Profile of dermatological consultations in Brazil (2018)

,; Miot, Hélio Amante; Penna, Gerson de Oliveira; Ramos, Andréa Machado Coelho; Penna, Maria Lúcia Fernandes; Schmidt, Sílvia Maria; Luz, Flávio Barbosa; Sousa, Maria Auxiliadora Jeunon; Palma, Sérgio Luiz Lira; Sanches Junior, José Antonio

doi:10.1590/abd1806-4841.20188802

Sociedade Brasileira de Dermatologia

Brazilian Society of Dermatology (SBD) - Rio de Janeiro (RJ), Brazil.

Hélio Amante Miot Mailing Address: Hélio Amante Miot. E-mail: heliomiot@gmail.com

Board of directors of the Sociedade Brasileira de Dermatologia, Rio de Janeiro (RJ), Brasil.

http://orcid.org/0000-0002-2596-9294

Gerson de Oliveira Penna

Tropical Medicine Nucleus, Universidade de Brasília, Brasília (DF), Brasil.

Fiocruz School of Government, Fundação Oswaldo Cruz, Brasília (DF), Brasil.

http://orcid.org/0000-0001-8967-536X

Andréa Machado Coelho Ramos

Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte (MG), Brasil.

http://orcid.org/0000-0001-8891-7486

Maria Lúcia Fernandes Penna

Universidade Federal Fluminense, Niterói (RJ), Brasil.

http://orcid.org/0000-0003-0371-8037

Sílvia Maria Schmidt

Board of directors of the Sociedade Brasileira de Dermatologia, Rio de Janeiro (RJ), Brasil.

http://orcid.org/0000-0002-3719-0309

Flávio Barbosa Luz

Board of directors of the Sociedade Brasileira de Dermatologia, Rio de Janeiro (RJ), Brasil.

http://orcid.org/0000-0001-5454-8950

Maria Auxiliadora Jeunon Sousa

Board of directors of the Sociedade Brasileira de Dermatologia, Rio de Janeiro (RJ), Brasil.

http://orcid.org/0000-0002-1549-1477

Sérgio Luiz Lira Palma

Board of directors of the Sociedade Brasileira de Dermatologia, Rio de Janeiro (RJ), Brasil.

http://orcid.org/0000-0001-9056-4798

José Antonio Sanches Junior

Board of directors of the Sociedade Brasileira de Dermatologia, Rio de Janeiro (RJ), Brasil.

http://orcid.org/0000-0002-5709-092X

Mailing Address: Hélio Amante Miot. E-mail: heliomiot@gmail.com

Conflict of interest: None.

AUTHORS' CONTRIBUTIONS

Hélio Amante Miot

0000-0002-2596-9294

Statistical analysis; Approval of the final version of the manuscript; Conception and planning of the study; Elaboration and writing of the manuscript; Obtaining, analyzing and interpreting the data; Effective participation in research orientation; Intellectual participation in propaedeutic and/or therapeutic conduct of the cases studied; Critical review of the literature; Critical review of the manuscript

Gerson de Oliveira Penna

0000-0001-8967-536X

Statistical analysis; Approval of the final version of the manuscript; Conception and planning of the study; Elaboration and writing of the manuscript; Obtaining, analyzing and interpreting the data; Effective participation in research orientation; Intellectual participation in propaedeutic and/or therapeutic conduct of the cases studied; Critical review of the literature; Critical review of the manuscript

Andréa Machado Coelho Ramos

0000-0001-8891-7486

Statistical analysis; Approval of the final version of the manuscript; Conception and planning of the study; Elaboration and writing of the manuscript; Obtaining, analyzing and interpreting the data; Effective participation in research orientation; Intellectual participation in propaedeutic and/or therapeutic conduct of the cases studied; Critical review of the literature; Critical review of the manuscript

