Skin Neglected Tropical Diseases (NTDs) impose severe health and socioeconomic burdens in impoverished tropical communities. Yet, advancements in AI-driven diagnostic support are hindered by data scarcity, particularly for underrepresented populations and rare manifestations of NTDs. Existing dermatological datasets often lack the demographic and disease spectrum crucial for developing reliable recognition models of NTDs. To address this, we introduce eSkinHealth, a novel dermatological dataset collected on-site in Côte d'Ivoire and Ghana. Specifically, eSkinHealth contains 5,623 images from 1,639 cases and encompasses 47 skin diseases, focusing uniquely on skin NTDs and rare conditions among West African populations. We further propose an AI-expert collaboration paradigm to implement foundation language and segmentation models for efficient generation of multimodal annotations, under dermatologists' guidance. In addition to patient metadata and diagnosis labels, eSkinHealth also includes semantic lesion masks, instance-specific visual captions, and clinical concepts. Overall, our work provides a valuable new resource and a scalable annotation framework, aiming to catalyze the development of more equitable, accurate, and interpretable AI tools for global dermatology.

Skin diseases can arise from infections, allergies, genetic factors, autoimmune disorders, hormonal imbalances, or environmental triggers such as sun damage and pollution. Some skin diseases, such as Actinic Keratosis and Psoriasis, can be fatal if not treated in time. Early identification is crucial, but the diagnostic methods for these conditions are often expensive and not widely accessible. In this study, we propose a novel and efficient method for diagnosing skin diseases using deep learning techniques. This approach employs a modified VGG16 Convolutional Neural Network (CNN) model. The model includes several convolutional layers and utilizes ImageNet weights with modified top layers. The top layer is updated with fully connected layers and a final softmax activation layer to classify skin diseases. The dataset used, titled "Skin Disease Dataset," is publicly available. While the VGG16 architecture does not include data augmentation by default, preprocessing techniques such as rotation, shifting, and zooming were applied to augment the data prior to model training. The proposed methodology achieved 90.67% accuracy using the modified VGG16 model, demonstrating its reliability in classifying skin diseases. The promising results highlight the potential of this approach for real-world applications.

Background: According to PBS, nearly one-third of Americans lack access to primary care services, and another forty percent delay going to avoid medical costs. As a result, many diseases are left undiagnosed and untreated, even if the disease shows many physical symptoms on the skin. With the rise of AI, self-diagnosis and improved disease recognition have become more promising than ever; in spite of that, existing methods suffer from a lack of large-scale patient databases and outdated methods of study, resulting in studies being limited to only a few diseases or modalities. Methods: This study incorporates readily available and easily accessible patient information via image and text for skin disease classification on a new dataset of 26 skin disease types that includes both skin disease images (37K) and associated patient narratives. Using this dataset, baselines for various image models were established that outperform existing methods. Initially, the Resnet-50 model was only able to achieve an accuracy of 70% but, after various optimization techniques, the accuracy was improved to 80%. In addition, this study proposes a novel fine-tuning strategy for sequence classification Large Language Models (LLMs), Chain of Options, which breaks down a complex reasoning task into intermediate steps at training time instead of inference. Results: With Chain of Options and preliminary disease recommendations from the image model, this method achieves state of the art accuracy 91% in diagnosing patient skin disease given just an image of the afflicted area as well as a patient description of the symptoms (such as itchiness or dizziness). Conclusions: Through this research, an earlier diagnosis of skin diseases can occur, and clinicians can work with deep learning models to give a more accurate diagnosis, improving quality of life and saving lives.

