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torna&#8208;se imperativo que m&#233;dicos generalistas demonstrem habilidades adequadas para o diagn&#243;stico e manejo das doen&#231;as cut&#226;neas mais prevalentes na aten&#231;&#227;o prim&#225;ria &#224; sa&#250;de &#40;APS&#41;&#44; porta de acesso aos demais n&#237;veis de aten&#231;&#227;o &#224; sa&#250;de&#46;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">5&#44;9</span></a> A despeito dessa necessidade&#44; identifica&#8208;se tend&#234;ncia entre os generalistas a minimizar ou confundir algumas enfermidades da pele&#44; superdiagnosticar afec&#231;&#245;es mais comuns como eczemas&#44; verrugas e doen&#231;as infecciosas em detrimento de diagn&#243;sticos mais complexos&#44; inclusive neoplasias&#46; Desse modo&#44; podem contribuir para o atraso no in&#237;cio de tratamentos e consequentemente piores progn&#243;sticos&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">5</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">O Brasil apresenta realidades sociodemogr&#225;ficas diversas em raz&#227;o de suas dimens&#245;es continentais&#44; o que impacta diretamente o perfil epidemiol&#243;gico das enfermidades dermatol&#243;gicas&#46; O contexto diversificado e as dificuldades enfrentadas no manejo dessas condi&#231;&#245;es na APS representam um grande desafio para a assist&#234;ncia dermatol&#243;gica no &#226;mbito do sistema de sa&#250;de&#46; Assim&#44; torna&#8208;se necess&#225;rio o desenvolvimento de estudos que avaliem o espectro dos arranjos epidemiol&#243;gicos brasileiros&#44; contribuam para o planejamento de a&#231;&#245;es e a aloca&#231;&#227;o de recursos em sa&#250;de&#46;<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">2&#44;5&#44;10&#8211;12</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Nesse sentido&#44; diante da car&#234;ncia de estudos acerca do perfil epidemiol&#243;gico das doen&#231;as da pele&#44; inclusive no &#226;mbito da APS&#44; o presente trabalho teve como objetivo descrever o perfil nosol&#243;gico da assist&#234;ncia dermatol&#243;gica no munic&#237;pio de Florian&#243;polis&#44; nas esferas da APS e da dermatologia&#44; de janeiro de&#160;2016 a dezembro de&#160;2017&#44; de modo a compreender os escopos nosol&#243;gicos nesses n&#237;veis de aten&#231;&#227;o&#44; que influenciar&#227;o os conhecimentos e as habilidades necess&#225;rias aos m&#233;dicos generalistas e dermatologistas&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">M&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Cen&#225;rio e contexto&#58; a rede municipal de sa&#250;de de Florian&#243;polis</span><p id="par0035" class="elsevierStylePara elsevierViewall">O munic&#237;pio de Florian&#243;polis&#44; capital do Estado de Santa Catarina&#44; tem popula&#231;&#227;o estimada em 492&#46;977&#160;habitantes&#44; com &#237;ndice de desenvolvimento humano municipal &#40;IDHM&#41; de 0&#44;847&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">13</span></a> A APS no munic&#237;pio &#233; composta por 49 centros de sa&#250;de &#8211; distribu&#237;dos em quatro distritos&#58; centro&#44; norte&#44; continente e sul &#8211; organizados sob o modelo da estrat&#233;gia de sa&#250;de da fam&#237;lia &#40;ESF&#41;&#44; com cobertura que varia de 88&#37; a 100&#37; no per&#237;odo avaliado por este estudo&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">14</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">O servi&#231;o de dermatologia est&#225; distribu&#237;do em tr&#234;s das quatro policl&#237;nicas municipais e &#233; respons&#225;vel pelos atendimentos ambulatoriais e pelos laudos do servi&#231;o de teledermatologia&#46; O telediagn&#243;stico em dermatologia foi implantado no munic&#237;pio em 2015&#44; possibilitou a organiza&#231;&#227;o do fluxo de encaminhamentos advindos das unidades de sa&#250;de&#44; baseou&#8208;se em crit&#233;rios de estratifica&#231;&#227;o de risco e classifica&#231;&#245;es em cores&#58; branca&#44; azul&#44; verde&#44; amarela e vermelha&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">15</span></a> As categorias dessa classifica&#231;&#227;o evoluem progressivamente conforme a gravidade&#44; iniciam pelas categorias branca e azul&#44; com manejo na APS e sem necessidade de encaminhamento&#59; verde e amarela&#44; com necessidade de encaminhamento em fila ou com urg&#234;ncia&#44; respectivamente&#59; at&#233; a vermelha&#44; encaminhamento imediato a servi&#231;o secund&#225;rio<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">16</span></a>&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Aspectos &#233;ticos</span><p id="par0045" class="elsevierStylePara elsevierViewall">O estudo foi conduzido com base nos preceitos da Declara&#231;&#227;o de Helsinque e do C&#243;digo de Nuremberg&#44; em conson&#226;ncia com as normas de pesquisas que envolvem seres humanos da Comiss&#227;o Nacional de &#201;tica em Pesquisa &#40;Res&#46; Conep&#160;466&#47;2012&#41;&#46; O levantamento de dados teve in&#237;cio ap&#243;s a aprova&#231;&#227;o do Comit&#234; de &#201;tica em Pesquisa com Seres Humanos da Secretaria de Estado de Sa&#250;de de Santa Catarina &#40;CAAE&#58;&#160;91700318&#46;3&#46;0000&#46;0115&#41;&#44; aprova&#231;&#227;o da Comiss&#227;o de Acompanhamento de Projetos de Pesquisa em Sa&#250;de da Secretaria Municipal de Sa&#250;de de Florian&#243;polis e da Ger&#234;ncia do N&#250;cleo Estadual de Telemedicina de Santa Catarina&#44; institui&#231;&#245;es de origem dos dados da pesquisa&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Delineamento&#44; levantamento e an&#225;lise de dados</span><p id="par0050" class="elsevierStylePara elsevierViewall">O estudo caracteriza&#8208;se como observacional anal&#237;tico e transversal&#44; usa dados secund&#225;rios acerca dos registros de atendimentos m&#233;dicos na APS&#44; teledermatologia e dermatologia&#46; Os dados foram extra&#237;dos a partir dos sistemas&#58; Infosa&#250;de&#44; da Secretaria Municipal de Sa&#250;de de Florian&#243;polis&#44; composto por registros de atendimentos na APS e dermatologia&#59; Sistema Catarinense de Telemedicina e Telessa&#250;de&#44; do N&#250;cleo Estadual de Telemedicina &#8211; Secretaria de Estado de Sa&#250;de de Santa Catarina&#44; que armazena registros dos laudos de teledermatologia&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">O levantamento de dados foi feito de agosto a outubro de&#160;2018&#44; por meio dos registros de diagn&#243;sticos de doen&#231;as dermatol&#243;gicas atendidas pelos m&#233;dicos na APS e no servi&#231;o de dermatologia&#44; com base na classifica&#231;&#227;o internacional de doen&#231;as &#40;CID&#41;&#46; Com o intuito de possibilitar a compreens&#227;o adequada da intera&#231;&#227;o entre os n&#237;veis de aten&#231;&#227;o&#44; foram levantados dados acerca das classifica&#231;&#245;es de risco atribu&#237;dos nos laudos do servi&#231;o de teledermatologia &#8211; plataforma de regula&#231;&#227;o do acesso &#224; dermatologia&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">A partir do total de diagn&#243;sticos identificados por meio da CID vers&#227;o&#160;10&#44; foram estabelecidos como crit&#233;rios de inclus&#227;o as categorias de CIDs que englobavam enfermidades com acometimento essencialmente ou predominantemente dermatol&#243;gico&#44; organizadas em 12 classes conforme a <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#44; adotaram&#8208;se como refer&#234;ncia estudos epidemiol&#243;gicos pr&#233;vios desenvolvidos pela Sociedade Brasileira de Dermatologia &#40;SBD&#41; em 2006<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">17</span></a> e 2018<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">2</span></a>&#44; bem como o manual Dermatologia na Aten&#231;&#227;o B&#225;sica de Sa&#250;de&#44; elaborado pelo Minist&#233;rio da Sa&#250;de<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">18</span></a> em 2002&#46; Foram exclu&#237;das categorias de CIDs de doen&#231;as sexualmente transmiss&#237;veis com comprometimento de pele exclusivamente em regi&#227;o urogenital e anal&#44; tendo em vista que essas n&#227;o constituem o campo predominante de atua&#231;&#227;o da dermatologia&#46; Por meio de tais crit&#233;rios&#44; foram selecionadas 121 categorias de doen&#231;as &#40;5&#44;91&#37;&#41; das 2&#46;045 categorias que comp&#245;em a CID vers&#227;o&#160;10&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">An&#225;lise de dados</span><p id="par0065" class="elsevierStylePara elsevierViewall">Os dados foram analisados com m&#233;todo descritivo&#44; com as vari&#225;veis categ&#243;ricas e quantitativas representadas por meio de gr&#225;ficos e tabelas desenvolvidos nos programas Microsoft Excel&#174; 2010 e Microsoft Word&#174; 2010&#46; As an&#225;lises das vari&#225;veis categ&#243;ricas &#8220;grupos de categorias de CIDs&#8221; entre &#8220;local de atendimento&#8221;&#44; APS e dermatologia foram feitas com o <span class="elsevierStyleItalic">software</span> IBM SPSS Statistics&#160;20&#44; adotou&#8208;se o teste qui&#8208;quadrado para an&#225;lise comparativa entre os grupos de CIDs &#40;APS&#47;dermatologia&#41;&#46;</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Resultados</span><p id="par0070" class="elsevierStylePara elsevierViewall">No bi&#234;nio 2016&#8208;2017 foram levantados 1&#46;029&#46;961 de registros de atendimentos na APS&#44; 527&#46;825 em 2016 e 502&#46;136 em 2017&#46; Desse total&#44; identificou&#8208;se que 55&#46;265 registros apresentavam as categorias de CIDs analisadas 28&#46;546 em 2016 e 26&#46;719 em 2017&#44; representaram aproximadamente 5&#44;36&#37; do total de atendimentos na APS&#46; Nesse per&#237;odo&#44; o servi&#231;o de dermatologia registrou 23&#46;478 atendimentos 12&#46;130 em 2016 e 11&#46;348 em 2017&#46; Desses&#44; 19&#46;694 registros apresentavam as categorias de CIDs selecionadas &#8211; 10&#46;068 em 2016 e 9&#46;626 em 2017&#46; A respeito dos encaminhamentos ao servi&#231;o de teledermatologia&#44; ferramenta de organiza&#231;&#227;o do fluxo entre a APS e o servi&#231;o de dermatologia&#44; identificaram 3&#46;372 atendimentos em 2016 e 2&#46;921 atendimentos em 2017&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Em rela&#231;&#227;o ao perfil dos diagn&#243;sticos dermatol&#243;gicos&#44; verifica&#8208;se na APS maior preval&#234;ncia de CIDs como dermatite at&#243;pica &#40;L20&#41;&#44; outras afec&#231;&#245;es da pele e do tecido subcut&#226;neo &#40;L98&#41; e escabiose &#40;B86&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">Acerca do servi&#231;o de teledermatologia&#44; um importante elemento no ordenamento dos encaminhamentos para a especialidade de dermatologia&#44; evidencia&#8208;se o predom&#237;nio de classifica&#231;&#245;es de prioridade com necessidade de referenciamento secund&#225;rio&#44; verde e amarela&#44; que representaram 59&#44;3&#37; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">No bi&#234;nio analisado&#44; o servi&#231;o de dermatologia apresentou como diagn&#243;sticos mais prevalentes&#58; outras neoplasias malignas da pele &#40;C44&#41;&#44; altera&#231;&#245;es da pele devido &#224; exposi&#231;&#227;o cr&#244;nica &#224; radia&#231;&#227;o n&#227;o ionizante &#40;L57&#41; e psor&#237;ase &#40;L40&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0090" class="elsevierStylePara elsevierViewall">Em rela&#231;&#227;o &#224;s idades dos pacientes atendidos&#44; identificou&#8208;se preval&#234;ncia das seguintes categorias de CIDs&#58; dermatite at&#243;pica &#40;L20&#41; na faixa at&#233; 12 anos&#44; com 16&#44;7&#37; dos atendimentos &#40;<a class="elsevierStyleCrossRef" href="#tbl0020">tabela 4</a>&#41;&#59; acne &#40;L70&#41; na faixa entre 13 e 24 anos&#44; com 31&#44;9&#37; &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">tabela 5</a>&#41;&#59; e outras neoplasias malignas de pele &#40;C44&#41;&#44; na faixa entre 25 e 59 anos&#44; com 11&#44;1&#37;&#44; e na faixa acima de 60 anos &#40;<a class="elsevierStyleCrossRefs" href="#tbl0030">tabelas 6 e 7</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><elsevierMultimedia ident="tbl0030"></elsevierMultimedia><elsevierMultimedia ident="tbl0035"></elsevierMultimedia><p id="par0095" class="elsevierStylePara elsevierViewall">No que tange aos grupos de categorias do CID&#8208;10&#44; notam&#8208;se diverg&#234;ncias n&#237;tidas entre os perfis identificados na APS e na especialidade de dermatologia&#46; Na APS&#44; observa&#8208;se maior preval&#234;ncia dos grupos&#58; outras infec&#231;&#245;es de pele &#40;25&#44;65&#37;&#41;&#59; dermatite e eczema &#40;21&#44;57&#37;&#41; e infec&#231;&#245;es da pele e do tecido subcut&#226;neo &#40;14&#44;23&#37;&#41;&#46; Na dermatologia&#44; destacam&#8208;se os grupos&#58; outras afec&#231;&#245;es da pele e do tecido subcut&#226;neo &#40;34&#44;37&#37;&#41;&#59; doen&#231;as neopl&#225;sicas da pele &#40;22&#44;28&#37;&#41; e transtornos da pele e do tecido subcut&#226;neo relacionados com a radia&#231;&#227;o &#40;10&#44;39&#37;&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0040">tabela 8</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0040"></elsevierMultimedia></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Discuss&#227;o</span><p id="par0100" class="elsevierStylePara elsevierViewall">As doen&#231;as dermatol&#243;gicas representam mais de duas mil condi&#231;&#245;es patol&#243;gicas em medicina&#44; impactam a qualidade de vida e as rela&#231;&#245;es sociais em todo o mundo&#46; A despeito de tal relev&#226;ncia&#44; nota&#8208;se uma tend&#234;ncia &#224; n&#227;o valoriza&#231;&#227;o dessas afec&#231;&#245;es no cen&#225;rio nacional e global da sa&#250;de&#46;<a class="elsevierStyleCrossRefs" href="#bib0125"><span class="elsevierStyleSup">1&#44;2&#44;12&#44;17</span></a> No Brasil&#44; essa neglig&#234;ncia pode ser notada tanto nas pol&#237;ticas e no planejamento de sa&#250;de quanto na literatura cient&#237;fica&#44; que carece de mais dados a respeito do espectro epidemiol&#243;gico dessas morbidades nos diferentes n&#237;veis de aten&#231;&#227;o &#224; sa&#250;de&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Nesse sentido&#44; este estudo avaliou o perfil nosol&#243;gico das enfermidades da pele na APS e na dermatologia&#44; de modo a identificar as preval&#234;ncias dessas afec&#231;&#245;es nesses cen&#225;rios&#44; compreende&#44; assim&#44; a influ&#234;ncia dessas nos atributos necess&#225;rios para a pr&#225;tica m&#233;dica&#46; A partir dos dados levantados&#44; nota&#8208;se perfil distinto entre os cen&#225;rios analisados&#44; com predom&#237;nio de diagn&#243;sticos relacionados a infec&#231;&#245;es&#44; dermatites e eczemas na APS &#8211; quadros em geral agudos e de menor complexidade &#8211; e diagn&#243;sticos como transtornos relacionados &#224; radia&#231;&#227;o&#44; doen&#231;as neopl&#225;sicas&#44; psor&#237;ase&#44; vitiligo e ros&#225;cea na dermatologia &#8211; afec&#231;&#245;es mais complexas e de maior especificidade&#44; que requerem maiores conhecimentos intr&#237;nsecos da &#225;rea&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">A APS representa a porta de entrada e o elemento organizador nos sistemas de sa&#250;de&#44;<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">18</span></a> acolhe grande parte das afec&#231;&#245;es dermatol&#243;gicas entre seus atendimentos&#46; Nesse sentido&#44; de 2016 a 2017&#44; o estudo demonstra que a cada 20 consultas m&#233;dicas na APS de Florian&#243;polis uma teve como registro diagn&#243;stico principal alguma doen&#231;a dermatol&#243;gica&#44; representou cerca de 5&#37; dos atendimentos&#46; Esse resultado assemelha&#8208;se a estudos