Maria Lúcia Fernandes Penna

0000-0003-0371-8037

Statistical analysis; Approval of the final version of the manuscript; Elaboration and writing of the manuscript; Critical review of the literature

Sociedade Brasileira de Dermatologia - Funding the study

Sílvia Maria Schmidt

0000-0002-3719-0309

Approval of the final version of the manuscript

Flávio Barbosa Luz

0000-0001-5454-8950

Approval of the final version of the manuscript

Maria Auxiliadora Jeunon Sousa

0000-0002-1549-1477

Approval of the final version of the manuscript

Sérgio Luiz Lira Palma

0000-0001-9056-4798

Approval of the final version of the manuscript

José Antonio Sanches Junior

0000-0002-5709-092X

Approval of the final version of the manuscript

	Diagnosis	N	%	95% CI^* * 95% CI: 95% confidence interval calculated from 10,000 bootstrap replications;
1	Acne	771	8.0	7.5 -8.6
2	Photoaging /Skin aging	746	7.7	7.2-8.3
3	Nonmelanoma skin cancer	633	6.6	6.1-7.1
4	Actinic keratosis / Actinic cheilitis	451	4.7	4.3-5.1
5	Superficial mycosis (tinea versicolor, dermatophytosis, onychomycosis)	437	4.5	4.1-5.0
6	Psoriasis	421	4.4	4.0-4.8
7	Melasma	357	3.7	3.3-4.1
8	Others^ Diagnoses with fewer than 10 occurrences or to be clarified	349	3.6	3.3-4.1
9	Melanocytic nevus	333	3.5	3.1-3.8
10	Atopic dermatitis	326	3.4	3.0-3.8
11	Contact dermatitis (allergic, irritant)	325	3.4	3.0-3.7
12	Male or female pattern androgenetic alopecia	307	3.2	2.8-3.5
13	Seborrheic keratosis	300	3.1	2.8-3.5
14	Acne in adult women	250	2.6	2.3-2.9
15	Seborrheic dermatitis	223	2.3	2.0-2.6
16	Viral wart	207	2.1	1.9-2.5
17	Telogen effluvium	196	2.0	1.8-2.3
18	Epidermal cyst / trichilemmal cyst	169	1.8	1.5-2.0
19	Acrochordon (skin tag) / molluscum pendulum	167	1.7	1.5-2.0
20	Vitiligo	158	1.6	1.4-1.9
21	Leprosy	137	1.4	1.2-1.7
22	Rosacea	124	1.3	1.1-1.5
23	Alopecia areata	120	1.2	1.0-1.5
24	Folliculitis	110	1.1	0.9-1.4
25	Cutaneous xerosis / Asteatosis	106	1.1	0.9-1.3
26	Hypertrophic scar/Keloid	97	1.0	0.8-1.2
27	Lichen simplex chronicus/ Prurigo / Chronic eczema	94	1.0	0.8-1.2
28	Pruritus (sine materiae)	85	0.9	0.7-1.1
29	Scabies / Pediculosis	84	0.9	0.7-1.1
30	Solar lentigo / Solar melanosis	83	0.9	0.7-1.1
31	Cicatricial alopecia (lupus, folliculitis decalvans, lichen planus pilaris)	82	0.9	0.7-1.0
32	Urticaria /Angioedema	73	0.8	0.6-0.9
33	Molluscum contagiosum	71	0.7	0.6-0.9
34	Melanoma	64	0.7	0.5-0.8
35	Post-inflammatory hyperpigmentation	63	0.7	0.5-0.8
36	Cutaneous lupus erythematosus	60	0.6	0.5-0.8
37	Striae distansae	58	0.6	0.5-0.8
38	Chronic lower limb ulcer	58	0.6	0.4-0.8
39	Impetigo and ecthyma	55	0.6	0.4-0.7
40	Drug eruptions	53	0.6	0.4-0.7
41	Onycholysis / Onychomadesis/ Onychomalacia / Onychodystrophy	53	0.6	0.4-0.7
42	Acne scar	49	0.5	0.4-0.7
43	Pemphigus and pemphigoid	46	0.5	0.3-0.6
44	Anogenital warts (HPV) / Condyloma	44	0.5	0.3-0.6
45	Keratosis pilaris	43	0.4	0.3-0.6
46	Cutaneous lymphoma and lym- phomatoid proliferations	42	0.4	0.3-0.6
47	Lipoma	41	0.4	0.3-0.6
48	Cutaneous / systemic scleroderma	37	0.4	0.3-0.5
49	Pityriasis rosea	34	0.4	0.2-0.5
50	Herpes zoster	31	0.3	0.2-0.4
51	Ingrown toenail / Onychocryptosis	30	0.3	0.2-0.4
52	Dermatofibroma	29	0.3	0.2-0.4
53	Genital / extralabial herpes	25	0.3	0.2-0.4
54	Hidradenitis suppurativa	24	0.2	0.2-0.4
55	Pityriasis alba	22	0.2	0.1-0.3
56	Subcutaneous / Systemic mycosis	21	0.2	0.1-0.3
57	Syringoma / Sweat glands neoplasms	20	0.2	0.1-0.3
58	Lichen planus	19	0.2	0.1-0.3
59	Hemangioma	18	0.2	0.1-0.3
60	Syphilis	17	0.2	0.1-0.3

