BackgroundDermatological diseases are among the primary causes of the demand for basic
health care. Studies on the frequency of dermatoses are important for the
proper management of health planning.ObjectivesTo evaluate the nosological and behavioral profiles of dermatological
consultations in Brazil.MethodsThe Brazilian Society of Dermatology invited all of its members to complete
an online form on patients who sought consultations from March 21-26, 2018.
The form contained questions about patient demographics, consultation type
according to the patient's funding, the municipality of the consultation,
diagnosis, treatments and procedures. Diagnostic and therapeutic decisions
were compared between subgroups.ResultsData from 9629 visits were recorded. The most frequent causes for
consultation were acne (8.0%), photoaging (7.7%), nonmelanoma skin cancer
(5.4%), and actinic keratosis (4.7%). The identified diseases had distinct
patterns with regard to gender, skin color, geographic region, type of
funding for the consultation, and age group. Concerning the medical
conducts, photoprotection was indicated in 44% of consultations, surgical
diagnostic procedures were performed in 7.3%, surgical therapeutic
procedures were conducted in 19.2%, and cosmetic procedures were performed
in 7.1%.Study limitationsNonrandomized survey, with a sample period of one week.ConclusionThis research allowed us to identify the epidemiological profiles of the
demands of outpatients for dermatologists in various contexts. The results
also highlight the importance of aesthetic demands in privately funded
consultations and the significance of diseases such as acne, nonmelanoma
skin cancer, leprosy, and psoriasis to public health.