OBJECTIVES: In the differential diagnosis of a simple contact dermatitis (CD) and pressure ulcers (PU) in patients with urinary and fixed holds a special place visual assessment of skin. However, not all possess this skill, and telemedicine consultations are considered expensive. METHODS: The researcher evaluated the patient's skin by questionnaire, and then spent photographic images of the skin in the standard points. Expert remotely evaluated the skin by photographs and then the diagnoses were compared. Calculated the cost of the methodology. RESULTS: The expert noted no changes of the skin in 459 (86.3%) points at the bedside only 383 (72%) points. According to the expert diagnosis was made in 29 (5.5%) points, 1-2 tbsp. PU is set to 39 (7.3%) points 3-4 art. P - 5 (0.9%) points. Immediately patient diagnosed CD 53 set (10%) points 1-2 tbsp. PU - 88 (16.5%) points 3-4 tablespoons. PU - 8 (1.5%) points. Expert significantly less often seen in photographs erythema, cracks and peeling. According to the results of teleconsultation diagnosis pressure ulcers raised 2 times less frequently than directly from the patient. Almost 2 times less expert described contact dermatitis. The number of mismatches conclusions severe pressure ulcers with other changes of the skin is relatively low and difficult to interpret. The total costs of teleconsultation was 5 $ for 1 patient. CONCLUSIONS: The use of teleconsultation allows for a relatively low cost to refine the differential diagnosis of CD and PU, which optimizes tactics of conducting patients, reduces the overall cost of patients.