	0-12 years old			12-24 years old
	Diagnosis	N	%	Diagnosis	N	%
1	Atopic dermatitis	212	25.8	Acne	557	41.2
2	Molluscum contagiosum	61	7.4	Contact dermatitis	58	4.3
3	Viral wart	55	6.7	Atopic dermatitis	55	4.1
4	Acne	48	5.8	Superficial mycosis	49	3.6
5	Others	34	4.1	Melanocytic nevus	42	3.1
6	Superficial mycosis	32	3.9	Psoriasis	40	3.0
7	Melanocytic nevus	32	3.9	Viral wart	34	2.5
8	Scabies / Pediculosis	29	3.5	Others	32	2.4
9	Vitiligo	29	3.5	Striae distensiae	31	2.3
10	Alopecia areata	24	2.9	Male or female pattern androgenetic alopecia	31	2.3
11	Seborrheic dermatitis	20	2.4	Seborrheic dermatitis	28	2.1
12	Contact dermatitis	19	2.3	Acne in adult women	28	2.1
13	Impetigo and ecthyma	18	2.2	Telogen effluvium	24	1.8
14	Psoriasis	18	2.2	Alopecia areata	23	1.7
15	Hemangioma	14	1.7	Folliculitis	20	1.5
16	Diaper dermatitis	14	1.7	Vitiligo	19	1.4
17	Pityriasis alba	14	1.7	Hypertrophic scar	19	1.4
18	Lichen simplex chronicus	12	1.5	Scabies / Pediculosis	15	1.1
19	Xerosis / Asteatosis	11	1.3	Epidermoid cysts	15	1.1
20	Keratosis pilaris	9	1.1	Urticaria	14	1.0