pr&#233;vios feitos em outros pa&#237;ses com &#205;ndia &#40;<span class="elsevierStyleItalic">Poseidon Study</span>&#41;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">19</span></a>&#44; Estados Unidos &#40;<span class="elsevierStyleItalic">National Ambulatory Medical Care Survey&#58; 2016</span>&#41;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">20</span></a> e Israel&#44;<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">21</span></a> por&#233;m divergem de Lowell et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">22</span></a> que apontam um ter&#231;o de diagn&#243;sticos dermatol&#243;gicos nas consultas da APS&#46; A neglig&#234;ncia de alguns pacientes em rela&#231;&#227;o &#224;s afec&#231;&#245;es da pele&#44; ao postergarem a procura por atendimento m&#233;dico&#44; pode ser uma explica&#231;&#227;o para a diverg&#234;ncia identificada&#44; que segundo Penha et al&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">3</span></a> pode estar atrelada &#224; falta de conhecimento acerca das doen&#231;as cut&#226;neas&#44; medo e&#47;ou vergonha dos estigmas sociais atribu&#237;dos a essas condi&#231;&#245;es&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Quanto ao perfil nosol&#243;gico na APS&#44; evidenciam&#8208;se os grupos de CIDs &#8220;dermatite e eczema&#8221; e &#8220;infec&#231;&#245;es de pele e tecido celular subcut&#226;neo&#8221; como os mais prevalentes&#44; com destaque para os CIDs &#8220;escabiose&#8221; &#40;B86&#41; e &#8220;impetigo&#8221; &#40;L01&#41;&#44; concorda com os estudos de Lim et al&#46; &#40;2017&#41; e Lowell et al&#46; &#40;2001&#41;&#44; que apontam as infec&#231;&#245;es cut&#226;neas como um dos principais grupos de enfermidades cut&#226;neas atendidas na APS&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Com o objetivo de identificar o perfil epidemiol&#243;gico dos servi&#231;os de dermatologia no Brasil&#44; a SBD fez dois grandes levantamentos entre seus dermatologistas associados&#44; em 2006<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">17</span></a> e 2018&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">2</span></a>&#46; Esses inqu&#233;ritos levantaram dados cl&#237;nicos e demogr&#225;ficos de pacientes atendidos ambulatorialmente por dermatologistas em todo o pa&#237;s&#44; apresentam pontos de similaridade e de diverg&#234;ncia em rela&#231;&#227;o aos achados de Florian&#243;polis&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">As semelhan&#231;as relacionam&#8208;se &#224; elevada preval&#234;ncia de diagn&#243;sticos como transtorno de pigmenta&#231;&#227;o &#40;L81&#41;&#44; ceratose act&#237;nica &#40;L57&#41;&#44; c&#226;ncer n&#227;o melanoma &#40;C44&#44; C80&#41;&#44; micoses superficiais &#40;B35&#8208;B36&#41; e fotoenvelhecimento &#40;L57&#41;&#44; nos estudos da SBD&#44; concordam com os diagn&#243;sticos outras neoplasias malignas da pele &#40;C44&#41; e altera&#231;&#245;es da pele devido &#224; exposi&#231;&#227;o cr&#244;nica &#224; radia&#231;&#227;o n&#227;o ionizante &#40;L57&#41;&#44; identificados como mais prevalentes no servi&#231;o florianopolitano&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Ao se comparar as preval&#234;ncias do servi&#231;o de dermatologia de Florian&#243;polis com outros servi&#231;os da regi&#227;o Sul do Brasil&#44; observam&#8208;se resultados semelhantes&#44; com destaque para CIDs como c&#226;ncer n&#227;o melanoma &#40;C44&#44; C80&#41;&#44; transtorno de pigmenta&#231;&#227;o &#40;L81&#41; e ceratose act&#237;nica &#40;L57&#41;&#44; entre os principais diagn&#243;sticos&#46; Essa similaridade refor&#231;a a influ&#234;ncia dos contextos sociodemogr&#225;fico e clim&#225;tico regionais no perfil epidemiol&#243;gico das enfermidades dermatol&#243;gicas no Brasil&#46;<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">8</span></a></p><p id="par0135" class="elsevierStylePara elsevierViewall">Ressaltamos que a preval&#234;ncia dos quadros de acne na especialidade demonstrou&#8208;se menor quando comparado aos estudos da SBD&#44;<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">2&#44;17</span></a> o que poderia indicar tend&#234;ncia ao manejo dessas condi&#231;&#245;es na APS com apoio da teledermatologia&#46; Outra poss&#237;vel explica&#231;&#227;o pode ser o perfil et&#225;rio da popula&#231;&#227;o estudada&#44; com quantitativo de pesquisados entre 13&#8208;24&#160;anos&#44; faixa et&#225;ria com maior preval&#234;ncia de acne&#44; relativamente menor do que faixas et&#225;rias de maior idade&#44; influencia&#44; assim&#44; a representatividade desse diagn&#243;stico no total de dados levantados&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">No que concerne &#224;s faixas et&#225;rias&#44; o grupo de 60 anos ou mais revela maior preval&#234;ncia de outras neoplasias malignas da pele &#40;C44&#41; e altera&#231;&#245;es da pele devido &#224; exposi&#231;&#227;o cr&#244;nica &#224; radia&#231;&#227;o n&#227;o ionizante &#40;L57&#41;&#44; refor&#231;a a influ&#234;ncia dos efeitos da exposi&#231;&#227;o cr&#244;nica &#224; radia&#231;&#227;o solar no desencadeamento das patologias cut&#226;neas&#46; Dessa maneira&#44; ressalta&#8208;se a import&#226;ncia da aten&#231;&#227;o &#224; pele dos pacientes idosos&#44; tendo em vista a maior fragilidade da pele e perda da fun&#231;&#227;o de barreira que predisp&#245;em a infec&#231;&#245;es e o fato de as queixas dermatol&#243;gicas geralmente n&#227;o serem o principal motivo para a busca por atendimento m&#233;dico por esses pacientes&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">23</span></a></p><p id="par0145" class="elsevierStylePara elsevierViewall">Em rela&#231;&#227;o ao servi&#231;o de teledermatologia&#44; ao analisar o perfil das classifica&#231;&#245;es de risco atribu&#237;das pelo servi&#231;o&#44; nota&#8208;se que cerca de 60&#37; das classifica&#231;&#245;es apresentavam crit&#233;rio para referenciamento ao dermatologista&#44; diferiram de Tandjung et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">24</span></a> que apontaram apenas&#160;36&#44;8&#37; dos atendimentos com crit&#233;rio de referenciamento&#46; Dessa maneira&#44; diante das diverg&#234;ncias entre os perfis nosol&#243;gicos da APS e da aten&#231;&#227;o secund&#225;ria em dermatologia&#44; evidencia&#8208;se a import&#226;ncia da integra&#231;&#227;o entre os n&#237;veis de aten&#231;&#227;o de modo a permitir a reorganiza&#231;&#227;o de referenciamentos&#44; assim como o diagn&#243;stico precoce de afec&#231;&#245;es dermatol&#243;gicas de maior complexidade e especificidade&#44; que necessitam de manejo cl&#237;nico especializado&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Cabe ressaltar que os resultados encontrados prov&#234;m exclusivamente de servi&#231;os de sa&#250;de p&#250;blicos&#44; o que pode representar um fator de influ&#234;ncia no perfil nosol&#243;gico revelado atenua&#44; por exemplo&#44; o componente est&#233;tico da especialidade&#46; A SBD<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">2</span></a> aponta diferen&#231;as significativas nas demandas de servi&#231;os de dermatologia p&#250;blicos e privados&#44; com predom&#237;nio de cirurgias e cosmiatria nas consultas privadas&#44; e doen&#231;as como c&#226;ncer de pele n&#227;o melanoma&#44; hansen&#237;ase e psor&#237;ase na sa&#250;de p&#250;blica&#46; Ademais&#44; cabe ressaltar que ao comparamos os achados dessa pesquisa com estudos anteriores&#44; a diversidade &#233;tnica&#44; socioecon&#244;mica e geoclim&#225;tica entre as regi&#245;es do Brasil pode representar um vi&#233;s de confus&#227;o&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">Quanto &#224;s limita&#231;&#245;es da pesquisa&#44; destaca&#8208;se a perda de dados ocasionada tanto pelo sub&#8208;registro por defici&#234;ncias do sistema de prontu&#225;rios eletr&#244;nicos quanto pela tend&#234;ncia &#224; pouca valoriza&#231;&#227;o das queixas dermatol&#243;gicas nos servi&#231;os de sa&#250;de&#46; Outro aspecto a ser ponderado consiste na pouca especificidade de alguns registros de profissionais da APS&#44; que usam CIDs muito abrangentes e gen&#233;ricos para seus diagn&#243;sticos&#44; o que pode estar associado a determinado n&#237;vel de inseguran&#231;a diagn&#243;stica ou pela pr&#243;pria cultura institucional&#47;profissional&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">Destaca&#8208;se ainda que o estudo analisou os registros de atendimentos m&#233;dicos&#44; ou seja&#44; alguns pacientes podem ter sido atendidos diversas vezes pelo mesmo profissional&#44; por demandas distintas ou pela mesma demanda em consultas de retorno&#46; As vari&#225;veis adotadas no inqu&#233;rito foram moderadas&#44; tanto porque o sistema de prontu&#225;rios n&#227;o permite levantamentos de determinados dados quanto pelo foco do estudo&#46; An&#225;lises posteriores podem ampliar o n&#250;mero de vari&#225;veis avaliadas&#44; identificar diagn&#243;sticos dermatol&#243;gicos em diferentes g&#234;neros&#44; fototipos de pele e estratos sociais&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Conclus&#227;o</span><p id="par0165" class="elsevierStylePara elsevierViewall">Por meio deste estudo&#44; observam&#8208;se perfis nosol&#243;gicos distintos nos atendimentos feitos por m&#233;dicos generalistas e dermatologistas&#44; nos cen&#225;rios da APS e da dermatologia&#44; respectivamente&#46; Dessa maneira&#44; ressalta&#8208;se o car&#225;ter complementar e interdependente entre esses profissionais&#44; bem como as diferentes atribui&#231;&#245;es e habilidades requeridas para cada um no cen&#225;rio de aten&#231;&#227;o &#224; sa&#250;de em que se inserem&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Por essa perspectiva&#44; refor&#231;a&#8208;se o papel do m&#233;dico generalista&#44; como coordenador do cuidado na APS e <span class="elsevierStyleItalic">gatekeeper</span> &#8211; respons&#225;vel pelo manejo de afec&#231;&#245;es mais prevalentes e com menor complexidade&#44; encaminha &#224; especialidade casos mais complexos e raros&#44; por meio da plataforma de teledermatologia &#8211; importante elemento organizador do fluxo de encaminhamentos para a aten&#231;&#227;o secund&#225;ria em dermatologia&#46; Por conseguinte&#44; os dermatologistas com maior experi&#234;ncia t&#233;cnico&#8208;cient&#237;fica na &#225;rea figuram como os especialistas focais respons&#225;veis pela assist&#234;ncia cl&#237;nica espec&#237;fica da rede de sa&#250;de&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Suporte financeiro</span><p id="par0175" class="elsevierStylePara elsevierViewall">Nenhum&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Contribui&#231;&#227;o dos autores</span><p id="par0180" class="elsevierStylePara elsevierViewall">Iago Gon&#231;alves Ferreira&#58; An&#225;lise estat&#237;stica&#59; aprova&#231;&#227;o da vers&#227;o final do manuscrito&#59; concep&#231;&#227;o e planejamento do estudo&#59; elabora&#231;&#227;o e reda&#231;&#227;o do manuscrito&#59; obten&#231;&#227;o&#44; an&#225;lise e interpreta&#231;&#227;o dos dados&#59; revis&#227;o cr&#237;tica da literatura&#59; revis&#227;o cr&#237;tica do manuscrito&#46;</p><p id="par0185" class="elsevierStylePara elsevierViewall">Dannielle Fernandes Godoi&#58; Aprova&#231;&#227;o da vers&#227;o final do manuscrito&#59; concep&#231;&#227;o e planejamento do estudo&#59; participa&#231;&#227;o efetiva na orienta&#231;&#227;o da pesquisa&#59; revis&#227;o cr&#237;tica do manuscrito&#46;</p><p id="par0190" class="elsevierStylePara elsevierViewall">Elaine Regina Perugini&#58; Aprova&#231;&#227;o da vers&#227;o final do manuscrito&#59; concep&#231;&#227;o e planejamento do estudo&#59; obten&#231;&#227;o&#44; an&#225;lise e interpreta&#231;&#227;o dos dados&#59; participa&#231;&#227;o efetiva na orienta&#231;&#227;o da pesquisa&#59; revis&#227;o cr&#237;tica da literatura&#59; revis&#227;o cr&#237;tica do manuscrito&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Conflitos de interesse</span><p id="par0195" class="elsevierStylePara elsevierViewall">Nenhum&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Fundamentos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A dermatologia engloba o manejo de elevado n&#250;mero de afec&#231;&#245;es da pele e anexos cut&#226;neos&#44; portanto&#44; torna&#8208;se relevante a an&#225;lise dos perfis epidemiol&#243;gicos para o planejamento em sa&#250;de&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Descrever o perfil nosol&#243;gico da assist&#234;ncia dermatol&#243;gica em Florian&#243;polis&#44; analisar a inter&#8208;rela&#231;&#227;o entre a aten&#231;&#227;o prim&#225;ria &#224; sa&#250;de e a aten&#231;&#227;o secund&#225;ria em dermatologia&#44; de janeiro de 2016 a dezembro de 2017&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">M&#233;todo</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Estudo descritivo a partir de registros dos atendimentos m&#233;dicos feitos na aten&#231;&#227;o prim&#225;ria &#224; sa&#250;de e servi&#231;o de dermatologia&#44; bem como registros dos laudos emitidos pelo servi&#231;o de teledermatologia&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Na aten&#231;&#227;o prim&#225;ria &#224; sa&#250;de&#44; de 55&#46;265 atendimentos m&#233;dicos &#40;28&#46;546 em 2016 e 26&#46;719 em 2017&#41;&#44; nota&#8208;se maior preval&#234;ncia das enfermedades &#8220;dermatite at&#243;pica&#8221; &#40;6&#44;38&#37;&#41;&#44; &#8220;outras afec&#231;&#245;es da pele e do tecido subcut&#226;neo&#8221; &#40;5&#44;10&#37;&#41; e &#8220;escabiose&#8221; &#40;4&#44;55&#37;&#41;&#46; Na aten&#231;&#227;o secund&#225;ria em dermatologia&#44; de 19&#46;964 atendimentos &#40;10&#46;068 em 2016 e 9&#46;626 em 2017&#41;&#44; os diagn&#243;sticos mais prevalentes foram &#8220;outras neoplasias malignas da pele&#8221; &#40;14&#44;75&#37;&#41; e &#8220;altera&#231;&#245;es da pele devido &#224; exposi&#231;&#227;o cr&#244;nica &#224; radia&#231;&#227;o n&#227;o ionizante&#8221;&#40;10&#44;20&#37;&#41;&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Limita&#231;&#245;es do estudo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Alguns atendimentos dermatol&#243;gicos na aten&#231;&#227;o prim&#225;ria &#224; sa&#250;de podem ter sido sub&#8208;registrados&#44; pela atribui&#231;&#227;o de diagn&#243;sticos pouco espec&#237;ficos ou muito abrangentes&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Conclus&#227;o</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Este estudo apresenta perfis nosol&#243;gicos distintos das enfermidades cut&#226;neas na aten&#231;&#227;o prim&#225;ria &#224; sa&#250;de e na aten&#231;&#227;o secund&#225;ria em dermatologia&#44; refor&#231;a a import&#226;ncia do papel da aten&#231;&#227;o prim&#225;ria no manejo de quadros de menor complexidade&#44; encaminha &#224; dermatologia casos mais complexos que demandam maior experi&#234;ncia t&#233;cnico&#8208;especializada&#46;</p></span>"
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          "pt" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Classifica&#231;&#245;es dos laudos do servi&#231;o de teledermatologia em Florian&#243;polis&#44; bi&#234;nio 2016&#8208;2017&#42;&#46;</p> <p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Fonte&#58; Banco de dados Telemedicina &#8211; Secretaria de Estado de Sa&#250;de de Santa Catarina</p> <p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">&#42; A classifica&#231;&#227;o vermelha n&#227;o foi representada no gr&#225;fico por apresentar apenas um atendimento no per&#237;odo estudado&#46;</p>"
