Artificial intelligence in dermatovenereology: new meanings, new practices, new horizons

Martynov A.A., Lerner M.U., Mertsalova I.B., Sysoeva T.A., Murakhovskaya E.K., Vlasova A.V., Plahova X.I., Tkachenko D.L.

1) Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation, Moscow, Russia; 2) Federal State Budgetary Educational Institution of Higher Education Russian Presidential Academy of National Economy and Public Administration, Moscow, Russia; 3) State Research Center of Dermatovenerology and Cosmetology, Ministry of Health of the Russian Federation, Moscow, Russia

This article examines the impact of artificial intelligence (AI) technologies on contemporary approaches to diagnosis and treatment in dermatovenereology and on the training of healthcare professionals. The main domains of AI application are analysed, including assessment of skin neoplasms, automated triage in teledermatology, interpretation of images in chronic dermatoses, including during longitudinal follow-up, and clinical decision support. 
The work analyzes 32 literature sources, most of which are foreign publications from the last 5 years. Data from validated studies are presented, including, demonstrating diagnostic accuracy of computer vision algorithms comparable to that of experienced clinicians, as well as examples of the integration of AI systems into clinical practice in different countries. Special attention is paid to regulatory issues and professional barriers. The article discusses conditions for the implementation of high-risk technologies in outpatient and specialised care in accordance with current regulatory requirements, as well as factors limiting the use of AI in real-world practice, including insufficient digital competencies, legal uncertainty and the cautious attitude of physicians towards algorithmic recommendations. The concept of the “physician-in-the-loop” is considered as a mechanism for ensuring the clinical validity and safety of AI-based decisions. It is shown that AI can improve the efficiency of disease diagnosis and monitoring; however, its use requires the involvement of a clinician who interprets algorithmic outputs and ensures compliance with ethical standards. The article presents recommendations on the training of medical personnel, the selection and evaluation of AI tools, and organisational measures aimed at the safe and justified integration of digital technologies into dermatovenereological practice. 

For citations: Martynov A.A., Lerner M.U., Mertsalova I.B., Sysoeva T.A., Murakhovskaya E.K., Vlasova A.V., Plahova X.I., Tkachenko D.L. Artificial intelligence in dermatovenereology: new meanings, new practices, new horizons. Pharmateca. 2026;33(5):41-48. (In Russ.). DOI: https://dx.doi.org/10.18565/pharmateca.2026.5.41-48

Authors’ contribution: A.A. Martynov – research concept and design, writing the text, editing. M.U. Lerner, I.B. Mertsalova, T.A. Sysoeva, E.K. Murakhovskaya, X.I. Plahova, D.L. Tkachenko – collection and processing of material, compilation of the list of literature. Vlasova A.V. – writing the text, editing. All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.
Conflicts of interest: The authors confirm that they have no conflicts of interest to declare.
Funding: The study was conducted without any sponsorship.

Keywords

About the Authors

A.A. Martynov, Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation, Moscow, Russia
M.U. Lerner, Federal State Budgetary Educational Institution of Higher Education Russian Presidential Academy of National Economy and Public Administration, Moscow, Russia
I.B. Mertsalova, Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation, Moscow, Russia
T.A. Sysoeva, Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation, Moscow, Russia
E.K. Murakhovskaya, Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation, Moscow, Russia
Anna V. Vlasova, Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation, Moscow, Russia; avvla@mail.ru (corresponding author)
X.I. Plahova, Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation; State Research Center of Dermatovenerology and Cosmetology Ministry of Health of the Russian Federation, Moscow, Russia
D.L. Tkachenko, Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation, Moscow, Russia

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