Most frequent dermatology diseases in private Dermatology practices
Keywords:
dermatosis; skin diseases; private practices; dermatologyAbstract
Introduction: Dermatological diseases encompass a broad spectrum of cutaneous manifestations, ranging from inflammatory and allergic conditions to infections and autoimmune disorders.
Objective: To characterize the most frequent dermatoses seen in the private Dermatology practice of a Specialty Clinic in the Ambato canton.
Material and Methods: An observational, descriptive, cross-sectional study of patients attending the Dermatology clinic of the Specialty Clinic was performed. Patients over 18 years of age with a diagnosis of dermatosis were included. Patients with malignant skin lesions were excluded due to their specialized management and potential bias in prevalence estimation, as well as cases with incomplete medical records. Measures of central tendency and studies of association and risk of occurrence were applied using the chi-square and Fisher's F-tests, with a 95% confidence level.
Results: Non-infectious dermatoses were the most common diseases. Irritant dermatitis and atopic dermatitis were the most frequent, highlighting the relevance of inflammatory and allergic factors in this population. Infectious dermatoses, although less prevalent, affect a significant proportion of patients.
Conclusions: A predominance of non-infectious conditions, especially irritant and atopic dermatitis, was observed. This finding suggests a shift in the classic epidemiological pattern, where infectious dermatoses traditionally predominated.
Downloads
References
1. Yakupu A, Aimaier R, Yuan B, et al. The burden of skin and subcutaneous diseases: findings from the global burden of disease study 2019. Front Public Health [Internet]. 2023 [citado 20/09/2024];11:1145513. Disponible en: https://doi.org/10.3389/fpubh.2023.1145513
2. Dai YX, Tai YH, Chang YT, Chen TJ, Chen MH. Bidirectional association between alopecia areata and thyroid diseases: a nationwide population-based cohort study. Arch Dermatol Res [Internet]. 2021 [citado 20/09/2024];313(5):339-46. Disponible en: https://link.springer.com/article/10.1007/s00403-020-02109-7
3. Bocheva GS, Slominski RM, Slominski AT. Immunological aspects of skin aging in atopic dermatitis. Int J Mol Sci [Internet]. 2021 [citado 20/09/2024];22(11):5729. Disponible en: https://doi.org/10.3390/ijms22115729
4. Yang YT, Hsu CH, Wang YF, Chang YJ, Yang HJ, Ko JL, et al. Worsening quality of life in young adult, highly educated, and married female patients with vitiligo: a hospital-based case control study in Taiwan. Int J Environ Res Public Health [Internet]. 2022 [citado 20/09/2024];19(11):6741. Disponible en: https://doi.org/10.3390/ijerph19116741
5. Marek-Jozefowicz L, Czajkowski R, Borkowska A. The brain-skin axis in psoriasis—psychological, psychiatric, hormonal, and dermatological aspects. Int J Mol Sci [Internet]. 2022 [citado 20/09/2024];23(2):669. Disponible en: https://doi.org/10.3390/ijms23020669
6. Thompson AR, Eleftheriadou V, Nesnas J. The mental health associations of vitiligo: UK population-based cohort study. BJPsych Open [Internet]. 2022 [citado 20/09/2024];8(6). Disponible en: https://doi.org/10.1192/bjo.2022.591
7. Salava A, Oker-Blom A, Remitz A. The spectrum of skin-related conditions in primary care during 2015–2019—a Finnish nationwide database study. Skin Health Dis [Internet]. 2021 [citado 20/09/2024];1(3). Disponible en: https://doi.org/10.1002/ski2.53
8. Dayrit JF, Sugiharto A, Coates S. Climate change, human migration, and skin disease: is there a link? Int J Dermatol [Internet]. 2022 [citado 20/09/2024];61(2):127–38. Disponible en: https://doi.org/10.1111/jid.15543
9. Harries M, Macbeth AE, Holmes S, Chiu WS, Gallardo WR, Nijher M, et al. The epidemiology of alopecia areata: a population-based cohort study in UK primary care. Br J Dermatol [Internet]. 2022 [citado 20/09/2024];186(2):257-65. Disponible en: https://academic.oup.com/bjd/article/186/2/257/6599242?guestAccessKey=
10. Fawzy MM, Hammad NM, Sharaf AL, Khattab F. Hepatitis C virus infection could be a risk factor for adult-onset vitiligo in Egyptian patients: a cross-sectional study. J Cosmet Dermatol [Internet]. 2022 [citado 20/09/2024];21(11):4983–9. Disponible en: https://doi.org/10.1111/jocd.14946
11. Tsakok T, Woolf R, Smith CH, Weidinger S, Flohr C. Atopic dermatitis: the skin barrier and beyond. Br J Dermatol [Internet]. 2019 [citado 20/09/2024];180(3):464–74. Disponible en: https://doi.org/10.1111/bjd.16934
12. Bergqvist C, Ezzedine K. Vitiligo: a review. Dermatology [Internet]. 2020 [citado 20/09/2024];236(6):571–92. Disponible en: https://doi.org/10.1159/000506103