	25-59 years old			60 years and older
	Diagnosis	N	%	Diagnosis	N	%
1	Photoaging	540	10.5	Nonmelanoma skin cancer	446	19.3
2	Melasma	341	6.6	Actinic keratosis	299	12.9
3	Psoriasis	251	4.9	Photoaging	202	8.7
4	Superficial mycosis	244	4.7	Seborrheic keratosis	144	6.2
5	Melanocytic nevus	225	4.4	Psoriasis	112	4.8
6	Male or female pattern androgenetic alopecia	221	4.3	Superficial mycosis	112	4.8
7	Acne in adult women	220	4.3	Contact dermatitis	78	3.4
8	Others	208	4.0	Others	75	3.2
9	Nonmelanoma skin cancer	179	3.5	Male or female pattern androgenetic alopecia	52	2.3
10	Contact dermatitis	170	3.3	Pruritus (sine materiae)	44	1.9
11	Acne	156	3.0	Acrochordon /skin tag	42	1.8
12	Seborrheic keratosis	149	2.9	Epidermoid cysts	42	1.8
13	Actinic keratosis	149	2.9	Lower limb ulcer	38	1.6
14	Seborrheic dermatitis	143	2.8	Xerosis / Asteatosis	35	1.5
15	Telogen effluvium	141	2.7	Melanocytic nevus	34	1.5
16	Acrochordon /skin tag	116	2.3	Seborrheic dermatitis	32	1.4
17	Epidermoid cysts	109	2.1	Leprosy	32	1.4
18	Vitiligo	95	1.8	Rosacea	30	1.3
19	Viral wart	90	1.7	Solar lentigo / Solar melanosis	30	1.3
20	Leprosy	88	1.7	Telogen effluvium	29	1.3

	COLOR - White			COLOR - Non-white
	Diagnosis	N	%	Diagnosis	N	%
1	Photoaging	628	9.5	Acne	225	7.4
2	Nonmelanoma skin cancer	564	8.5	Superficial mycosis	175	5.8
3	Acne	546	8.3	Melasma	168	5.5
4	Actinic keratosis	418	6.3	Psoriasis	159	5.3
5	Melanocytic nevus	281	4.3	Atopic dermatitis	128	4.2
6	Superficial mycosis	262	4.0	Photoaging	118	3.9
7	Psoriasis	262	4.0	Contact dermatitis	116	3.8
8	Others	246	3.7	Others	103	3.4
9	Seborrheic keratosis	215	3.3	Acne in adult women	97	3.2
10	Male or female pattern androgenetic alopecia	211	3.2	Seborrheic dermatitis	97	3.2
11	Contact dermatitis	209	3.2	Male or female pattern androgenetic alopecia	96	3.2
12	Atopic dermatitis	198	3.0	Leprosy	91	3.0
13	Melasma	189	2.9	Seborrheic keratosis	85	2.8
14	Acne in adult women	153	2.3	Acrochordon / skin tag	70	2.3
15	Viral wart	142	2.2	Nonmelanoma skin cancer	69	2.3
16	Telogen effluvium	138	2.1	Viral wart	65	2.1
17	Seborrheic dermatitis	126	1.9	Epidermoid cysts	63	2.1
18	Rosacea	113	1.7	Telogen effluvium	58	1.9
19	Epidermoid cysts	106	1.6	Vitiligo	58	1.9
20	Vitiligo	100	1.5	Alopecia areata	56	1.8

	Female			Male
	Diagnosis	N	%	Diagnosis	N	%
1	Photoaging	682	10.9	Acne	385	11.4
2	Acne	386	6.2	Nonmelanoma skin cancer	312	9.3
3	Melasma	335	5.3	Actinic keratosis	193	5.7
4	Nonmelanoma skin cancer	321	5.1	Superficial mycosis	192	5.7
5	Actinic keratosis	258	4.1	Psoriasis	180	5.4
6	Superficial mycosis	245	3.9	Atopic dermatitis	138	4.1
7	Acne in adult women	243	3.9	Melanocytic nevus	128	3.8
8	Psoriasis	241	3.8	Others	109	3.2
9	Others	240	3.8	Seborrheic dermatitis	105	3.1
10	Contact dermatitis	224	3.6	Contact dermatitis	101	3.0
11	Male or female pattern androgenetic alopecia	206	3.3	Androgenetic alopecia	101	3.0
12	Seborrheic keratosis	206	3.3	Seborrheic keratosis	94	2.8
13	Melanocytic nevus	205	3.3	Viral wart	86	2.6
14	Atopic dermatitis	188	3.0	Leprosy	76	2.3
15	Telogen effluvium	187	3.0	Acrochordon /skin tag	71	2.1
16	Viral wart	121	1.9	Photoaging	64	1.9
17	Seborrheic dermatitis	118	1.9	Alopecia areata	64	1.9
18	Vitiligo	115	1.8	Epidermoid cysts	61	1.8
19	Epidermoid cysts	108	1.7	Folliculitis	53	1.6
20	Acrochordon /skin tag	96	1.5	Vitiligo	43	1.3