Current AI-assisted skin image diagnosis has achieved dermatologist-level performance in classifying skin cancer, driven by rapid advancements in deep learning architectures. However, unlike traditional vision tasks, skin images in general present unique challenges due to the limited availability of well-annotated datasets, complex variations in conditions, and the necessity for detailed interpretations to ensure patient safety. Previous segmentation methods have sought to reduce image noise and enhance diagnostic performance, but these techniques require fine-grained, pixel-level ground truth masks for training. In contrast, with the rise of foundation models, the Segment Anything Model (SAM) has been introduced to facilitate promptable segmentation, enabling the automation of the segmentation process with simple yet effective prompts. Efforts applying SAM predominantly focus on dermatoscopy images, which present more easily identifiable lesion boundaries than clinical photos taken with smartphones. This limitation constrains the practicality of these approaches to real-world applications. To overcome the challenges posed by noisy clinical photos acquired via non-standardized protocols and to improve diagnostic accessibility, we propose a novel Cross-Attentive Fusion framework for interpretable skin lesion diagnosis. Our method leverages SAM to generate visual concepts for skin diseases using prompts, integrating local visual concepts with global image features to enhance model performance. Extensive evaluation on two skin disease datasets demonstrates our proposed method's effectiveness on lesion diagnosis and interpretability.

In the realm of dermatology, the complexity of diagnosing skin conditions manually necessitates the expertise of dermatologists. Accurate identification of various skin ailments, ranging from cancer to inflammatory diseases, is paramount. However, existing artificial intelligence (AI) models in dermatology face challenges, particularly in accurately diagnosing diseases across diverse skin tones, with a notable performance gap in darker skin. Additionally, the scarcity of publicly available, unbiased datasets hampers the development of inclusive AI diagnostic tools. To tackle the challenges in accurately predicting skin conditions across diverse skin tones, we employ a transfer-learning approach that capitalizes on the rich, transferable knowledge from various image domains. Our method integrates multiple pre-trained models from a wide range of sources, including general and specific medical images, to improve the robustness and inclusiveness of the skin condition predictions. We rigorously evaluated the effectiveness of these models using the Diverse Dermatology Images (DDI) dataset, which uniquely encompasses both underrepresented and common skin tones, making it an ideal benchmark for assessing our approach. Among all methods, Med-ViT emerged as the top performer due to its comprehensive feature representation learned from diverse image sources. To further enhance performance, we conducted domain adaptation using additional skin image datasets such as HAM10000. This adaptation significantly improved model performance across all models.

Over the past decade, the field of medical image analysis has witnessed remarkable advancements, primarily driven by the development of deep convolutional neural networks and the availability of extensive labeled image datasets. These advancements have notably impacted various tasks, including organ segmentation [1, 2], tumor segmentation [3, 4], and disease detection [5, 6]. Although abundant data exists for common diseases, a significant gap persists in data availability for the over 6,000 known rare diseases, affecting approximately 7% of the global population [7]. The diagnosis of these rare diseases, including some skin conditions, presents unique challenges, particularly due to the limited number of clinical examples available for training deep learning models. The automatic classification of skin lesions exemplifies these challenges, as it is complicated by the long-tailed distribution of skin disease datasets, the subtle variations in lesion appearances, and the overall scarcity of sufficient image data [8]. Various studies have been conducted to address the problem of skin disease classification using deep learning approaches. Recent advancements in this field are mainly in three categories: methods based on transfer learning [12, 13], those relying on few-shot learning [8, 14-19], and approaches using cross-domain few-shot learning [20]. The state of the art models in this domain, such as Meta-DermDiagnosis, MetaMed, and PCN models [8, 14, 18], are designed to extract and learn high-level, domain-specific features during their training process.

With the continuous advancement of vision language models (VLMs) technology, remarkable research achievements have emerged in the dermatology field, the fourth most prevalent human disease category. However, despite these advancements, VLM still faces "hallucination" in dermatological diagnosis, and due to the inherent complexity of dermatological conditions, existing tools offer relatively limited support for user comprehension. We propose SkinGEN, a diagnosis-to-generation framework that leverages the stable diffusion (SD) method to generate reference demonstrations from diagnosis results provided by VLM, thereby enhancing the visual explainability for users. Through extensive experiments with Low-Rank Adaptation (LoRA), we identify optimal strategies for skin condition image generation. We conduct a user study with 32 participants evaluating both the system performance and explainability. Results demonstrate that SkinGEN significantly improves users' comprehension of VLM predictions and fosters increased trust in the diagnostic process. This work paves the way for more transparent and user-centric VLM applications in dermatology and beyond.

