Patient case (clinical description): A 41-year-old woman comes to the dermatology clinic complaining of facial redness, especially on her forehead and cheeks. She noticed that the redness gets worse in the summer and after sun exposure. She is otherwise healthy. On physical examination, she has multiple papules and pustules present on her forehead, cheeks, and nose on a background of erythema and telangiectasias. There are no other lesions or nodules. The patient is married and has 2 children who are 5 and 9 years old. She has IUD and doesn't wish to have more kids. She does not smoke or drink alcohol. Her vital signs are normal, and BMI is 21.

Patient's own account: I'm 41, married with 2 lovely kids who are 5 and 9 years old. I have an IUD and I don't want to have more kids. I don't smoke or drink alcohol. I had to go to the dermatology clinic because I had terrible redness on my face, especially on my forehead and cheeks. It got worse in the summer and after being under the sun. I'm usually healthy. They conducted a physical exam and they found several lesions and pustules on my forehead, cheeks and nose and they also found some signs of erythema and telangiectasia. My vitals were normal, and my BMI is 21.

Clinical trial: Photograph Quality Rating Scale Study ("PQRS Study")

Eligibility criteria:
Inclusion Criteria:

          1. Must be a new patient/parent dyad arrived at the main pediatric dermatology clinic

          2. Patient must be under the age of 18.

          3. Consenting parent or guardian must be present and able to speak English to
             participate.

          4. Patients are either already enrolled in MyCHOP (MyChart) or are willing to enroll
             during the encounter.

          5. Parent or legal guardian has a mobile phone with the capability to download the free
             MyChart app.

          6. Parents have a data plan that allows them to download the MyChart app (if not already
             downloaded) and upload pictures, and are willing to accept any potential data charges
             incurred with these activities.

          7. Patient has active skin lesion or rash that can be photographed during the clinic
             visit.

        Exclusion Criteria:

          1. Patient is over the age of 18.

          2. Parent or guardian is not present or not able to speak English.

          3. Parent or guardian is not able to enroll in MyCHOP (MyChart).

          4. Parent or guardian does not have a mobile phone capable of downloading the MyChart
             app.

          5. Photographs are not able to be taken (phone battery dies, phone/app does not work,
             patient is not cooperative, participant does not have time).

          6. If there are no active skin lesions to photograph the patient/parent will not be
             enrolled (e.g. hives that are inactive, hyperhidrosis [excessive sweating], itching
             without a rash, resolved skin lesions [e.g. warts, molluscum]).

          7. Patients presenting for a general full body skin exam will be excluded, as this would
             require full body photography, which is too time consuming. (Note: this does not
             include evaluation of one individual mole [nevus], which can be included in the
             study).
No condition on gender to be admitted to the trial.
Accepts Healthy Volunteers

Subject must be at most 17 Years

Eligibility (NLI label): Contradiction