	COVERAGE / HEALTH INSURANCE			PRIVATE / OUT OF POCKET PAYMENT			SUS / PUBLIC
	Diagnosis	N	%	Diagnosis	N	%	Diagnosis	N	%
1	Acne	497	10.6	Photoaging	495	20.5	Nonmelanoma skin cancer	297	11.7
2	Superficial mycosis	261	5.6	Acne	160	6.6	Psoriasis	225	8.9
3	Actinic keratosis	230	4.9	Nonmelanoma skin cancer	155	6.4	Leprosy	131	5.2
4	Melasma	227	4.8	Others	149	6.2	Actinic keratosis	128	5.0
5	Photoaging	201	4.3	Male or female pattern androgenetic alopecia	114	4.7	Superficial mycosis	121	4.8
6	Seborrheic keratosis	200	4.3	Actinic keratosis	93	3.9	Acne	114	4.5
7	Melanocytic nevus	187	4.0	Contact dermatitis	88	3.7	Atopic dermatitis	90	3.6
8	Nonmelanoma skin cancer	181	3.9	Psoriasis	85	3.5	Others	83	3.3
9	Atopic dermatitis	179	3.8	Melasma	80	3.3	Melanocytic nevus	70	2.8
10	Acne in adult women	172	3.7	Melanocytic nevus	76	3.2	Vitiligo	68	2.7
11	Contact dermatitis	171	3.6	Atopic dermatitis	57	2.4	Contact dermatitis	66	2.6
12	Male or female pattern androgenetic alopecia	154	3.3	Superficial mycosis	55	2.3	Seborrheic dermatitis	51	2.0
13	Seborrheic dermatitis	140	3.0	Acne in adult women	55	2.3	Photoaging	50	2.0
14	Acrochordon /skin tag	138	2.9	Seborrheic keratosis	51	2.1	Melasma	50	2.0
15	Telogen effluvium	137	2.9	Rosacea	46	1.9	Seborrheic keratosis	49	1.9
16	Viral wart	134	2.9	Telogen effluvium	39	1.6	Alopecia areata	45	1.8
17	Epidermoid cysts	124	2.6	Vitiligo	38	1.6	Chronic ulcer	42	1.7
18	Others	117	2.5	Seborrheic dermatitis	32	1.3	Viral wart	41	1.6
19	Psoriasis	111	2.4	Viral wart	32	1.3	Pemphigus and pemphigoid	41	1.6
20	Folliculitis	60	1.3	Cicatricial alopecia	30	1.2	Male or female pattern androgenetic alopecia	39	1.5

	FIRST APPOINTMENT			SECOND APPOINTMENT
	Diagnosis	N	%	Diagnosis	N	%
1	Acne	386	8.2	Photoaging	260	9.9
2	Superficial mycosis	282	6.0	Acne	386	7.9
3	Photoaging	260	5.5	Nonmelanoma skin cancer	255	7.7
4	Nonmelanoma skin cancer	255	5.4	Psoriasis	115	6.2
5	Contact dermatitis	202	4.3	Actinic keratosis	190	5.3
6	Atopic dermatitis	197	4.2	Others	160	3.9
7	Seborrheic keratosis	197	4.2	Melasma	170	3.8
8	Actinic keratosis	190	4.0	Male or female pattern androgenetic alopecia	140	3.4
9	Melanocytic nevus	189	4.0	Superficial mycosis	282	3.2
10	Melasma	170	3.6	Melanocytic nevus	189	2.9
11	Others	160	3.4	Atopic dermatitis	197	2.6
12	Seborrheic dermatitis	148	3.1	Contact dermatitis	202	2.5
13	Acne in adult women	146	3.1	Viral wart	90	2.4
14	Male or female pattern androgenetic alopecia	140	3.0	Acne in adult women	146	2.1
15	Telogen effluvium	120	2.5	Seborrheic keratosis	197	2.1
16	Psoriasis	115	2.4	Leprosy	36	2.1
17	Acrochordon / skin tag	99	2.1	Vitiligo	61	2.0
18	Epidermoid cysts	93	2.0	Telogen effluvium	120	1.6
19	Viral wart	90	1.9	Epidermoid cysts	93	1.6
20	Xerosis / Asteatosis	72	1.5	Seborrheic dermatitis	148	1.5

