Detection and management of pornography-seeking in an online clinical dermatology atlas. | Discoblog

![computer][1]”BACKGROUND: Increased use of an online educational archive of photographic dermatology case materials (DermAtlas) indicated unexpected pornography-seeking behavior and misuse.

OBJECTIVE: We sought to assess the extent of archive misuse.

METHODS: Web usage/request patterns were examined over a 6-month period for requests by anatomic site, diagnosis, and age group plus anatomic site. Free-text queries and referrals from external Web sites were reviewed.

RESULTS: Of 7800 images, 5.5% contain genital sites. Of all requests, 11% were for anatomic sites (37% genital sites); 62% were specified for diagnoses (12% genital sites). When age group and anatomic site were specified, the relative risk of a child being requested (vs adult) was 1.48 (95% confidence interval 1.44-1.53). Of 10000 free text queries, 12% retrieved images containing genital sites. Of all referrals, 14.3% originated from nonmedical (pornography/fetish) Web sites.

LIMITATIONS: Requests are mixed with legitimate queries.

CONCLUSION: Online photographic dermatology archives are vulnerable to misuse. Monitoring and intervention are necessary to preserve their availability and integrity.”

[![dermatology][2]][3]

_Photo: flickr/[Johan.V.][4] _ Related content: Discoblog: [NCBI ROFL: How extraverted is honey.bunny77@hotmail.de? Inferring personality from e-mail addresses.][5] Discoblog: [NCBI ROFL: Writing emails as part of sleepwalking after increase in Zolpidem [Ambien].][6] Discoblog: [NCBI ROFL: Salvia divinorum: the pot of the future (at least according to YouTube).][7]

WTF is NCBI ROFL? Read our [FAQ][8]!

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[1]: http://blogs.discovermagazine.com/discoblog/files/2010/10/computer-300×200.jpg (computer) [2]: http://blogs.discovermagazine.com/discoblog/files/2010/10/dermatology.jpg (dermatology) [3]: http://www.ncbi.nlm.nih.gov/pubmed/16546584 [4]: http://www.flickr.com/photos/viirok/2498157861/ [5]: http://blogs.discovermagazine.com/discoblog/2010/03/16/ncbi-rofl-how-extraverted-is-honey-bunny77hotmail-de-inferring-personality-from-e-mail-addresses/ [6]: http://blogs.discovermagazine.com/discoblog/2010/07/22/ncbi-rofl-writing-emails-as-part-of-sleepwalking-after-increase-in-zolpidem-ambien/ [7]: http://blogs.discovermagazine.com/discoblog/2010/04/20/ncbi-rofl-salvia-the-weed-of-the-future-at-least-according-to-youtube/ [8]: http://blogs.discovermagazine.com/discoblog/2010/01/12/ncbi-rofl-hello-world/ [9]: http://feedads.g.doubleclick.net/~a/sPoy-G0v9EZZE_zkhRNUxYB8js0/0/di [10]: http://feedads.g.doubleclick.net/~a/sPoy-G0v9EZZE_zkhRNUxYB8js0/0/da [11]: http://feedads.g.doubleclick.net/~a/sPoy-G0v9EZZE_zkhRNUxYB8js0/1/di [12]: http://feedads.g.doubleclick.net/~a/sPoy-G0v9EZZE_zkhRNUxYB8js0/1/da [13]: http://feeds.feedburner.com/~r/DiscoverBlogs/~4/wXYCNjOQLXY

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