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In our case, the teledermatology referral is used as a register for the patient appointment and treatment by the Dermatology Department when needed, and not only for a diagnosis confirmation. The commitment of the professional involved and the full integration of teledermatology in the current health-care procedures promoted the increased use of the teledermatology system during these 12 years. The ageing of the rural Andalusian population and an elevated occupational exposure to the sun makes skin cancer a common disease, which may need early specialised attention.1 Our region includes isolated small villages that are about 50 km away from the reference hospital accessible only by mountain roads. Each teleconsultation contained a suspected diagnosis and a four-option action plan (face-to-face evaluation by the Dermatology Department, received treatment in the primary care, required no treatment or scheduled for a new teleconsultation). [Extracted from the article]