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L03&#41;&#160;Celulite&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L04&#41;&#160;Linfadenite&#160;aguda&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L05&#41;&#160;Cisto pilonidal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L08&#41; Outras&#160;infec&#231;&#245;es&#160;localizadas da&#160;pele&#160;e do&#160;tecido subcut&#226;neo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Afec&#231;&#245;es bolhosas &#40;L10&#8208;L14&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L10&#41;&#160;P&#234;nfigo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L11&#41; Outras afec&#231;&#245;es&#160;acantol&#237;ticas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L12&#41;&#160;Penfigoide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L13&#41; Outras afec&#231;&#245;es&#160;bolhosas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L14&#41; Afec&#231;&#245;es&#160;bolhosas&#160;em&#160;doen&#231;as&#160;classificadas em outra parte&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="11" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dermatite e eczema &#40;L20&#8208;L30&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L20&#41;&#160;Dermatite at&#243;pica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L21&#41;&#160;Dermatite seborreica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L22&#41;&#160;Dermatite&#160;das&#160;fraldas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L23&#41;&#160;Dermatites&#160;al&#233;rgicas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L24&#41;&#160;Dermatites de contato&#160;por irritantes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L25&#41;&#160;Dermatite de contato n&#227;o especificada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L26&#41;&#160;Dermatite esfoliativa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L27&#41;&#160;Dermatite devido a subst&#226;ncias de uso interno&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L28&#41;&#160;L&#237;quen simples cr&#244;nico&#160;e&#160;prurido&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L29&#41;&#160;Prurido&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L30&#41; Outras&#160;dermatites&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Afec&#231;&#245;es papulodescamativas &#40;L40&#8208;L45&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L40&#41;&#160;Psor&#237;ase&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L41&#41;&#160;Parapsor&#237;ase&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L42&#41;&#160;Pitir&#237;ase r&#243;sea&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L43&#41;&#160;L&#237;quen plano&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L44&#41; Outras afec&#231;&#245;es&#160;papulodescamativas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L45&#41; Afec&#231;&#245;es papulodescamativas em doen&#231;as classificadas em outra parte&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Urtic&#225;ria e eritema &#40;L50&#8208;L54&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L50&#41;&#160;Urtic&#225;ria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L51&#41; Eritema polimorfo &#40;eritema multiforme&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L52&#41;&#160;Eritema nodoso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L53&#41; Outras afec&#231;&#245;es&#160;eritematosas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L54&#41; Eritema&#160;em&#160;doen&#231;as&#160;classificadas em outra parte&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Transtornos da pele e do tecido subcut&#226;neo relacionados com a radia&#231;&#227;o &#40;L55&#8208;L59&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L55&#41;&#160;Queimadura solar&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L56&#41; Outras altera&#231;&#245;es&#160;agudas&#160;da&#160;pele&#160;devido &#224;&#160;radia&#231;&#227;o ultravioleta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L57&#41; Altera&#231;&#245;es da pele devido &#224; exposi&#231;&#227;o cr&#244;nica &#224; radia&#231;&#227;o n&#227;o ionizante&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L58&#41;&#160;Radiodermatite&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L59&#41; Outras afec&#231;&#245;es da&#160;pele&#160;e do&#160;tecido subcut&#226;neo&#160;relacionadas com a&#160;radia&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="14" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Afec&#231;&#245;es dos anexos da pele &#40;L60&#8208;L75&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L60&#41; Afec&#231;&#245;es das&#160;unhas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L62&#41; Afec&#231;&#245;es das unhas em doen&#231;as classificadas em outra parte&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L63&#41;&#160;Alop&#233;cia areata&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L64&#41;&#160;Alop&#233;cia&#160;androg&#234;nica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L65&#41; Outras formas n&#227;o cicatriciais&#160;da perda de&#160;cabelos&#160;ou&#160;pelos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L66&#41; Alop&#233;cia cicatricial &#40;perda de cabelos ou pelos&#44; cicatricial&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L67&#41;&#160;Anormalidades&#160;da&#160;cor&#160;e do ped&#237;culo dos&#160;cabelos&#160;e dos&#160;pelos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L68&#41;&#160;Hipertricose&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L70&#41;&#160;Acne&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L71&#41;&#160;Ros&#225;cea&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L72&#41;&#160;Cistos foliculares&#160;da&#160;pele&#160;e do&#160;tecido subcut&#226;neo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L73&#41; Outras afec&#231;&#245;es&#160;foliculares&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L74&#41; Afec&#231;&#245;es das&#160;gl&#226;ndulas sudor&#237;paras &#233;crinas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L75&#41; Afec&#231;&#245;es das&#160;gl&#226;ndulas sudor&#237;paras ap&#243;crinas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="19" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras afec&#231;&#245;es da pele e do tecido subcut&#226;neo &#40;L80&#8208;L99&#41;</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L80&#41;&#160;Vitiligo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L81&#41; Outros transtornos da&#160;pigmenta&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L82&#41;&#160;Ceratose seborreica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L83&#41;&#160;Acantose nigricans&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L84&#41;&#160;Calos&#160;e&#160;calosidades&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L85&#41; Outras formas de espessamento&#160;epid&#233;rmico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L86&#41; Ceratodermia&#160;em doen&#231;as classificadas em outra parte&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L87&#41; Transtornos da&#160;elimina&#231;&#227;o transepid&#233;rmica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L88&#41;&#160;Piodermite&#160;gangrenosa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L89&#41;&#160;&#218;lcera&#160;de&#160;dec&#250;bito&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L90&#41; Afec&#231;&#245;es&#160;atr&#243;ficas&#160;da&#160;pele&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L91&#41; Afec&#231;&#245;es&#160;hipertr&#243;ficas&#160;da&#160;pele&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L92&#41; Afec&#231;&#245;es&#160;granulomatosas&#160;da&#160;pele&#160;e do&#160;tecido subcut&#226;neo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L93&#41;&#160;L&#250;pus eritematoso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L94&#41; Outras afec&#231;&#245;es localizadas do&#160;tecido conjuntivo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L95&#41;&#160;Vasculite&#160;limitada &#224;&#160;pele&#160;n&#227;o classificadas em outra parte&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L97&#41;&#160;&#218;lcera&#160;dos&#160;membros inferiores&#160;n&#227;o classificada em outra parte&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L98&#41; Outras afec&#231;&#245;es da&#160;pele&#160;e do&#160;tecido subcut&#226;neo&#160;n&#227;o classificadas em outra parte&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;L99&#41;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a> Outras afec&#231;&#245;es da pele e do tecido subcut&#226;neo em doen&#231;as classificadas em outra parte&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="11" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Doen&#231;as neopl&#225;sicas da pele<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;C43&#41; Melanoma maligno da pele&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;C44&#41; Outras neoplasias malignas da pele&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;C80&#41; Neoplasia maligna s&#47;espec&#46; carcinoma basocelular&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;C46&#41; Sarcoma de Kaposi&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;C84&#41; Micose fungoide&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;D03&#41; Melanoma <span class="elsevierStyleItalic">in situ</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;D04&#41; Carcinoma <span class="elsevierStyleItalic">in situ</span> da pele&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;D17&#41; Neoplasia lipomatosa benigna&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;D18&#41; Hemagioma e linfangioma&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;D22&#41; Nevos melanoc&#237;ticos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;D23&#41; Outras neoplasias benignas da pele&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Hansen&#237;ase<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;A30&#41; Hansen&#237;ase&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;B92&#41; Sequelas de hansen&#237;ase &#40;lepra&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="4" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras afec&#231;&#245;es da pele<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;E 70&#46;3&#41; Albinismo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;I78&#46;0&#41; Telangiectasia hemorr&#225;gica heredit&#225;ria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;I78&#46;1&#41; Nevo n&#227;o neopl&#225;sico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;Q82&#41; Malforma&#231;&#227;o cong&#234;nita da pele&#47;acroc&#243;rdon&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="29" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras infec&#231;&#245;es da pele<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a></td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;A18&#46;4&#41; Tuberculose de pele e do tecido celular subcut&#226;neo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;A22&#41; Carb&#250;nculo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;A26&#41; Erisepeloide cut&#226;neo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;A31&#46;1&#41; Infec&#231;&#227;o cut&#226;nea micobacteriana&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;A33&#46;2&#41; Listeriose cut&#226;nea&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;A44&#46;1&#41; Bartonelose cut&#226;nea&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;A46&#41; Erisipela&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;A51&#46;3&#41; S&#237;filis secund&#225;ria da pele e das mucosas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;A66&#41; Papilomas m&#250;ltiplos e bouba plantar &#250;mida &#40;cravo de bouba&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;A67&#41; Pinta &#91;carate&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;A69&#46;2&#41; Doen&#231;a de Lyme&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;B00&#46;0&#41; Eczema herp&#233;tico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;B00&#46;1&#41; Dermatite vesicular devido ao v&#237;rus do herpes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;B01&#41; Varicela&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;B07&#41; Verrugas de origem viral&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">&#40;B08&#41; Outras infec&#231;&#245;es virais caracterizadas por les&#245;es da pele e das membranas mucosas&#44; n&#227;o classificadas em outra parte&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;B09&#41; Infec&#231;&#227;o viral n&#227;o especificada caracterizada por les&#245;es da pele e membranas mucosas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;B36&#46;0&#41; Pitir&#237;ase versicolor&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">&#40;B36&#46;8&#47;B36&#46;9&#41; Outras micoses superficiais&#47;micose superficial n&#227;o especificada&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">&#40;B40&#46;3&#41; Blastomicose cut&#226;nea&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">&#40;B43&#46;2&#41; Abscesso e cisto feomic&#243;tico subcut&#226;neos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;B49&#41; Micoses n&#227;o especificadas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;B55&#46;1&#41; Leishmaniose cut&#226;nea&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">&#40;B55&#46;2&#41; Leishmaniose cut&#226;nea &#8208; mucosa&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">&#40;B85&#41; Pediculose e fitir&#237;ase&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#40;B86&#41; Escabiose &#40;sarna&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#40;B87&#46;0&#41; Mi&#237;ase cut&#226;nea&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Dermatite at&#243;pica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">3&#46;531&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">6&#44;38&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L98&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Outras afec&#231;&#245;es da pele e do tecido subcut&#226;neo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#46;819&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5&#44;10&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">B86&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Escabiose&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4&#44;55&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Impetigo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">2&#46;371&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4&#44;29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Afec&#231;&#245;es das unhas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;277&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras dermatites&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;078&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;76&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Prurido&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;854&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B49&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Micose n&#227;o especificada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;507&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;72&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L72&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cistos foliculares da pele e do tecido subcut&#226;neo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;495&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Psor&#237;ase&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;382&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dermatite al&#233;rgica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Urtic&#225;ria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;357&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Verrugas