Social capital, misinformation and the role of dermatologists online: comment on ‘When science meets the algorithm: the digital distortion of dermatology research’

Dear Editor, We commend Dr Perkins for her timely and incisive article highlighting the critical need for dermatologists to be aware of the tsunami of misinformation on social media and its capacity to perpetuate unwise health behaviours.1 We strongly echo her assertion that, if the public is to trust our profession, we must meet them where they are – on social media.1Social media can function as a primary source of dermatological information, with over 5 billion users worldwide; this is a public health concern.2 Social media algorithms rapidly amplify misinformation by prioritizing engagement over accuracy, forming an echo chamber for emotionally appealing content to outweigh scientific evidence. Although the rapid online distortion of information on ultraviolet radiation (UVR) is emblematic of a broader ecosystem of dermatology misinformation, similar dynamics pervade other dermatological conditions, including acne, skin of colour, sun protection, eczema and cosmetic procedures. To overcome this, a multipronged coordinated approach integrating proactive education, strategic digital engagement and institutional support is essential. We highlight key issues that require attention.