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Letter to Editor                                Plastic and Aesthetic Research





            Medicine and new social media: the good

            and the bad of taking a “selfie” for skin

            problems





            Anna Zampetti , Dennis Linder      2
                             1
            1 Rare diseases and Periodic Fevers Research Centre, Catholic University of Rome, 00168 Rome, Italy.
            2 Section of Biostatistics, University of Oslo, NO-0316 Oslo, Norway.
            Correspondence Author: Dr. Anna Zampetti, Rare diseases and Periodic Fevers Research Centre, Catholic University of Rome, Largo F.
            Vito 1, 00168 Rome, Italy. E-mail: anna.zampetti@gmail.com


            Sir,                                              Patients may for instance also use selfies to have their
                                                              moles checked. The device used to take the pictures,
            According  to  the  Oxford English  Dictionary,  selfie  is  a   their  brightness,  contrast and  sharpness  can impact
            photograph that one has taken of oneself, typically by   heavily on the quality of images. We can miss important
            means  of a smartphone or webcam  and uploaded to   additional information  such as time  of appearance,
            a  social media  and shared with  other  people. The  use   modifications over time  etc. Furthermore, dermoscopy
            of selfies  has  been  dramatically increasing  among  the   may be required, hence we can rarely provide a sound
            general  population in  the  course of the  last decade.   “safe” diagnosis.
            Admittedly, most of us are used to take selfies  in any
            kind of situation, for example to show others how we   On the other hand, encouraging patients to take a selfie
            spent our spared time or simply how we enjoy meals,   to monitor existing moles or ascertain the appearance
            or to show off ourselves in dangerous or breathtaking   of  new  ones  is  likely  to  increase  awareness  about  the
            panoramas. We love posting our pictures on the social   need of a regular mole check and the risk of melanoma.
            networks to share them with family and friends.
                                                              It may provide an important benefit for subjects who are
                                                              living in rural communities with limited access to medical
            The habit of taking selfies is so widespread to become   facilities.  We can recall the personal experience of seeing
                                                                     [1]
            even one of the means  of communication between
            patients and doctors for example by mobile social media   a patient in an outpatient skin cancer department of a
            like WhatsApp. It is a raising issue for many medical   county hospital who declared himself enthusiastic to have
            specialties  and overall for  dermatology  because  of  the   been asked to take “selfies of his moles”, saying that for
            fact that the skin is the largest, the most visible and the   once he was happy to take a “useful selfie” after taking so
            most accessible organ.                            many pointless so far. Furthermore, selfies may represent
                                                              the only way of documenting short-lived lesions, such as
            It is becoming more and more common that doctors   hives and can in certain cases be extremely helpful to put
            are asked an opinion by patients who have sent some   together a significant medical history.
            pictures showing unusual skin rashes, moles of dubious
            nature or unidentifiable  lesions. All too often,  making   Dermatologists  and plastic surgeons  could potentially
            a correct and well-pondered diagnosis is an impossible   encourage patients to take selfies for post interventional
            achievement.                                      This is an open access article distributed under the terms of the Creative
                                                              Commons  Attribution-NonCommercial-ShareAlike  3.0 License,  which  allows
                           Access this article online         others to remix, tweak and build upon the work non-commercially, as long as the
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                                                               How  to  cite  this  article:  Zampetti  A,  Linder  D.  Medicine  and
                                                               new social media: the good and the bad of taking a “selfie” for skin
                                    DOI:                       problem. Plast Aesthet Res 2016;3:282-3.
                                    10.20517/2347-9264.2016.26
                                                               Received: 14-04-2016; Accepted: 06-06-2016
            282                                             © 2016 Plastic and Aesthetic Research | Published by OAE Publishing Inc.
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