North				Northeast				Southeast
	Diagnosis	N	%	Diagnosis		N	%	Diagnosis	N	%
1	Acne	110	7.6	Photoaging		52	10.9	Photoaging	374	8.6
2	Atopic dermatitis	72	5.0	Acne		38	8.0	Acne	336	7.7
3	Superficial mycosis	63	4.4	Leprosy		24	5.0	NM skin cancer	281	6.5
4	Melasma	63	4.4	NM skin cancer		23	4.8	Superficial mycosis	224	5.2
5	NM skin cancer	61	4.2	Melasma		20	4.2	Psoriasis	205	4.7
6	Others	56	3.9	Psoriasis		20	4.2	Actinic keratosis	186	4.3
7	Contact dermatitis	54	3.8	Superficial mycosis		18	3.8	Others	180	4.1
8	Photoaging	48	3.3	Atopic dermatitis		17	3.6	Melasma	154	3.5
8	Psoriasis	44	3.1	Seborrheic keratosis		17	3.6	Melanocytic nevus	149	3.4
10	Acrochordon /skin tag	44	3.1	Acne in adult women		16	3.4	Contact dermatitis	135	3.1
11	Seborrheic dermatitis	43	3.0	Male or female pattern androgenetic alopecia		15	3.2	Atopic dermatitis	134	3.1
12	Scabies / Pediculosis	42	2.9	Actinic keratosis		15	3.2	Seborrheic keratosis	130	3.0
13	Male or female pattern androgenetic alopecia	39	2.7	Seborrheic dermatitis		14	2.9	Male or female pattern androgenetic alopecia	129	3.0
14	Epidermoid cysts	39	2.7	Contact dermatitis		13	2.7	Acne in adult women	104	2.4
15	Acne in adult women	36	2.5	Acrochordon /skin tag		12	2.5	Viral wart	104	2.4
16	Melanocytic nevus	33	2.3	Melanocytic nevus		12	2.5	Seborrheic dermatitis	100	2.3
17	Seborrheic keratosis	30	2.1	Others		11	2.3	Telogen effluvium	89	2.0
18	Actinic keratosis	28	1.9	Epidermoid cysts		9	1.9	Epidermoid cysts	80	1.8
19	Telogen effluvium	26	1.8	Viral wart		9	1.9	Vitiligo	65	1.5
20	Viral wart	26	1.8	Telogen effluvium		8	1.7	Leprosy	62	1.4