de origem viral&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">2&#44;45&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B36&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Pitir&#237;ase versicolor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;072&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;94&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B369&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Micose superficial n&#227;o especificada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">916&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleBold">Total</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">55&#46;265</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">100&#44;00</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Posto&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="2" align="center" valign="\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">C44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras neoplasias malignas da pele&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">2&#46;906&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&#44;75&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Altera&#231;&#245;es da pele devido &#224; exposi&#231;&#227;o cr&#244;nica &#224; radia&#231;&#227;o n&#227;o ionizante&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">2&#46;010&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">10&#44;20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Psor&#237;ase&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;380&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ceratose seborreica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;072&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#44;44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outros transtornos da pigmenta&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;020&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#44;17&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">D22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nevos melanoc&#237;ticos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">944&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4&#44;79&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">Acne&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">882&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4&#44;47&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dermatite de contato n&#227;o especificada&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">454&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">2&#44;30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Verrugas de origem viral&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;76&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Dermatofitose&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#44;74&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">Vitiligo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#44;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Alop&#233;cia areata&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L71&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Ros&#225;cea&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#44;11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L72&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Cistos foliculares da pele e do tecido subcut&#226;neo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">176&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;89&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">D18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Hemangioma e linfangioma de qualquer localiza&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">0&#44;81&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">Total</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">19&#46;694</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">100&#44;00</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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          "leyenda" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">Fonte&#58; Banco de dados Infosa&#250;de &#8211; Secretaria Municipal de Sa&#250;de de Florian&#243;polis&#46;</p>"
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">0 &#8211; 12 anos</th></tr><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Posto&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Dermatite at&#243;pica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">D22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nevos melanoc&#237;ticos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L98&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras afec&#231;&#245;es da pele e tecido subcut&#226;neo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B08&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras infec&#231;&#245;es virais em pele e membranas mucosas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras dermatites&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outros transtornos da pigmenta&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Acne&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">D18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Hemangioma e linfangioma de qualquer localiza&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Verrugas de origem viral&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Q82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras malforma&#231;&#245;es cong&#234;nitas da pele&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dermatite de contato&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Psor&#237;ase&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Vitiligo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras afec&#231;&#245;es acantol&#237;ticas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L72&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cistos foliculares da pele e tecido subcut&#226;neo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Total</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">310</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">100</span>&nbsp;\t\t\t\t\t\t\n
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                  """
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          "pt" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">Principais categorias do CID&#8208;10 atendidas na especialidade de dermatologia na faixa at&#233; 12 anos&#44; em Florian&#243;polis&#44; no bi&#234;nio 2016&#8208;2017</p>"
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          "leyenda" => "<p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">Fonte&#58; Banco de dados Infosa&#250;de &#8211; Secretaria Municipal de Sa&#250;de de Florian&#243;polis&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="5" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">13 &#8211; 24 anos</th></tr><tr title="table-row"><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Posto&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">CID&#8208;10</th><th class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">N&#176;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Acne&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">620&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L98&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras afec&#231;&#245;es da pele e tecido subcut&#226;neo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">280&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">14&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Psor&#237;ase&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">130&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">D22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Nevos melanoc&#237;ticos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">110&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Verrugas de origem viral&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">74&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dermatite at&#243;pica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">56&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dermatite de contato&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outros transtornos da pigmenta&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Vitiligo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L63&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Alop&#233;cia areata&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B36&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras micoses superficiais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L73&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras afec&#231;&#245;es foliculares&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L90&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Afec&#231;&#245;es atr&#243;ficas da pele&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L91&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Afec&#231;&#245;es hipertr&#243;ficas da pele&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras afec&#231;&#245;es acantol&#237;ticas&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">Total</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t"><span class="elsevierStyleBold">100</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "pt" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Principais categorias do CID&#8208;10 atendidas na especialidade de dermatologia na faixa entre 13 a 24 anos&#44; em Florian&#243;polis&#44; no bi&#234;nio 2016&#8208;2017</p>"
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          "leyenda" => "<p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">Fonte&#58; Banco de dados Infosa&#250;de &#8211; Secretaria Municipal de Sa&#250;de de Florian&#243;polis&#46;</p>"
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">25 &#8211; 59 anos</th></tr><tr title="table-row"><th class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Posto&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " colspan="2" align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">CID &#8208; 10</th><th class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">N&#176;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">C44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras neoplasias malignas da pele&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;122&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">11&#44;1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L40&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Psor&#237;ase&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">856&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">8&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L81&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outros transtornos da pigmenta&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">704&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">D22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Nevos melanoc&#237;ticos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">674&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Altera&#231;&#245;es da pele devido &#224; exposi&#231;&#227;o cr&#244;nica &#224; radia&#231;&#227;o n&#227;o ionizante&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">580&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Ceratose seborreica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">354&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">3&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Dermatite de contato&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">274&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Acne&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">270&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Dermatofitose&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">230&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L80&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Vitiligo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">218&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">B07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Verrugas de origem viral&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L63&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Alop&#233;cia areata&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">172&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L71&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Ros&#225;cea&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L93&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L&#250;pus eritematoso sist&#234;mico&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">118&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">L72&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Cistos foliculares da pele e tecido subcut&#226;neo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleBold">Total</span>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleBold">100</span>&nbsp;\t\t\t\t\t\t\n
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                  """
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          "pt" => "<p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">Principais categorias do CID&#8208;10 atendidas na especialidade de dermatologia na faixa entre 25 a 59 anos&#44; em Florian&#243;polis&#44; no bi&#234;nio 2016&#8208;2017</p>"
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          "leyenda" => "<p id="spar0110" class="elsevierStyleSimplePara elsevierViewall">Fonte&#58; Banco de dados Infosa&#250;de &#8211; Secretaria Municipal de Sa&#250;de de Florian&#243;polis&#46;</p>"
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Outras neoplasias malignas da pele&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Altera&#231;&#245;es da pele devido &#224; exposi&#231;&#227;o cr&#244;nica &#224; radia&#231;&#227;o n&#227;o ionizante&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">1&#46;426&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">19&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L98&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras afec&#231;&#245;es da pele e tecido subcut&#226;neo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;270&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L82&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Ceratose seborreica&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">718&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">9&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">L40&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Psor&#237;ase&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">384&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
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          "pt" => "<p id="spar0105" class="elsevierStyleSimplePara elsevierViewall">Principais categorias do CID&#8208;10 atendidas na especialidade de dermatologia na faixa de 60 anos ou mais&#44; em Florian&#243;polis&#44; no bi&#234;nio 2016&#8208;2017</p>"
