Nosological profile of dermatological diseases in primary health care and dermatology secondary care in Florianópolis (2016–2017)

Ferreira, Iago Gonçalves; Godoi, Dannielle Fernandes; Perugini, Elaine Regina

doi:10.1016/j.abd.2020.01.004

Cited by 2 publications

(5 citation statements)

References 18 publications

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“…Considering a similar investigation, 33 conducted within the scope of Primary and Secondary Health Care in a capital city in southern Brazil, the authors identified a confluence among the profile of skin diseases in Primary Care and the tertiary hospitals of the present study. From this perspective, ‘Dermatitis and eczema’ and ‘Other infectious skin diseases’ stand out as the main dermatoses groups in both scenarios.…”

Section: Discussionmentioning

confidence: 60%

“…From this perspective, ‘Dermatitis and eczema’ and ‘Other infectious skin diseases’ stand out as the main dermatoses groups in both scenarios. However, they denote different frequencies: ‘Dermatitis and eczema’ 33.1% vs. 21.5% 33 and ‘Other infectious skin diseases’ 21.8% vs. 25.6%. 33 …”

Section: Discussionmentioning

confidence: 99%

“…However, they denote different frequencies: ‘Dermatitis and eczema’ 33.1% vs. 21.5% 33 and ‘Other infectious skin diseases’ 21.8% vs. 25.6%. 33 …”

Section: Discussionmentioning

confidence: 99%

“…In face of the convergence among Primary and Tertiary Care profiles, a reasonable explanation may be the generalist nature of both scenarios, although they present particularities related to medical care practices and assisted population. Whereas in Primary Care 33 ‘Atopic dermatitis’ (6.4%), ‘Other disorders of the skin and subcutaneous tissue’ (5.1%), and ‘Scabies’ (4.5%) appeared as the main dermatological diseases, our findings showed ‘Dermatitis due to substances taken internally’ (9.9%), ‘Unspecified dermatitis’ (6.6%), and ‘Herpesvirus infections’ (5.2%) as the most prevalent disorders among inpatients, conditions intrinsically associated with hospital care and states of immunosuppression.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital

Ferreira

Almeida

Bulcão³

et al. 2023

Anais Brasileiros de Dermatologia

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Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

“…However, they denote different frequencies: ‘Dermatitis and eczema’ 33.1% vs. 21.5% 33 and ‘Other infectious skin diseases’ 21.8% vs. 25.6%. 33 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital

Ferreira

Almeida

Bulcão³

et al. 2023

Anais Brasileiros de Dermatologia

Self Cite

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“…23 This demonstrates a potential over-reliance on skin biopsies in some primary care settings as most rashes presenting to PCPs are non-life threatening. 24 Skin biopsies should be utilized when history and physical exam is insufficient in providing an accurate diagnosis of clinical variants and/or to help rule out severe conditions such as cancer. 25 Although there are multiple different types of skin biopsies, a punch biopsy was considered the best choice for the patient in this report, as it allowed for full skin-thickness evaluation.…”

Section: Discussionmentioning

confidence: 99%

Management of a Unique Presentation of a Common Dermatologic Condition

Schukow

Schaeffer

Boss

et al. 2021

Spartan Medical Research Journal

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Skin rashes are a common complaint seen in the primary care setting. There are many dermatologic conditions which a primary care provider (PCP) should be able to recognize and manage. One such condition is granuloma annulare (GA), which commonly presents as smooth, annular plaques on the trunk and/or extremities. Rashes like GA rarely present as unique variants and may be difficult for PCPs to determine from patient history and physical exam alone. Patch granuloma annulare (patch GA) is an example that may clinically mimic a cutaneous lymphoma known as mycosis fungoides (MF). PCPs should ideally be able to recognize the utility of performing a skin biopsy and/or referring the patient to a dermatologist when history and physical exam alone are insufficient. The histologic findings of skin biopsies often become essential in establishing a proper diagnosis and guiding patient management in unique dermatologic variants. EXAMPLE CASEThe patient in this clinical practice report is a Caucasian female in her late 60s who presented to a dermatology clinic with a two-year history of a worsening widespread eruption on her trunk and extremities. She had been evaluated previously by her PCP about 4 months prior and, without obtaining skin biopsies, treated her with a medium potency topical corticosteroid cream. The eruption had spread over her hips, buttocks, back, thighs, wrists, and elbows. Multiple skin biopsies of affected sites were taken by the second author and revealed findings consistent with patch GA. The patient was started on topical betamethasone dipropionate 0.05% ointment twice daily and noted marked improvement of her symptoms. CONCLUSIONSAlthough GA is a benign condition of the skin that may be readily detected by PCPs, skin biopsies may be necessary to establish a proper diagnosis when this condition presents as a unique variant (e.g., patch GA). Therapy for patch GA often begins with a trial of high-potency topical steroid therapy in combination with ultraviolet light exposure, depending on disease severity and patient preference. Early evaluation with a skin biopsy by her PCP or an earlier referral to a dermatologist to have skin biopsies performed likely would have helped establish a prompter diagnosis and treatment plan for this patient.

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Nosological profile of dermatological diseases in primary health care and dermatology secondary care in Florianópolis (2016–2017)

Cited by 2 publications

References 18 publications

Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital

Hospital Dermatology: analysis of dermatological consultations in a tertiary teaching hospital

Management of a Unique Presentation of a Common Dermatologic Condition

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