Dermatology
Diagnosing Common Skin Conditions Through Virtual Visits
Learn what a virtual skin visit can assess, how to prepare useful photos, and when an in-person examination is needed.
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Skin concerns by video
Telehealth dermatology
Many common skin conditions can be evaluated and treated by video. Clear photos plus your history let Charles start treatment, order tests and refer you to an in-person dermatologist when something needs hands-on care.
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Practice provider: Charles Wade, FNP-BC. Information updated October 25, 2026.
Visit details
A dermatology visit starts with what you are seeing, how long it has been there, what makes it better or worse and what you have already tried. Good photos matter: daylight, no filters, one close and one from further back. Charles reviews them with you on the call, asks the questions an office visit would, and decides whether this can be treated by video.
Treatment may include prescription creams, oral medication where appropriate, lab work when a condition such as melasma or hair loss has an underlying cause to check, and a referral to a local dermatologist for anything that needs a biopsy, a procedure or a closer look.
Dermatology
Conditions we commonly evaluate and treat
Examples, not a complete list. If you do not see your concern, ask us.
AcneAcne scarring follow-upRosaceaEczema (atopic dermatitis)Contact dermatitisPsoriasisSeborrheic dermatitis and dandruffMelasma and dark spotsFungal nail infectionsAthlete’s foot and ringwormHivesRashesDry, itchy skinMinor skin infectionsCold soresShingles symptomsHair thinningInsect bites and stingsWartsPrescription refills for an existing skin condition
What dermatology by video can and cannot do
1
Evaluate
Most rashes, acne, eczema and psoriasis can be assessed from clear photos and your history.
2
Treat
Topical and oral prescriptions go to your pharmacy; follow-up visits check progress and side effects.
3
Test
Labs when a skin finding points to something systemic, such as thyroid, iron or hormone-related changes.
4
Refer
Moles that are changing, suspected skin cancer, biopsies, cryotherapy and procedures go to an in-person dermatologist near you.
Where
Dermatology in your state
You need to be physically in one of these states during the visit.
Patient Questions
All Patient Questions Questions about dermatology.
What photos help make an online skin assessment more useful?
Send a well-lit close-up and a wider image showing the location, without filters. Include how long the problem has been present and any products or medications tried.
Can stress or skin-care products trigger eczema or dermatitis?
Yes. Irritants, allergies, dry skin and stress can contribute. We review exposures and discuss skin care and treatment options.
How are acne treatment plans tailored to different patients?
We consider acne type, severity, scarring risk, pregnancy considerations, previous treatments and skin sensitivity before recommending treatment.
Can rosacea be confused with acne?
Yes. Both can cause facial redness and bumps, but the triggers and treatments differ. A careful history and photographs can help guide next steps.
Is melasma the same as post-inflammatory dark spots?
Not necessarily. Several conditions cause pigmentation changes, and treatment depends on the likely diagnosis. Sun protection is often an important part of care.
Does a yellow or thick toenail always mean fungus?
No. Trauma, psoriasis and other conditions may look similar. Testing may be recommended before starting certain antifungal treatments.
Can a persistent scalp rash be evaluated online?
Many scalp concerns can be assessed initially by history and photographs. Significant hair loss, scarring or uncertain findings may require an in-person examination.
What should I do about a rash after starting a new medication?
Contact a clinician promptly. Fever, widespread blistering, mouth sores, facial swelling or breathing difficulty can signal a serious reaction and require urgent or emergency care.
Can a changing mole be managed with a topical cream?
A changing or bleeding mole should be examined in person, often by a dermatologist. Telehealth cannot rule out skin cancer or replace a biopsy.
How will we know whether a skin treatment is working?
Follow-up may involve symptom changes, repeat photographs, side-effect review and adjustment of treatment or referral when improvement is insufficient.
Good to know
Services, screening recommendations, testing, treatment options, referrals and prescribing may vary with your age, medical history, symptoms, where you are physically located at the time of the visit, state and federal requirements, insurance requirements, and whether your condition can be safely managed by telehealth. Conditions and services listed here are examples. An appointment does not guarantee a particular diagnosis, a prescription, a controlled medication, hormone therapy, a lab order, an imaging study, a sleep study, a specialist referral, an accommodation letter or a particular treatment. Treatment decisions follow a clinical evaluation and the provider’s judgment.
Sources
Practice provider: Charles Wade, FNP-BC. Information updated October 25, 2026.
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