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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]

The article describes the case of a 68-year-old woman with a history of breast cancer treated 26 years ago presented several lesions on the upper back that had appeared six months before. Topics discussed include the diagnosis of cutaneous metastases (CM) that clinically and dermatoscopically simulated multiple dermatofibromas (DFs). Also mentioned are the present case demonstrating that CM could simulate DFs as well as a recommendation that a skin biopsy be undertaken in all doubtful cases.

A letter to the editor is presented in response to the article regarding eslicarbazepine induced toxic epidermal necrolysis in the previous issue.

A quiz concerning the diagnosis of a newborn female patient who was presented at birth with a painless bulky mass on the vertex and found with solitary myofibroma lesions on the scalp is presented.