15 December 2021>: Articles
A 57-Year-Old Man with Type 1 Diabetes Mellitus and a Chronic Foot Ulcer Successfully Managed with a Remote Patient-Facing Wound Care Smartphone Application
Unusual setting of medical careLing Yuan Kong * , Jose Luis Ramirez-GarciaLuna * , Robert D. J. Fraser A , Sheila C. Wang A*
Am J Case Rep 2021; 22:e933879
Figure 3. Patient wound monitoring using the Skin and Wound platform. (A) Baseline photograph of patient’s wound associated with underlying osteomyelitis. Image was taken using the standard iPhone Camera App on an iPhone11 running iOS 14.0.1 and is representative of the 2 photographs shared by the patient between February and June 2020. Note the image’s lack of focus. The patient shared 2 images using the Camera App. (B) Image of the dashboard showing wound image and healing process-associated metrics, acquired on the date and at the time indicated. (C) Same as B except at the later date indicated. (D) Same as C, except at the later date indicated. (E) Closure graph viewed through the dashboard, automatically calculated from aggregated images of the wound over time. I, II, and IV indicate the dates when the images shown in B–D were captured. The timeframe highlighted in yellow indicates when the patient received antibiotics, which corresponded to enhanced healing of the wound. After the healing stalled (highlighted in pink), a tunnel wound was detected (III), resulting in wound debridement and the insertion of a mesh. This was followed by further closure of the wound (highlighted in blue). At IV, wound closure was calculated at 86%.