":"Br. J. Dermatol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1365-2230.2009.03510.x","article-title":"Coudability hairs: A revisited sign of alopecia areata assessed by trichoscopy","volume":"35","author":"Inui","year":"2010","journal-title":"Clin. Exp. Dermatol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1159\/000430909","article-title":"Clinical, Histological and Trichoscopic Correlations in Scalp Disorders","volume":"231","author":"Rossi","year":"2015","journal-title":"Dermatology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.ad.2022.08.018","article-title":"Trichoscopy in Alopecia Areata","volume":"114","year":"2023","journal-title":"Actas Dermosifiliogr."},{"key":"ref_6","first-page":"64","article-title":"Teledermatology in alopecia: A systematic review","volume":"14","author":"Perez","year":"2023","journal-title":"JAAD Int."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1111\/1346-8138.14283","article-title":"Trichoscopy of alopecia areata: An update","volume":"45","author":"Rakowska","year":"2018","journal-title":"J. Dermatol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1111\/ajd.12102","article-title":"Trichoscopic findings in alopecia areata and their relation to disease activity, severity and clinical subtype in Turkish patients","volume":"56","author":"Kibar","year":"2015","journal-title":"Australas. J. Dermatol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s13671-023-00382-z","article-title":"Patient Satisfaction in Teledermatology: An Updated Review","volume":"12","author":"Santiago","year":"2023","journal-title":"Curr. Dermatol. Rep."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1089\/tmj.2021.0011","article-title":"Evaluation of Teledermatology Practice Guidelines and Recommendations for Improvement","volume":"28","author":"Dovigi","year":"2022","journal-title":"Telemed. J. E Health."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1016\/j.det.2021.05.007","article-title":"The Impact of COVID-19 on Teledermatology: A Review","volume":"39","author":"Yeboah","year":"2021","journal-title":"Dermatol. Clin."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e167","DOI":"10.1111\/jdv.16989","article-title":"Diagnosis of hair disorders during the COVID-19 pandemic: An introduction to teletrichoscopy","volume":"35","author":"Randolph","year":"2021","journal-title":"J. Eur. Acad. Dermatol. Venereol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1590\/1516-3180.2021.139305042021","article-title":"The impact of COVID-19 on the development and consolidation of telemedicine","volume":"139","author":"Mariani","year":"2021","journal-title":"Sao Paulo Med. J."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/13\/3901\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:09:27Z","timestamp":1760108967000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/13\/3901"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,3]]},"references-count":13,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2024,7]]}},"alternative-id":["jcm13133901"],"URL":"https:\/\/doi.org\/10.3390\/jcm13133901","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,3]]}}}