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In reply

We read with interest the letter by Kanthraj concerning our research team’s article on telemedical wound care using mobile telephones.¹ In the model proposed by Kanthraj, a local health care provider takes digital images of leg ulcers, sends them to a specialized center for automated wound management, and obtains the calculated wound parameters. We agree that this is a challenging concept, which is technically feasible, but we do not agree that this approach is "of vital importance" for telemedical wound care in remote geographic areas.

The parameters mentioned by Kanthraj et al^2-3 in their previous publications were wound perimeter and surface area. We agree that these parameters are important, but they do not necessarily have an impact on the management of the case. In our practice, clinical evaluation of the wound itself (eg, presence of fibrinous tissue and granulation tissue) and qualitative aspects of its border are more . . . [Full Text of this Article]

AUTHOR INFORMATION
Ralph Peter Braun, MD

RELATED ARTICLE

The Integration of the Internet, Mobile Phones, Digital Photography, and Computer-Aided Design Software to Achieve Telemedical Wound Measurement and Care
Garehatty Rudrappa Kanthraj
Arch Dermatol. 2005;141(11):1470-1471.
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