Pediatric Teledermatology in Global Settings: A Systematic Review of Conditions, Modalities, and Outcomes

In 2019, the global incidence of skin and subcutaneous diseases in children and adolescents reached 57,967 per 100,000, with the burden disproportionately concentrated in low- and middle income countries (LMICs) [1]. Severe shortage of pediatric dermatologists and the geographic workforce maldistribution severely limit access to pediatric dermatology care within LMICs [2]. Long wait times and delayed diagnosis can worsen outcomes for even common cutaneous conditions [2]. Teledermatology, including asynchronous store-and-forward, synchronous live video, and electronic consultations (eConsults), offers scalable solutions in resource-constrained environments. Prior reviews have focused on adult teledermatology or individual conditions, but comprehensive synthesis of pediatric-specific outcomes remain limited. This systematic review summarizes evidence on pediatric teledermatology, focusing on study characteristics, patient demographics, dermatologic conditions, telehealth modalities, provider involvement, and outcomes including satisfaction and diagnostic concordance.