13. Diaconescu S, Strat S, Balan GG. Dermatological manifestations in pediatric inflammatory bowel disease. Medicina (Kaunas) [Internet]. 2020 [citado 20/09/2024];56(9):425. Disponible en: https://doi.org/10.3390/medicina56090425
14. Li Q, Patrick MT, Sreeskandarajan S. Large-scale epidemiological analysis of common skin diseases to identify shared and unique comorbidities and demographic factors. Front Immunol [Internet]. 2024 [citado 20/09/2024];14:1309549. Disponible en: https://doi.org/10.3389/fimmu.2023.1309549
15. Butala S, Paller AS. Optimizing topical management of atopic dermatitis. Ann Allergy Asthma Immunol [Internet]. 2022 [citado 20/09/2024];128(5):488-504. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1081120622001788
16. Thyssen JP, Halling AS, Schmid-Grendelmeier P, Guttman-Yassky E, Silverberg JI. Comorbidities of atopic dermatitis—what does the evidence say?. J Allergy Clin Immunol [Internet]. 2023 [citado 20/09/2024];151(5):1155–62. Disponible en: https://doi.org/10.1016/j.jaci.2022.12.002
17. Wolk K, Schielein M, Maul JT, Widmayer F, Wanke K, Fischmann W, et al. Patient-reported assessment of medical care for chronic inflammatory skin diseases: an enterprise-based survey. Front Med (Lausanne) [Internet]. 2024 [citado 20/09/2024];11:1384055. Disponible en: https://doi.org/10.3389/fmed.2024.1384055
18. Løset M, Brown SJ, Saunes M, Hveem K. Genetics of atopic dermatitis: from DNA sequence to clinical relevance. Dermatology [Internet]. 2019 [citado 20/09/2024];235(5):355–64. Disponible en: https://doi.org/10.1159/000500402
19. Papapostolou N, Xepapadaki P, Katoulis A, Makris M. Comorbidities of chronic urticaria: a glimpse into a complex relationship. Front Allergy [Internet]. 2022 [citado 20/09/2024];3:1008145. Disponible en: https://doi.org/10.3389/falgy.2022.1008145
20. Ebrahimnejad N, Jaafar D, Goodarzi H. The past, present, future: pathophysiology, diagnosis, and treatment of human skin diseases. Physiologia [Internet]. 2024 [citado 20/09/2024];4(1):81–99. Disponible en: https://doi.org/10.3390/physiologia4010005
21. Farré X, Blay N, Cortés B, Carreras A, Iraola-Guzmán S, de Cid R. Skin phototype and disease: a comprehensive genetic approach to pigmentary traits pleiotropy using PRS in the GCAT cohort. Genes (Basel) [Internet]. 2023 [citado 20/09/2024];14(1):149. Disponible en: https://doi.org/10.3390/genes14010149
22. Veronese S, Aggarwal R, Giovanelli T, Sbarbati A. Hyper- and hypopigmentation in a subject with Fitzpatrick skin phototype VI: a new treatment option. J Clin Med [Internet]. 2024 [citado 20/09/2024];13(4):1036. Disponible en: https://doi.org/10.3390/jcm13041036
23. Bourgeois J, Beer J, Jacob L, Henry MJ. Drugs dermatol. J Drugs Dermatol [Internet]. 2023 [citado 20/09/2024];22:288–96. Disponible en: https://doi.org/10.36849/JDD.7253
24. Wiley J. Skin diseases in a primary, secondary, and tertiary setting in Trinidad and Tobago, with an evaluation of service provision. Skin Health Dis [Internet]. 2024 [citado 20/09/2024];4. Disponible en: https://doi.org/10.1002/ski2.307
25. Alcívar Solórzano LP, Álava Moreira PG. Factores de riesgo que influyen en la dermatitis atópica en niños de 0 a 12 años: Un estudio observacional de centro único. Actas Méd (Ecuador) [Internet]. 2025 [citado 20/09/2024];35(2):127-32. Disponible en: https://actasmedicas.ec/index.php/am/article/view/244
26. Giniebra GM, Gorrín Y, Rivera R, González M, Linares LP. Dermatosis más frecuentes en ancianos de Pinar del Río. Rev Ciencias Médicas [Internet]. 2020 [citado 20/09/2024];24(1). Disponible en: http://revcmpinar.sld.cu/index.php/publicaciones/article/view/4262
27. Yakupu A, Aimaier R, Yuan B, Chen B, Cheng J, Zhao Y, et al. The burden of skin and subcutaneous diseases: findings from the global burden of disease study 2019. Front Public Health [Internet]. 2023 [citado 20/09/2024];11:1145513. Disponible en: https://doi.org/10.3389/fpubh.2023.1145513
28. Kibar Öztürk M. Skin diseases in rural Nyala, Sudan (in a rural hospital, in 12 orphanages, and in two refugee camps). Int J Dermatol [Internet]. 2019 [citado 20/09/2024];58(11):1341-9. Disponible en: https://doi.org/10.1111/ijd.14619
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Jeanneth Elizabeth Jami Carrera, Jenny Olivia Caicedo Rodríguez

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All the content of this magazine is in Open Access, distributed according to the terms of the Creative Commons Attribution-Noncommercial 4.0 License that allows non-commercial use, distribution and reproduction without restrictions in any medium, provided that the primary source is duly cited.
