Prevalence of dermatoses in patients referred for evaluation in an outpatient clinic of specialties

Abstract

BackgroundBrazilian Unified Health System presents a long waiting period for a dermatology appointment, varying from 34 to 239 days.ObjectivesAnalyze the prevalence of cutaneous diseases evaluated by dermatologists in a specialized center, in patients referred from the primary care, and to present possible interventions for the primary units.MethodsRetrospective analyses of the International Codes of Diseases (ICD-10) described in every dermatology appointment in a specialty center in Sao Paulo from January 2014 to August 2015.ResultsA total of 7.350 consultations were included. Superficial mycosis corresponded to 1,058 (14.4%) of the main complaints and dermatophytosis was the most frequently used ICD, corresponding to 481 individual consultations (6.5%), followed by onychomycosis, responsible for 464 consultations (6.3%), acne in 347 (4,7%). and contact dermatitis in 311 consultations (4,2%).Study limitationsThe study was based on retrospective analysis of ICD described and no previous orientation for a solid use of the codes was performed to the dermatology team; consultations in which the ICD was not informed or a non-especific ICD was used were excluded; different dermatologists were responsible for the consultations.ConclusionSuperficial mycosis corresponded to 14.4% of the chief complaints in the studied period and was the most frequent cause of reference from primary care doctors to dermatologists. Prevalence data obtained in the present study could assist the capacitation policies in the primary care system, focusing the dermatology teaching in the most prevalent dermatological disorders.

Clinical Features of Acne in Primary Care Patients Assessed Through Teledermatology

“…One study in a public Brazilian secondary care center showed acne as the fourth most frequent complaint in dermatologists' office. 7 We found that 2/3 of the patients were not referred to an in-person dermatologist. Instead, their general practitioners received diagnosis and treatment from the teledermatologist to manage the patients.…”

“…One study in a public Brazilian secondary care center showed acne as the fourth most frequent complaint in dermatologists’ office. 7 …”

Avaliação da prevalência das dermatoses na população atendida em um ambulatório universitário ao longo dos anos: um estudo retrospectivo

“…Ressalta-se que há uma ausência de estudos e prevalência, principalmente em serviços de atenção secundária à saúde, o que dificulta ações destinadas ao manejo efetivo das dermatoses. Além disso, as pesquisas epidemiológicas a respeito das dermatoses mais frequentes no país são limitadas à abrangência geográfica e demográfica (CARVALHO MTF, et al, 2008;AVANCINI J, et al, 2018).…”

Identificação, Prevenção e Tratamento da Síndrome Mão-Pé Induzida por Quimioterapia: Revisão Sistemática

“…Portanto, ainda há questões que precisam ser respondidas, entre elas, os principais sinais e sintomas apresentados pelos pacientes e que caracterizam uma síndrome mão-pé; e as estratégias de tratamentos propostos cujos mecanismos propiciam bons resultados tanto na prevenção quanto no tratamento, assim como a relação da síndrome mão-pé com onicomicoses 10 .…”