The ease of virtual diagnosis or management of certain pediatric skin conditions may contribute to the differences in telehealth use found in this analysis. Specifically, acne and hemangiomas may be amenable to telehealth as they often affect localized areas and can be easily visualized using patientsubmitted photographs.1,2 Contact dermatitis may be diagnosed virtually given it is often geometric and localized especially in combination with a carefully-obtained confirmatory history of localized cutaneous exposure to an allergen or irritant.3 In contrast, atopic dermatitis may require in-person evaluation, as it may present diffusely on the body and exhibit texture changes that are difficult to appreciate without direct examination.4 In-person visits may also be preferable for conditions such as viral warts which are often treated with office procedures like cryotherapy or excision.5 Finally, challenges associated with telehealth for alopecia areata may include difficulty visualizing the scalp using patient photos and the need for in-person treatment for some patients.1
Our report is consistent with existing literature on the effectiveness of teledermatology for management of pediatric vascular tumors6,7 and acne.8 However, some studies suggest that atopic dermatitis and viral warts are also commonly managed using telemedicine,9,10 contrary to our findings. Since we examined patient preferences for telehealth rather than the clinical usefulness of telehealth, we hypothesize that patients
