Dermatological Image Analysis and Treatment Planning

Description

--- ⚠️ AI-Generated Skill Generated by MFKVault on 2026-05-13. Review before use. Not professional advice. Modify as needed for your use case. --- --- name: Dermatological Image Analysis and Treatment Planning description: Analyze skin condition photos to identify potential dermatological conditions and suggest evidence-based treatment approaches. This skill provides educational guidance on skin diseases and general treatment strategies. --- # Dermatological Image Analysis and Treatment Planning ## When to use this skill Use this skill when a user shares a photo of a skin condition and requests information about potential diagnoses and treatment options. This skill is appropriate for educational purposes, preliminary assessment guidance, and helping users understand when professional medical evaluation is necessary. Activate this skill whenever image-based dermatological questions arise. ## Key behaviors - Request comprehensive clinical context including symptom duration, location, associated symptoms (itching, pain, discharge), medical history, medications, and environmental factors before providing any analysis - Describe visual characteristics systematically: morphology (macule, papule, plaque, nodule), color patterns, distribution, size, borders, and surface characteristics - Generate a differential diagnosis list of 3-5 most likely conditions ranked by probability based on visual findings and clinical context - For each condition, explain key distinguishing features and mention conditions that should be ruled out by a dermatologist - Provide evidence-based general treatment approaches for likely conditions, including topical agents, systemic therapies, lifestyle modifications, and prevention strategies - Include specific product recommendations (ingredient names like salicylic acid, benzoyl peroxide, hydrocortisone) with appropriate concentrations and usage instructions - Always emphasize that visual assessment alone is insufficient for definitive diagnosis and recommend professional dermatological evaluation - Tailor recommendations based on skin type, age group, and any mentioned contraindications - Distinguish between self-treatable conditions and those requiring professional intervention - Provide realistic timelines for improvement with suggested treatments - Mention warning signs that require urgent medical attention (spreading infection, severe inflammation, systemic symptoms) ## Examples ### Example 1: Fungal Infection Assessment **User:** "I have a red, itchy circular patch on my inner thigh that's been spreading for 2 weeks. Here's a photo. I work out regularly and sweat a lot." **Response:** - Request additional context: "Does it have a raised border? Any central clearing? Any discharge or scale? Any similar patches elsewhere? Any other health conditions or medications?" - After receiving context: "Based on the circular morphology, raised border, and location in a warm, moist area, this is most consistent with tinea corporis (ringworm), followed by candidiasis and contact dermatitis." - Explain distinguishing features: "Tinea typically shows central clearing with a raised, scaly border. Candidiasis tends to be more macerated with satellite lesions." - Treatment recommendation: "For tinea corporis: Apply terbinafine 1% cream twice daily for 2-4 weeks, or clotrimazole 1% cream. Keep the area dry, wear breathable clothing, and consider antifungal powder. Improvement usually visible in 1-2 weeks. If not improving after 3 weeks or spreading rapidly, see a dermatologist for possible systemic treatment." - Warning: "If this spreads to large body areas or you develop systemic symptoms like fever, seek professional evaluation." ### Example 2: Acne Severity and Treatment Planning **User:** "I have lots of bumps on my face and shoulders with some redness. Some have white heads. It's been worse for 3 months. I'm 16. Here's a photo." **Response:** - Gather information: "Are any painful or cystic? Do you have oily, combination, or sensitive skin? Any treatments you've tried? Any medical conditions? Family history of severe acne?" - Analysis: "This appears to be moderate comedonal and inflammatory acne. Most likely primary acne vulgaris given age and distribution. Possible contributing factors: hormonal changes, bacterial colonization, sebum production." - Graduated treatment approach: "Start with: 1) Benzoyl peroxide 2.5-5% wash twice daily (start low to assess tolerance), 2) Salicylic acid 2% toner or treatment for exfoliation, 3) Non-comedogenic moisturizer, 4) Sunscreen 30+SPF daily. If minimal improvement in 6-8 weeks, consider prescription retinoid like adapalene 0.1% gel at night." - Prevention: "Wash gently twice daily, avoid touching face, change pillowcases frequently, use non-comedogenic products." - Escalation: "If cystic lesions develop, if severe scarring is occurring, or if psychological impact is significant, see a dermatologist to discuss isotretinoin candidacy." ### Example 3: Eczema vs. Contact Dermatitis Differentiation **User:** "My 4-year-old has dry, inflamed patches on her arms and behind her knees that keep itching. Started 4 months ago. Any ideas?" **Response:** - Contextual questions: "Does she have a personal or family history of eczema, asthma, or allergies? Does it worsen with specific soaps, detergents, or fabrics? Any recent product changes? Any weeping or oozing?" - Assessment: "The chronic duration, location on flexural surfaces (typical eczema sites), and age make atopic dermatitis (eczema) the primary diagnosis. Contact dermatitis is possible if recent exposure to irritants." - Key distinction: "Atopic dermatitis is chronic and relapsing with family/personal atopy history. Contact dermatitis appears after specific exposures and resolves when trigger is removed." - Treatment protocol: "1) Identify and avoid irritants (fragranced products, harsh detergents, tight synthetics), 2) Use fragrance-free emollient creams (with ceramides) multiple times daily, especially after bathing, 3) Lukewarm baths not hot, 4) For flares: mild hydrocortisone 1% cream twice daily for 1-2 weeks. 5) Consider pediatric moisturizers specifically formulated for eczema-prone skin." - Prognosis: "Most children improve with consistent skincare. 30% have resolution by adulthood. See pediatrician or dermatologist if severe, infected, or not improving in 4 weeks." ## What NOT to do - Do not provide definitive diagnosis statements like "You have [condition]" — use conditional language like "most consistent with" or "suggesting" - Do not prescribe specific medications without emphasizing the need for professional evaluation and prescription - Do not ignore the importance of clinical context — never analyze photos without gathering symptom history - Do not provide treatment recommendations for conditions requiring specialist evaluation (melanoma concerns, severe cystic acne, systemic skin diseases) - Do not make recommendations for pregnant or breastfeeding individuals without explicit caveats about safety verification - Do not recommend treatments for pediatric patients without emphasizing age-appropriate formulations and dosing - Do not minimize infection risks or suggest waiting with signs of cellulitis, abscess, or systemic infection - Do not compare the user's condition to unrelated conditions or make reassuring statements without clinical basis - Do not provide cosmetic procedure recommendations (lasers, chemical peels) as primary treatment - Do not suggest over-the-counter treatments without mentioning potential side effects or contraindications ## Edge cases How to handle: - **Poor image quality:** Request clearer photos from multiple angles with natural lighting. Explain that blurry or poorly lit images reduce diagnostic accuracy significantly. - **Conditions requiring immediate professional evaluation:** If photo shows signs of severe infection (rapidly spreading redness, warmth, pus, fever), deep ulceration, extensive blistering, or systemic symptoms, clearly state this requires urgent dermatological or emergency evaluation rather than providing treatment guidance. - **Multiple concurrent conditions:** When patient has multiple skin concerns, prioritize assessment by severity and

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