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Infec&#231;&#245;es da pele e do tecido subcut&#226;neo &#40;L00&#8208;L08&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7&#46;866&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14&#44;23&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">42&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;28&#8208;5&#44;38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Afec&#231;&#245;es bolhosas &#40;L10&#8208;L14&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">161&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;29&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">102&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;52&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;49&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;75&#8208;3&#44;53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Dermatite e eczema &#40;L20&#8208;L30&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#46;922&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">21&#44;57&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;192&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;05&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;00&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;91&#8208;1&#44;08&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Afec&#231;&#245;es papulodescamativas &#40;L40&#8208;L45&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">1&#46;662&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#44;01&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;600&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8&#44;12&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;97&#8208;1&#44;18&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;125&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Urtic&#225;ria e eritema &#40;L50&#8208;L54&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#46;450&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#44;62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">186&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;94&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;07&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#44;89&#8208;7&#44;54&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Transtornos da pele e do tecido subcut&#226;neo relacionados com a radia&#231;&#227;o &#40;L55&#8208;L59&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">781&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;41&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;046&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&#44;39&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;13&#8208;0&#44;16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Afec&#231;&#245;es dos anexos da pele &#40;L60&#8208;L75&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;892&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12&#44;47&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&#46;038&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&#44;35&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;14&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1&#44;06&#8208;1&#44;22&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Outras afec&#231;&#245;es da pele e do tecido subcut&#226;neo &#40;L80&#8208;L99&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;249&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&#44;31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;768&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">34&#44;37&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;85&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;81&#8208;0&#44;89&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Doen&#231;as neopl&#225;sicas da pele&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#46;706&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&#46;388&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22&#44;28&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;71&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">Outras afec&#231;&#245;es da pele&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
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                  \t\t\t\t">Outras infec&#231;&#245;es da pele&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">992&nbsp;\t\t\t\t\t\t\n
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          "pt" => "<p id="spar0115" class="elsevierStyleSimplePara elsevierViewall">Grupos de categorias do CID&#8208;10 de atendimentos dermatol&#243;gicos na APS e em dermatologia em Florian&#243;polis&#44; nos anos de 2016 e 2017</p>"
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                          "autores" => array:5 [
                            0 => "M&#46;M&#46;V&#46; Izecksohn"
                            1 => "T&#46; Junior"
                            2 => "J&#46; Esteves"
                            3 => "B&#46;P&#46; Stelet"
                            4 => "A&#46;G&#46; Jantsch"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/1413-81232017223.332372016"
                      "Revista" => array:6 [
                        "tituloSerie" => "Cien Saude Colet&#46;"
                        "fecha" => "2017"
                        "volumen" => "22"
                        "paginaInicial" => "737"
                        "paginaFinal" => "746"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28300983"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0170"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Distribution of Brazilian dermatologists according to geographic location&#44; population and HDI of municipalities&#58; an ecological study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;V&#46; Schmitt"
                            1 => "H&#46;A&#46; Miot"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/abd1806-4841.20143276"
                      "Revista" => array:6 [
                        "tituloSerie" => "An Bras Dermatol&#46;"
                        "fecha" => "2014"
                        "volumen" => "89"
                        "paginaInicial" => "1013"
                        "paginaFinal" => "1015"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25387516"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0175"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The burden of skin disease in the United States"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "H&#46;W&#46; Lim"
                            1 => "S&#46;A&#46;B&#46; Collins"
                            2 => "J&#46;S&#46; Resneck Jr&#46;"
                            3 => "J&#46;L&#46; Bolognia"
                            4 => "J&#46;A&#46; Hodge"
                            5 => "T&#46;A&#46; Rohrer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2016.12.043"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol&#46;"
                        "fecha" => "2017"
                        "volumen" => "76"
                        "paginaInicial" => "958"
                        "paginaFinal" => "972"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28259441"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0180"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Profile of patients admitted to a triage dermatology clinic at a tertiary hospital in S&#227;o Paulo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F&#46; Bertanha"
                            1 => "E&#46;J&#46;P&#46; Nelumba"
                            2 => "A&#46;K&#46; Freiberg"
                            3 => "L&#46;P&#46; Samorano"
                            4 => "C&#46; Festa Neto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1590/abd1806-4841.20164495"
                      "Revista" => array:6 [
                        "tituloSerie" => "Brazil&#46; An Bras Dermatol&#46;"
                        "fecha" => "2016"
                        "volumen" => "91"
                        "paginaInicial" => "318"
                        "paginaFinal" => "325"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27438199"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0185"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => """
                    Instituto Brasileiro de Geografia e Estatistica &#91;Internet&#93;&#46; Estimativas da popula&#231;&#227;o residente com data de refer&#234;ncia 1&#176; de julho de 2017&#46; Rio de Janeiro &#91;Acessado em 24 jan 2019&#93;&#46; Dispon&#237;vel em&#58; \n
                    <https: www.ibge.gov.br="" idades&#8208;e&#8208;estados="" c="" lorianopolis.html="">\n
                     &#46;\n
                    </https:>
                    """
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0190"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => """
                    Minist&#233;rio da Sa&#250;de &#91;Internet&#93;&#46; Informa&#231;&#245;es sobre as a&#231;&#245;es e programas do Departamento de Aten&#231;&#227;o B&#225;sica &#8208; Florian&#243;polis &#8208; SC&#46; 2019&#46; &#91;Acessado em 24 jan 2019&#93;&#46; Dispon&#237;vel em&#58; \n
                    <http: dab2.saude.gov.br="" istemas="" otatecnica="" rmlistamunic.php="">\n
                     &#46;\n
                    </http:>
                    """
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0195"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => """
                    von Wangenheim A&#44; Nunes DH&#46; &#91;Internet&#93;&#46; Direct Impact on Costs of the Teledermatology&#8208;Centered Patient Triage in the State of Santa Catarina&#46; &#91;Acessado em 24 jan 2019&#93;&#46; Dispon&#237;vel em&#58; \n
                    <http: www.incod.ufsc.br="" p&#8208;content="" ploads="" 018="" 7="" ncod&#8208;tr&#8208;2018&#8208;04&#8208;e&#8208;v01.pdf="">\n
                     &#46;\n
                    </http:>
                    """
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0200"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Teledermatologia&#58; uma interface entre a aten&#231;&#227;o prim&#225;ria e aten&#231;&#227;o especializada em Florian&#243;polis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "I&#46;G&#46; Ferreira"
                            1 => "D&#46;F&#46; Godoi"
                            2 => "E&#46;R&#46; Perugini"
                            3 => "A&#46;B&#46; Lancini"
                            4 => "R&#46; Zonta"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Rev Bras Med Fam Comunidade&#46;"
                        "fecha" => "2019"
                        "volumen" => "14"
                        "paginaInicial" => "2003"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0205"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Sociedade Brasileira de Dermatologia&#44; Miot HA&#44; Penna GO&#44; Ramos AMC&#44; Penna MLF&#44; Schmidt SM&#44; et al&#46; Profile of dermatological consultations in Brazil &#40;2018&#41;&#46; An Bras Dermatol&#46; 2006&#59;81&#58;549&#8208;58&#46;"
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0210"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Minist&#233;rio da Sa&#250;de&#46; Dermatologia na Aten&#231;&#227;o B&#225;sica&#46; 2&#170; ed&#46; Bras&#237;lia&#59; 2002&#46;"
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0215"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Symptoms and medical conditions in 204 912 patients visiting primary health&#8208;care practitioners in India&#58; a 1&#8208;day point prevalence study &#40;the POSEIDON study&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Salvi"
                            1 => "K&#46; Apte"
                            2 => "S&#46; Madas"
                            3 => "M&#46; Barne"
                            4 => "S&#46; Chhowala"
                            5 => "T&#46; Sethi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Lancet Glob Health&#46;"
                        "fecha" => "2015"
                        "volumen" => "3"
                        "paginaInicial" => "e776"
                        "paginaFinal" => "e784"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0220"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => """
                    Centers for Disease Control and Prevention &#91;Internet&#93;&#46; National Ambulatory Medical Care Survey&#58; 2016 National Summary Tables&#46; &#91;Acessado em 24 jan 2019&#93; Dispon&#237;vel em&#58; \n
                    <https: www.cdc.gov="" chs="" ata="" hamcs="" eb_tables="" 016_ed_web_tables.pdf="">\n
                     &#46;\n
                    </https:>
                    """
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0225"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Patient&#39;s utilization of primary care&#58; A profile of clinical and administrative reasons for visits in Israel"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "T&#46; Adar"
                            1 => "I&#46; Levkovich"
                            2 => "O&#46;C&#46; Castel"
                            3 => "K&#46; Karkabi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/2150131917734473"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Prim Care Community Health&#46;"
                        "fecha" => "2017"
                        "volumen" => "8"
                        "paginaInicial" => "221"
                        "paginaFinal" => "227"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29034793"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0230"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dermatology in primary care&#58; prevalence and patient disposition"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "B&#46;A&#46; Lowell"
                            1 => "C&#46;W&#46; Froelich"
                            2 => "D&#46;G&#46; Federman"
                            3 => "R&#46;S&#46; Kirsner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1067/mjd.2001.114598"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol&#46;"
                        "fecha" => "2001"
                        "volumen" => "45"
                        "paginaInicial" => "250"
                        "paginaFinal" => "255"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11464187"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0235"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The epidemiology of skin conditions in the aged&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Hahnel"
                            1 => "A&#46; Lichterfeld"
                            2 => "U&#46; Blume-Peytavi"
                            3 => "J&#46; Kottner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jtv.2016.04.001"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Tissue Viability&#46;"
                        "fecha" => "2017"
                        "volumen" => "26"
                        "paginaInicial" => "20"
                        "paginaFinal" => "28"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27161662"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0240"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Feasibility and diagnostic accuracy of teledermatology in Swiss primary care&#58; process analysis of a randomized controlled trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "R&#46; Tandjung"
                            1 => "N&#46; Badertscher"
                            2 => "N&#46; Kleiner"
                            3 => "M&#46; Wensing"
                            4 => "T&#46; Rosemann"
                            5 => "R&#46;P&#46; Braun"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/jep.12323"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Eval Clin Pract&#46;"
                        "fecha" => "2015"
                        "volumen" => "21"
                        "paginaInicial" => "326"
                        "paginaFinal" => "331"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25645267"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
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Journal Information
Vol. 95. Issue 4.
Pages 428-438 (1 July 2020)
Visits
10202
Vol. 95. Issue 4.
Pages 428-438 (1 July 2020)
Investigação
Open Access
Perfil nosológico das doenças dermatológicas na atenção primária à saúde e atenção secundária de dermatologia em Florianópolis (2016‐2017)
Visits
10202
Iago Gonçalves Ferreiraa,
Corresponding author
iago_goncalves14@hotmail.com

