Title : AI teledermatology vs. real-life clinical dermatology: Pros & cons
Abstract:
Background: Artificial intelligence (AI) and teledermatology are transforming clinical practice, enabling clinicians to upload patient photographs into applications that can guide differential diagnosis. While these tools are valuable, dermatology remains a specialty where subtle clinical signs, sensory perception, and empathetic communication play a crucial role. Some conditions may not be visible on images, yet an experienced clinician may detect abnormalities through intuition, examination, or even smell features impossible for AI to replicate.
Aim: To evaluate the complementary role of AI teledermatology while emphasizing the irreplaceable value of face-to-face clinical care, physician–patient communication, and mentorship in dermatology.
Methods: A narrative review of current literature was combined with reflections from international practice and mentorship under MUDr. Hana Zelenková, PhD., whose more than 45 years of experience highlight the importance of holistic and patient-centred dermatology.
Results: AI teledermatology improves accessibility and diagnostic support, particularly in underserved areas, and can help orient clinicians in differential diagnosis. However, limitations include algorithmic bias, lack of nuanced assessment, and risk of overlooking sensitive psychosocial factors. Real-life dermatology allows for direct physical examination, patient dialogue, and the involvement of relatives when appropriate. Under the mentorship of Dr. Zelenková, the importance of communication skills became evident—for example, in cases where patients felt ashamed to disclose lesions in intimate areas due to male female hesitation. In such situations, inviting a trusted relative into the consultation sometimes enabled disclosure and improved care.
Conclusion: AI applications are powerful tools to support dermatological practice, but they cannot replace the physician’s expertise, empathy, and ability to address complex psychosocial dimensions of care. The final judgement in diagnosis and treatment must remain with the doctor, who ensures both medical accuracy and patient dignity.
