Photography in Dermatology

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Created by
Christola

Cards (17)

  • Smartphone photography in dermatology
    Why:
    • Smartphone camera is comparable to DSLR in many aspects
    • Online referral and follow up is getting common especially during & post covid era
    How:
    • 10 points appraisal checklist for clinical photos
  • DSLR photography
    • Diffuse and ring flash
  • Glamourous photography
    • Built in
  • Smartphone photography
    • 2 or 3 point light
  • Have you removed the filter(s) before taking a clinical photo?
    A. Digital filter (Smartphone)
    B. Physical filter (Makeup)
  • Have you asked for consent before taking a clinical photo?
    A. For disease monitoring +/- publication, future teaching & presentation
    B. If difficult in private clinic, consider documentation by patient's own smartphone
  • Have you decided the color of the background?
    Malaysians with skin type 3 to 5: GREEN
  • About distribution & Pattern
    Have you captured all the positions and hidden areas for all the skin & appendages?
    SKIN
    HAIR
    MUCOSA
    NAILS
  • It is really problematic from a practical standpoint to capture all of these poses and hidden spots. if it is inconvenient, we must ask for these components verbally & document the significant +ve and negative.
  • Dynamic posture & movement to augment the affected areas
    1. Especially post treatment: botox, fillers
    2. Especially dermal or subcutaneous lesions; morphea
  • Adjust the color of the skin lesions & background skin
    Ambient light + skin color + camera temperature setting + background
  • Feel the light before starting

    Indoor / outdoor & natural / artificial
    Volume = Exposure
    Temperature = yellow Blue
    Direction = Skin Texture
  • About the morphologies & its sequence
    Have you captured all the related morphologies from primary (early) and secondary (later)
    Whole view + selective but specific close up
  • About the morphology and its details
    background, skin color & lesional color
    Light - Angle
    3 point system
    Natural light (low)
    Direct continuous light
    Direct flash light
    2 or 3 point light system
    Color
    Margin
    Surface changes
    Appendages - hair follicles, sweat glands, ...
  • About the depth and aperture
    (f / 11 – f / 22)
  • Bedside tests & Gadgets
    • Wood light
    2. Dermo scope
  • Wood light: epidermal pigmentation will get augmented