Autor para correspondência.
, Dannielle Fernandes Godoib, Elaine Regina Peruginic,d
a Departamento de Dermatologia, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil
b Departamento de Clínica Médica, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil
c Departamento de Dermatologia, Faculdade de Medicina de Marília, Marília, SP, Brasil
d Serviço de Dermatologia, Secretaria Municipal de Saúde de Florianópolis, Florianópolis, SC, Brasil
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Abstract
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Figures (1)
Tables (8)
Tabela 1. Categorias do Código Internacional de Doenças selecionadas para o levantamento dos atendimentos dermatológicos na APS e no serviço de dermatologia de Florianópolis, em 2016 e 2017a
Tabela 2. Principais categorias do CID‐10 atendidas na Atenção Primária à Saúde (APS) em Florianópolis, no biênio 2016‐2017
Tabela 3. Principais categorias do CID‐10 atendidas na especialidade de dermatologia em Florianópolis, no biênio 2016‐2017
Tabela 4. Principais categorias do CID‐10 atendidas na especialidade de dermatologia na faixa até 12 anos, em Florianópolis, no biênio 2016‐2017
Tabela 5. Principais categorias do CID‐10 atendidas na especialidade de dermatologia na faixa entre 13 a 24 anos, em Florianópolis, no biênio 2016‐2017
Tabela 6. Principais categorias do CID‐10 atendidas na especialidade de dermatologia na faixa entre 25 a 59 anos, em Florianópolis, no biênio 2016‐2017
Tabela 7. Principais categorias do CID‐10 atendidas na especialidade de dermatologia na faixa de 60 anos ou mais, em Florianópolis, no biênio 2016‐2017
Tabela 8. Grupos de categorias do CID‐10 de atendimentos dermatológicos na APS e em dermatologia em Florianópolis, nos anos de 2016 e 2017
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Resumo
Fundamentos

