Regulatory imbalance and latent risks of integrating artificial intelligence into dermatovenereology practice: a clinical and legal analysis

Khryanin A.A., Radchenko M.V., Russkikh M.V.

1) Novosibirsk State Medical University, Novosibirsk, Russia; 2) Association of Obstetricians-Gynecologists and Dermatovenereologists, Novosibirsk, Russia; 3) South Ural State University, Chelyabinsk, Russia; 4) South Ural State Medical University, Chelyabinsk, Russia; 5) Independent Researcher, Novosibirsk, Russia

The study was aimed to interdisciplinary clinical and legal analysis of the risks of implementing predictive artificial intelligence (AI) systems in practical healthcare using dermatovenereology as an example. This article examines the problem of a regulatory vacuum, in which clinicians effectively become a «legal buffer» between IT developers and patients. It demonstrates that the regulatory imbalance inherent in recent legislation encourages the unregulated use of uncertified public neural networks («shadow AI») by healthcare professionals, which inevitably leads to the compromise of special categories of personal data. Using the example of differential diagnosis of skin manifestations of sexually transmitted infections, the critical risks of autonomous computer vision, which lacks access to interdisciplinary medical history, are demonstrated. The need for a transition from an administratively restrictive model to the accelerated deployment of validated medical decision support systems seamlessly integrated into the secure digital framework of the Unified State Health Information System (USHIS) is substantiated. 

For citations: Khryanin A.A., Radchenko M.V., Russkikh M.V. Regulatory imbalance and latent risks of integrating artificial intelligence into dermatovenereology practice: a clinical and legal analysis. Pharmateca. 2026;33(5):68-73. (In Russ.). DOI: https://dx.doi.org/10.18565/pharmateca.2026.5.68-73

Authors’ contribution: All authors bear equal responsibility for the content and integrity of the entire article. Concept development, writing and editing, and approval of the final version – A.A. Khryanin, M.V. Radchenko, M.V. Russkikh.
Conflicts of interest: The authors confirm that they have no conflicts of interest to declare.
Funding: The authors have no financial interest in the materials or methods presented.

Keywords

About the Authors

Aleksey A. Khryanin, Dr. Sci. (Med.), Professor, Novosibirsk State Medical University; Association of Obstetricians-Gynecologists and Dermatovenereologists, Novosibirsk, Russia; khryanin@mail.ru, ORCID: https://orcid.org/0000-0001-9248-8303, eLibrary SPIN: 4311-2475 (corresponding author)
M.V. Radchenko, Cand. Sci. (Jurisprudence), South Ural State University; South Ural State Medical University, Chelyabinsk, Russia; mamarad@mail.ru,
ORCID: https://orcid.org/0009-0001-2711-0870
M.V. Russkikh, Cand. Sci. (Med.), Dermatovenerologist, Independent Researcher, Novosibirsk, Russia; marie_le_mieux@mail.ru,
ORCID: https://orcid.org/0000-0003-4957-0154, eLibrary SPIN: 9313-9748

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