	South					Midwest
	Diagnosis			N	%	Diagnosis			N	%
1	NM skin cancer			195	8.9	Acne			119	9.8
2	Photoaging			185	8.5	Photoaging			87	7.1
3	Actinic keratosis			171	7.8	NM skin cancer			73	6.0
4	Acne			168	7.7	Superficial mycosis			56	4.6
5	Psoriasis			105	4.8	Male or female pattern androgenetic alopecia			55	4.5
6	Melanocytic nevus			100	4.6	Acne in adult women			54	4.4
7	Seborrheic keratosis			79	3.6	Contact dermatitis			51	4.2
8	Superficial mycosis			76	3.5	Actinic keratosis			51	4.2
9	Contact dermatitis			72	3.3	Melasma			49	4.0
10	Melasma			71	3.2	Psoriasis			47	3.9
11	Male or female pattern androgenetic alopecia			69	3.2	Seborrheic keratosis			44	3.6
12	Others			66	3.0	Melanocytic nevus			39	3.2
13	Atopic dermatitis			65	3.0	Atopic dermatitis			38	3.1
14	Viral wart			52	2.4	Others			36	3.0
15	Vitiligo			51	2.3	Seborrheic dermatitis			30	2.5
16	Telogen effluvium			49	2.2	Acrochordon / skin tag			25	2.0
17	Rosacea			48	2.2	Alopecia areata			25	2.0
18	Acne in adult women			40	1.8	Telogen effluvium			24	2.0
19	Seborrheic dermatitis			36	1.6	Leprosy			21	1.7
20	Acrochordon /skin tag			30	1.4	Cicatricial alopecia			17	1.4

CONDUCT	N	% of patients
Topical Medications¹1 Hay RJ, Johns NE, Williams HC, Bolliger IW, Dellavalle RP, Margolis DJ, et al. The global burden of skin disease in 2010: an analysis of the prevalence and impact of skin conditions. J Invest Dermatol. 2014;134:1527-34.	4922	51.1
Sunscreen	4232	44.0
Moisturizers and emollients	3002	31.2
Oral medications²2 Penha MA, Santos PM, Miot HA. Dimensioning the fear of dermatologic diseases. An Bras Dermatol. 2012;87:796-9.	2379	24.7
Topical cosmeceuticals³3 Dalgard FJ, Gieler U, Tomas-Aragones L, Lien L, Poot F, Jemec GBE, et al. The psychological burden of skin diseases: a cross-sectional multicenter study among dermatological out-patients in 13 European countries. J Invest Dermatol. 2015;135:984-91.	1859	19.3
Therapeutic surgical procedure⁴4 Buendía-Eisman A, Arias-Santiago S, Molina-Leyva A, Gilaberte Y, Fernández-Crehuet P, Husein-ElAhmed H, et al. Outpatient Dermatological Diagnoses in Spain: Results From the National DIADERM Random Sampling Project. Actas Dermosifiliogr. 2018;109:416-23.	1838	19.1
Diagnostic clinical procedure⁵5 Lim HW, Collins SAB, Resneck JS Jr, Bolognia JL, Hodge JA, Rohrer TA, et al. The burden of skin disease in the United States. J Am Acad Dermatol. 2017;76:958-72.	801	8.3
Diagnostic surgical procedure⁶6 Boza JC, Giongo NP, Cestari TF. Vitiligo-specific instrument on quality of life - Brazilian Portuguese version. An Bras Dermatol. 2016;91:865-6.	706	7.3
Cosmetic surgical procedure⁷7 Cestari T, Prati C, Menegon DB, Prado Oliveira ZN, Machado MC, Dumet J, et al. Translation, cross-cultural adaptation and validation of the Quality of Life Evaluation in Epidermolysis Bullosa instrument in Brazilian Portuguese. Int J Dermatol. 2016;55:e94-9	674	7.0
Nutraceuticals, antioxidants and food supplements	605	6.3
Botulinum toxin	524	5.4
Fillers/volumizers	303	3.1
Phototherapy⁸8 Manzoni AP, Pereira RL, Townsend RZ, Weber MB, Nagatomi AR, Cestari TF. Assessment of the quality of life of pediatric patients with the major chronic childhood skin diseases. An Bras Dermatol. 2012;87:361-8.	149	1.5
Immunobiologicals⁹9 Freitag FM, Cestari TF, Leopoldo LR, Paludo P, Boza JC. Effect of melasma on quality of life in a sample of women living in southern Brazil. J Eur Acad Dermatol Venereol. 2008;22:655-62.	65	0.7

