Incidence of skin diseases diagnosed in a public institution: comparison between 2003 and 2014*

Miguel, Livia Maria Zanardi; Jorge, Marilia Formentini Scotton; Rocha, Bruna; Miot, Hélio Amante

doi:10.1590/abd1806-4841.20175793

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Sumário

Communication • An. Bras. Dermatol. 92 (3) • May-Jun 2017 • https://doi.org/10.1590/abd1806-4841.20175793 copy

Incidence of skin diseases diagnosed in a public institution: comparison between 2003 and 2014^* * Work conducted at Departamento de Dermatologia da FMB-Unesp, Botucatu, SP, Brasil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Epidemiology of diseases is influenced by population socio-demographic circumstances. Therefore it can be modified along the time. There are no studies exploring epidemiological transition in dermatology. This study investigated the incidence of dermatoses in new patients from a Brazilian country town public service in 2003 and 2014. There was a significant increase in the incidence of sexually transmitted diseases, leprosy, melasma, pruritus and hidradenitis suppurativa. However, a prominent reduction in scheduling of appointments for surgeries of benign lesions, drug reactions, urticaria and superficial mycoses was detected. The identification of epidemiological trends guides the dimensioning of health system and professional qualification policies.

Keywords:
Demographic transition; Dermatology; Diagnosis; Epidemiology; Health transition; Incidence

	2003	2014	^p
N	1,170	1,078	-
Sex - N (%)
Female	702 (60.0)	630 (58.4)	0.45
Male	468 (40.0)	448 (41.6)
Age - Average (sd)	43.2 (19.6)	45.9 (19.8)	<0.01
Number of diagnoses	1,482	1,171	^-

Diagnostic group	2003		2014		RR	CI 95%		P^* * P-value of the residual analysis (adjusted and standardized results); RR: Relative risk; 95% CI: 95% confidence interval; NMSC: Non-melanoma skin cancer, including actinic keratosis
	N	%	N	%
Inflammatory dermatoses
Alopecia areata	22	1.9%	18	1.7%	0.9	0.6 a	1.3	0.41
Acne	106	9.1%	133	12.3%	1.4	1.2 a	1.5	<0.01
Bullous dermatoses disease	4	0.3%	3	0.3%	0.8	0.3 a	1.9	0.40
Atopic dermatitis	13	1.1%	17	1.6%	1.4	1.0 to	1.9	0.17
Scleroderma	13	1.1%	6	0.6%	0.5	0.3 to	1.0	0.20
Drug reactions	14	1.2%	3	0.3%	0.2	0.1 to	0.7	0.03
Lichenoid eruptions	16	1.4%	27	2.5%	1.8	1.4 to	2.3	0.02
Lupus erythematosus	17	1.5%	14	1.3%	0.9	0.6 to	1.3	0.41
Other eczemas	170	14.5%	103	9.6%	0.7	0.6 to	0.8	0.02
Psoriasis	45	3.8%	49	4.5%	1.2	1.0 to	1.4	0.15
Rosacea	7	0.6%	12	1.1%	1.9	1.3 to	2.6	0.11
Urticaria/Angioedema	50	4.3%	20	1.9%	0.4	0.3 to	0.6	0.01
Vitiligo	43	3.7%	29	2.7%	0.7	0.6 to	1.0	0.29
Infectious dermatoses
Leprosy	14	1.2%	19	1.8%	1.5	1.1 to	2.0	0.14
Hidradenitis suppurativa	3	0.3%	10	0.9%	3.6	2.7 to	4.9	0.03
Bacterial infection	16	1.4%	6	0.6%	0.4	0.2 to	0.8	0.10
Infestations	6	0.5%	4	0.4%	0.7	0.3 to	1.5	0.38
Deep mycoses	6	0.5%	5	0.5%	0.9	0.5 to	1.7	0.40
Superficial mycoses	148	12.6%	47	4.4%	0.3	0.3 to	0.4	<0.01
Syphilis	5	0.4%	12	1.1%	2.6	1.9 to	3.6	0.04
Anogenital wart	11	0.9%	45	4.2%	4.4	3.9 to	5.1	<0.01
Viral wart	37	3.2%	13	1.2%	0.4	0.2 to	0.6	0.01
Neoplastic dermatoses
Cyst/Lipoma	66	5.6%	15	1.4%	0.2	0.2 to	0.4	<0.01
Lymphoma	6	0.5%	9	0.8%	1.6	1.1 to	2.5	0.20
Melanoma	12	1.0%	9	0.8%	0.8	0.5 to	1.3	0.39
NMSC	222	19.0%	220	20.4%	1.1	1.0 to	1.2	0.03
Melanocytic nevi	52	4.4%	22	2.0%	0.5	0.3 to	0.7	0.01
Seborrheic keratosis	65	5.6%	25	2.3%	0.4	0.3 to	0.6	<0.01
Other dermatoses
Androgenetic alopecia	16	1.4%	21	1.9%	1.4	1.1 to	1.9	0.14
Telogen effluvium	13	1.1%	17	1.6%	1.4	1.0 to	1.9	0.17
Genodermatoses	12	1.0%	14	1.3%	1.3	0.9 to	1.8	0.26
Melasma	29	2.5%	68	6.3%	2.5	2.2 to	2.9	<0.01
Onychocryptosis	6	0.5%	3	0.3%	0.5	0.2 to	1.4	0.31
Other	151	12.9%	124	11.5%	0.9	0.8 to	1.0	0.40
Pruritus	8	0.7%	22	2.0%	3.0	2.4 to	3.7	<0.01
Psicodermatoses	22	1.9%	26	2.4%	1.3	1.0 to	1.7	0.17
Chronic ulcer	36	3.1%	22	2.0%	0.7	0.5 to	0.9	0.22

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[1] Mailing address: Hélio Amante Miot, Departamento de Dermatologia e Radioterapia, Faculdade de Medicina de Botucatu - Unesp, Campus Universitário de Rubião Jr., 18618-000 - Botucatu - SP - Brazil. E-mail: heliomiot@fmb.unesp.br

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Incidence of skin diseases diagnosed in a public institution: comparison between 2003 and 2014* * Work conducted at Departamento de Dermatologia da FMB-Unesp, Botucatu, SP, Brasil.

Abstract

Incidence of skin diseases diagnosed in a public institution: comparison between 2003 and 2014^* * Work conducted at Departamento de Dermatologia da FMB-Unesp, Botucatu, SP, Brasil.