A dermatologia engloba o manejo de elevado número de afecções da pele e anexos cutâneos, portanto, torna‐se relevante a análise dos perfis epidemiológicos para o planejamento em saúde.

Objetivo

Descrever o perfil nosológico da assistência dermatológica em Florianópolis, analisar a inter‐relação entre a atenção primária à saúde e a atenção secundária em dermatologia, de janeiro de 2016 a dezembro de 2017.

Método

Estudo descritivo a partir de registros dos atendimentos médicos feitos na atenção primária à saúde e serviço de dermatologia, bem como registros dos laudos emitidos pelo serviço de teledermatologia.

Resultados

Na atenção primária à saúde, de 55.265 atendimentos médicos (28.546 em 2016 e 26.719 em 2017), nota‐se maior prevalência das enfermedades “dermatite atópica” (6,38%), “outras afecções da pele e do tecido subcutâneo” (5,10%) e “escabiose” (4,55%). Na atenção secundária em dermatologia, de 19.964 atendimentos (10.068 em 2016 e 9.626 em 2017), os diagnósticos mais prevalentes foram “outras neoplasias malignas da pele” (14,75%) e “alterações da pele devido à exposição crônica à radiação não ionizante”(10,20%).

Limitações do estudo

Alguns atendimentos dermatológicos na atenção primária à saúde podem ter sido sub‐registrados, pela atribuição de diagnósticos pouco específicos ou muito abrangentes.

Conclusão

Este estudo apresenta perfis nosológicos distintos das enfermidades cutâneas na atenção primária à saúde e na atenção secundária em dermatologia, reforça a importância do papel da atenção primária no manejo de quadros de menor complexidade, encaminha à dermatologia casos mais complexos que demandam maior experiência técnico‐especializada.

Palavras‐chave:
Atenção primária à saúde
Dermatologia
Diagnóstico, epidemiologia
Epidemiologia descritiva
Medicina de família e comunidade
Teledermatologia
Full Text
Introdução

A pele é responsável pela interface entre organismo e meio ambiente, constitui um importante elemento nas inter‐relações humanas. As doenças dermatológicas estão entre as principais causas da carga global de doenças, produzem grandes repercussões na qualidade de vida de milhões de pessoas em todo o mundo.1–3

Apesar de seu impacto epidemiológico e social, as doenças dermatológicas ainda são muito negligenciadas pelos gestores de políticas de saúde. Essa desatenção ocorre tanto pela subestimação de sua morbimortalidade quanto por questões inerentes à própria formação médica, que em muitos casos carece de ensino e prática adequados em dermatologia.1,4,5

A dermatologia figura como a especialidade médica incumbida de assistir às afecções de pele, mucosas e anexos cutâneos. A avaliação dermatológica pode identificar alterações de coloração e textura da pele, bem como lesões com variadas distribuições e morfologias.2,6–8 Médicos dermatologistas apresentam maior acurácia diagnóstica na avaliação de doenças potencialmente malignas e mais raras, demonstram tendência a diagnósticos diferenciais mais amplos do que médicos não dermatologistas.4

Diante dessa conjuntura, torna‐se imperativo que médicos generalistas demonstrem habilidades adequadas para o diagnóstico e manejo das doenças cutâneas mais prevalentes na atenção primária à saúde (APS), porta de acesso aos demais níveis de atenção à saúde.5,9 A despeito dessa necessidade, identifica‐se tendência entre os generalistas a minimizar ou confundir algumas enfermidades da pele, superdiagnosticar afecções mais comuns como eczemas, verrugas e doenças infecciosas em detrimento de diagnósticos mais complexos, inclusive neoplasias. Desse modo, podem contribuir para o atraso no início de tratamentos e consequentemente piores prognósticos.5

O Brasil apresenta realidades sociodemográficas diversas em razão de suas dimensões continentais, o que impacta diretamente o perfil epidemiológico das enfermidades dermatológicas. O contexto diversificado e as dificuldades enfrentadas no manejo dessas condições na APS representam um grande desafio para a assistência dermatológica no âmbito do sistema de saúde. Assim, torna‐se necessário o desenvolvimento de estudos que avaliem o espectro dos arranjos epidemiológicos brasileiros, contribuam para o planejamento de ações e a alocação de recursos em saúde.2,5,10–12

Nesse sentido, diante da carência de estudos acerca do perfil epidemiológico das doenças da pele, inclusive no âmbito da APS, o presente trabalho teve como objetivo descrever o perfil nosológico da assistência dermatológica no município de Florianópolis, nas esferas da APS e da dermatologia, de janeiro de 2016 a dezembro de 2017, de modo a compreender os escopos nosológicos nesses níveis de atenção, que influenciarão os conhecimentos e as habilidades necessárias aos médicos generalistas e dermatologistas.

MétodosCenário e contexto: a rede municipal de saúde de Florianópolis

O município de Florianópolis, capital do Estado de Santa Catarina, tem população estimada em 492.977 habitantes, com índice de desenvolvimento humano municipal (IDHM) de 0,847.13 A APS no município é composta por 49 centros de saúde – distribuídos em quatro distritos: centro, norte, continente e sul – organizados sob o modelo da estratégia de saúde da família (ESF), com cobertura que varia de 88% a 100% no período avaliado por este estudo.14

O serviço de dermatologia está distribuído em três das quatro policlínicas municipais e é responsável pelos atendimentos ambulatoriais e pelos laudos do serviço de teledermatologia. O telediagnóstico em dermatologia foi implantado no município em 2015, possibilitou a organização do fluxo de encaminhamentos advindos das unidades de saúde, baseou‐se em critérios de estratificação de risco e classificações em cores: branca, azul, verde, amarela e vermelha.15 As categorias dessa classificação evoluem progressivamente conforme a gravidade, iniciam pelas categorias branca e azul, com manejo na APS e sem necessidade de encaminhamento; verde e amarela, com necessidade de encaminhamento em fila ou com urgência, respectivamente; até a vermelha, encaminhamento imediato a serviço secundário16.

