title: Overcalling a teledermatology selfie: a new twist in a growing field.
abstract: Teledermatology via patient-generated digital images or "selfies" has been increasing since the advent of portable devices capable of high resolution image capture. During these early days, doctors and patients are learning about uses and limitations. We describe a case in which a patient's selfie led three attending physicians to suspect an iatrogenic hematoma requiring urgent assessment. There was no hematoma at follow up, simply dark and smooth adherent crust, which was gently removed to reveal a well-healing wound. This case introduces a previously undescribed teledermatology-related issue, that of "overcalling" a selfie. An image supplied by a patient misleadingly appeared to show a serious complication requiring urgent treatment.
authors.forename: Keenan
authors.initials: K
authors.lastname: Hogan
authors.forename: Jarrod
authors.initials: J
authors.lastname: Cullan
authors.forename: Vikas
authors.initials: V
authors.lastname: Patel
authors.forename: Anand
authors.initials: A
authors.lastname: Rajpara
authors.affiliation: University of Kansas Medical Center.
authors.forename: Daniel
authors.initials: D
authors.lastname: Aires
mesh_terms: D002280:Basal Cell Carcinoma / Q000601:surgery*; D003880:Dermatology; D003951:Diagnostic Errors; D005153:Facial Neoplasms / Q000601:surgery*; D005260:Female; D006406:Hematoma / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged; D010781:Photography; D019106:Postoperative Hemorrhage / Q000175:diagnosis*; D057566:Self Report; D012878:Skin Neoplasms / Q000601:surgery*; D017216:Telemedicine