Due to the lack of efficient mpox diagnostic technology, mpox cases continue to increase. Recently, the great potential of deep learning models in detecting mpox and non-mpox has been proven. However, existing models learn image representations via image classification, which results in they may be easily susceptible to interference from real-world noise, require diverse non-mpox images, and fail to detect abnormal input. These drawbacks make classification models inapplicable in real-world settings. To address these challenges, we propose "Mask, Inpainting, and Measure" (MIM). In MIM's pipeline, a generative adversarial network only learns mpox image representations by inpainting the masked mpox images. Then, MIM determines whether the input belongs to mpox by measuring the similarity between the inpainted image and the original image. The underlying intuition is that since MIM solely models mpox images, it struggles to accurately inpaint non-mpox images in real-world settings. Without utilizing any non-mpox images, MIM cleverly detects mpox and non-mpox and can handle abnormal inputs. We used the recognized mpox dataset (MSLD) and images of eighteen non-mpox skin diseases to verify the effectiveness and robustness of MIM. Experimental results show that the average AUROC of MIM achieves 0.8237. In addition, we demonstrated the drawbacks of classification models and buttressed the potential of MIM through clinical validation. Finally, we developed an online smartphone app to provide free testing to the public in affected areas. This work first employs generative models to improve mpox detection and provides new insights into binary decision-making tasks in medical images.

Skin diseases are among the most prevalent health issues, and accurate computer-aided diagnosis methods are of importance for both dermatologists and patients. However, most of the existing methods overlook the essential domain knowledge required for skin disease diagnosis. A novel multi-task model, namely DermImitFormer, is proposed to fill this gap by imitating dermatologists' diagnostic procedures and strategies. Through multi-task learning, the model simultaneously predicts body parts and lesion attributes in addition to the disease itself, enhancing diagnosis accuracy and improving diagnosis interpretability. The designed lesion selection module mimics dermatologists' zoom-in action, effectively highlighting the local lesion features from noisy backgrounds. Additionally, the presented cross-interaction module explicitly models the complicated diagnostic reasoning between body parts, lesion attributes, and diseases. To provide a more robust evaluation of the proposed method, a large-scale clinical image dataset of skin diseases with significantly more cases than existing datasets has been established. Extensive experiments on three different datasets consistently demonstrate the state-of-the-art recognition performance of the proposed approach.

Skin and subcutaneous diseases rank high among the leading contributors to the global burden of nonfatal diseases, impacting a considerable portion of the population. Nonetheless, the field of dermatology diagnosis faces three significant hurdles. Firstly, there is a shortage of dermatologists accessible to diagnose patients, particularly in rural regions. Secondly, accurately interpreting skin disease images poses a considerable challenge. Lastly, generating patient-friendly diagnostic reports is usually a time-consuming and labor-intensive task for dermatologists. To tackle these challenges, we present SkinGPT-4, which is the world's first interactive dermatology diagnostic system powered by an advanced visual large language model. SkinGPT-4 leverages a fine-tuned version of MiniGPT-4, trained on an extensive collection of skin disease images (comprising 52,929 publicly available and proprietary images) along with clinical concepts and doctors' notes. We designed a two-step training process to allow SkinGPT to express medical features in skin disease images with natural language and make accurate diagnoses of the types of skin diseases. With SkinGPT-4, users could upload their own skin photos for diagnosis, and the system could autonomously evaluate the images, identifies the characteristics and categories of the skin conditions, performs in-depth analysis, and provides interactive treatment recommendations. Meanwhile, SkinGPT-4's local deployment capability and commitment to user privacy also render it an appealing choice for patients in search of a dependable and precise diagnosis of their skin ailments. To demonstrate the robustness of SkinGPT-4, we conducted quantitative evaluations on 150 real-life cases, which were independently reviewed by certified dermatologists, and showed that SkinGPT-4 could provide accurate diagnoses of skin diseases.