	CONDUCT / PRESCRIPTION	Coverage / health insurance		Private / Out of pocke		SUS / public
		N	% of patients	N	% of patients	N	% of patients
1	All procedures	11741	250.6	6266	260.1	5474	215.9
2	Topical medications	2657	56.7	1045	43.4	1220	48.1
3	Sunscreen	2203	47.0	988	41.0	1041	41.1
4	Moisturizers and emollients	1456	31.1	672	27.9	874	34.5
5	Oral medications	1056	22.5	583	24.2	740	29.2
6	Topical cosmeceuticals	1128	24.1	525	21.8	206	8.1
7	Therapeutic surgical procedure	1012	21.6	349	14.5	477	18.8
8	Diagnostic clinical procedure	415	8.9	212	8.8	174	6.9
9	Diagnostic surgical procedure	338	7.2	126	5.2	242	9.5
10	Cosmetic surgical procedure	181	3.9	432	17.9	61	2.4
11	Nutraceuticals and antioxidants	355	7.6	213	8.8	37	1.5
12	Botulinum toxin	134	2.9	381	15.8	9	0.4
13	Fillers/volumizers	79	1.7	222	9.2	2	0.1
14	Phototherapy	43	0.9	46	1.9	60	2.4
15	Immunobiologicals	14	0.3	18	0.7	33	1.3

		LEPROSY		PSORIASIS		NONMELANOMA CA
		OR^* 2. e.g., antimicrobials, antihistamines, isotretinoin, immunosuppressants	p	OR^* 2. e.g., antimicrobials, antihistamines, isotretinoin, immunosuppressants	p	OR^* 2. e.g., antimicrobials, antihistamines, isotretinoin, immunosuppressants	p
Region	N	2.07	0.02	0.78	0.37	1.62	0.07
	NE	4.52	0.00	0.83	0.70	1.30	0.95
	S	0.25	0.00	1.16	0.02	1.22	0.60
	MW	1.24	0.99	0.74	0.17	1.35	0.66
	SE	1		1		1
Funding type	Coverage / health insurance	0.01	0.00	0.31	0.00	0.32	0.00
	Private /out of pocket payment	0.03	0.03	0.42	0.03	0.42	0.01
	SUS	1		1		1
Gender	Female	0.44	0.00	0.69	0.00	0.50	0.00
	Male	1		1		1
Age group (years)	0-12	0.30	0.02	0.50	0.01	0.02	0.00
	13-24	0.78	0.95	0.72	0.37	0.02	0.00
	25-59	1.50	0.00	1.24	0.00	0.19	0.00
	>60	1		1		1
City	<100,000 inhabitants	0.74	0.53	0.57	0.24	1.62	0.01
	100-300,000 inhabitants	1.07	0.54	0.54	0.05	1.24	0.86
	>300,000 inhabitants	1		1		1
Skin color	White	0.53	0.01	0.85	0.15	3.94	0.00
	Non-white	1
Consultation type	First appointment	0.51	0.00	0.47	0.00	0.98	0.83
	Second appointment	1		1		1

[1] Mailing Address: Hélio Amante Miot. E-mail: heliomiot@gmail.com

Brasil

Brasil

Profile of dermatological consultations in Brazil (2018)^* * Work conducted at Brazilian Society of Dermatology, Rio de Janeiro (RJ), Brazil.

Abstract:

Background:

Objectives:

Methods:

Results:

Study limitations:

Conclusion:

Brasil

Brasil

Profile of dermatological consultations in Brazil (2018)* * Work conducted at Brazilian Society of Dermatology, Rio de Janeiro (RJ), Brazil.

Abstract:

Background:

Objectives:

Methods:

Results:

Study limitations:

Conclusion:

Profile of dermatological consultations in Brazil (2018)^* * Work conducted at Brazilian Society of Dermatology, Rio de Janeiro (RJ), Brazil.