Aspectos éticos

O estudo foi conduzido com base nos preceitos da Declaração de Helsinque e do Código de Nuremberg, em consonância com as normas de pesquisas que envolvem seres humanos da Comissão Nacional de Ética em Pesquisa (Res. Conep 466/2012). O levantamento de dados teve início após a aprovação do Comitê de Ética em Pesquisa com Seres Humanos da Secretaria de Estado de Saúde de Santa Catarina (CAAE: 91700318.3.0000.0115), aprovação da Comissão de Acompanhamento de Projetos de Pesquisa em Saúde da Secretaria Municipal de Saúde de Florianópolis e da Gerência do Núcleo Estadual de Telemedicina de Santa Catarina, instituições de origem dos dados da pesquisa.

Delineamento, levantamento e análise de dados

O estudo caracteriza‐se como observacional analítico e transversal, usa dados secundários acerca dos registros de atendimentos médicos na APS, teledermatologia e dermatologia. Os dados foram extraídos a partir dos sistemas: Infosaúde, da Secretaria Municipal de Saúde de Florianópolis, composto por registros de atendimentos na APS e dermatologia; Sistema Catarinense de Telemedicina e Telessaúde, do Núcleo Estadual de Telemedicina – Secretaria de Estado de Saúde de Santa Catarina, que armazena registros dos laudos de teledermatologia.

O levantamento de dados foi feito de agosto a outubro de 2018, por meio dos registros de diagnósticos de doenças dermatológicas atendidas pelos médicos na APS e no serviço de dermatologia, com base na classificação internacional de doenças (CID). Com o intuito de possibilitar a compreensão adequada da interação entre os níveis de atenção, foram levantados dados acerca das classificações de risco atribuídos nos laudos do serviço de teledermatologia – plataforma de regulação do acesso à dermatologia.

A partir do total de diagnósticos identificados por meio da CID versão 10, foram estabelecidos como critérios de inclusão as categorias de CIDs que englobavam enfermidades com acometimento essencialmente ou predominantemente dermatológico, organizadas em 12 classes conforme a tabela 1, adotaram‐se como referência estudos epidemiológicos prévios desenvolvidos pela Sociedade Brasileira de Dermatologia (SBD) em 200617 e 20182, bem como o manual Dermatologia na Atenção Básica de Saúde, elaborado pelo Ministério da Saúde18 em 2002. Foram excluídas categorias de CIDs de doenças sexualmente transmissíveis com comprometimento de pele exclusivamente em região urogenital e anal, tendo em vista que essas não constituem o campo predominante de atuação da dermatologia. Por meio de tais critérios, foram selecionadas 121 categorias de doenças (5,91%) das 2.045 categorias que compõem a CID versão 10.

Tabela 1.

Categorias do Código Internacional de Doenças selecionadas para o levantamento dos atendimentos dermatológicos na APS e no serviço de dermatologia de Florianópolis, em 2016 e 2017a

Classificações  Categorias 
Infecções da pele e do tecido subcutâneo (L00‐L08)(L00) Síndrome da pele escaldada estafilocócica do recém‐nascido 
(L01) Impetigo 
(L02) Abscesso cutâneo, furúnculo e antraz 
(L03) Celulite 
(L04) Linfadenite aguda 
(L05) Cisto pilonidal 
(L08) Outras infecções localizadas da pele e do tecido subcutâneo 
Afecções bolhosas (L10‐L14)(L10) Pênfigo 
(L11) Outras afecções acantolíticas 
(L12) Penfigoide 
(L13) Outras afecções bolhosas 
(L14) Afecções bolhosas em doenças classificadas em outra parte 
Dermatite e eczema (L20‐L30)(L20) Dermatite atópica 
(L21) Dermatite seborreica 
(L22) Dermatite das fraldas 
(L23) Dermatites alérgicas 
(L24) Dermatites de contato por irritantes 
(L25) Dermatite de contato não especificada 
(L26) Dermatite esfoliativa 
(L27) Dermatite devido a substâncias de uso interno 
(L28) Líquen simples crônico e prurido 
(L29) Prurido 
(L30) Outras dermatites 
Afecções papulodescamativas (L40‐L45)(L40) Psoríase 
(L41) Parapsoríase 
(L42) Pitiríase rósea 
(L43) Líquen plano 
(L44) Outras afecções papulodescamativas 
(L45) Afecções papulodescamativas em doenças classificadas em outra parte 
Urticária e eritema (L50‐L54)(L50) Urticária 
(L51) Eritema polimorfo (eritema multiforme) 
(L52) Eritema nodoso 
(L53) Outras afecções eritematosas 
(L54) Eritema em doenças classificadas em outra parte 
Transtornos da pele e do tecido subcutâneo relacionados com a radiação (L55‐L59)(L55) Queimadura solar 
(L56) Outras alterações agudas da pele devido à radiação ultravioleta 
(L57) Alterações da pele devido à exposição crônica à radiação não ionizante 
(L58) Radiodermatite 
(L59) Outras afecções da pele e do tecido subcutâneo relacionadas com a radiação 
Afecções dos anexos da pele (L60‐L75)(L60) Afecções das unhas 
(L62) Afecções das unhas em doenças classificadas em outra parte 
(L63) Alopécia areata 
(L64) Alopécia androgênica 
(L65) Outras formas não cicatriciais da perda de cabelos ou pelos 
(L66) Alopécia cicatricial (perda de cabelos ou pelos, cicatricial) 
(L67) Anormalidades da cor e do pedículo dos cabelos e dos pelos 
(L68) Hipertricose 
(L70) Acne 
(L71) Rosácea 
(L72) Cistos foliculares da pele e do tecido subcutâneo 
(L73) Outras afecções foliculares 
(L74) Afecções das glândulas sudoríparas écrinas 
(L75) Afecções das glândulas sudoríparas apócrinas 
Outras afecções da pele e do tecido subcutâneo (L80‐L99)(L80) Vitiligo 
(L81) Outros transtornos da pigmentação 
(L82) Ceratose seborreica 
(L83) Acantose nigricans 
(L84) Calos e calosidades 
(L85) Outras formas de espessamento epidérmico 
(L86) Ceratodermia em doenças classificadas em outra parte 
(L87) Transtornos da eliminação transepidérmica 
(L88) Piodermite gangrenosa 
(L89) Úlcera de decúbito 
(L90) Afecções atróficas da pele 
(L91) Afecções hipertróficas da pele 
(L92) Afecções granulomatosas da pele e do tecido subcutâneo 
(L93) Lúpus eritematoso 
(L94) Outras afecções localizadas do tecido conjuntivo 
(L95) Vasculite limitada à pele não classificadas em outra parte 
(L97) Úlcera dos membros inferiores não classificada em outra parte 
(L98) Outras afecções da pele e do tecido subcutâneo não classificadas em outra parte 
(L99)a Outras afecções da pele e do tecido subcutâneo em doenças classificadas em outra parte 
Doenças neoplásicas da peleb(C43) Melanoma maligno da pele 
(C44) Outras neoplasias malignas da pele 
(C80) Neoplasia maligna s/espec. carcinoma basocelular 
(C46) Sarcoma de Kaposi 
(C84) Micose fungoide 
(D03) Melanoma in situ 
(D04) Carcinoma in situ da pele 
(D17) Neoplasia lipomatosa benigna 
(D18) Hemagioma e linfangioma 
(D22) Nevos melanocíticos 
(D23) Outras neoplasias benignas da pele 
Hanseníaseb(A30) Hanseníase 
(B92) Sequelas de hanseníase (lepra) 
Outras afecções da peleb(E 70.3) Albinismo 
(I78.0) Telangiectasia hemorrágica hereditária 
(I78.1) Nevo não neoplásico 
(Q82) Malformação congênita da pele/acrocórdon 
Outras infecções da peleb(A18.4) Tuberculose de pele e do tecido celular subcutâneo 
(A22) Carbúnculo 
(A26) Erisepeloide cutâneo 
(A31.1) Infecção cutânea micobacteriana 
(A33.2) Listeriose cutânea 
(A44.1) Bartonelose cutânea 
(A46) Erisipela 
(A51.3) Sífilis secundária da pele e das mucosas 
(A66) Papilomas múltiplos e bouba plantar úmida (cravo de bouba) 
(A67) Pinta [carate] 
(A69.2) Doença de Lyme 
(B00.0) Eczema herpético 
(B00.1) Dermatite vesicular devido ao vírus do herpes 
(B01) Varicela 
(B02) Herpes Zóster 
(B07) Verrugas de origem viral 
(B08) Outras infecções virais caracterizadas por lesões da pele e das membranas mucosas, não classificadas em outra parte 
(B09) Infecção viral não especificada caracterizada por lesões da pele e membranas mucosas 
(B35) Dermatofitose 
(B36.0) Pitiríase versicolor 
(B36.8/B36.9) Outras micoses superficiais/micose superficial não especificada 
(B40.3) Blastomicose cutânea 
(B43.2) Abscesso e cisto feomicótico subcutâneos 
(B49) Micoses não especificadas 
(B55.1) Leishmaniose cutânea 
(B55.2) Leishmaniose cutânea ‐ mucosa 
(B85) Pediculose e fitiríase 
(B86) Escabiose (sarna) 
(B87.0) Miíase cutânea 
a

Elaborado pelos autores com base na literatura.2,17,18

b

CIDs não pertencentes às classificações L (00‐99).

Análise de dados

Os dados foram analisados com método descritivo, com as variáveis categóricas e quantitativas representadas por meio de gráficos e tabelas desenvolvidos nos programas Microsoft Excel® 2010 e Microsoft Word® 2010. As análises das variáveis categóricas “grupos de categorias de CIDs” entre “local de atendimento”, APS e dermatologia foram feitas com o software IBM SPSS Statistics 20, adotou‐se o teste qui‐quadrado para análise comparativa entre os grupos de CIDs (APS/dermatologia).

Resultados

No biênio 2016‐2017 foram levantados 1.029.961 de registros de atendimentos na APS, 527.825 em 2016 e 502.136 em 2017. Desse total, identificou‐se que 55.265 registros apresentavam as categorias de CIDs analisadas 28.546 em 2016 e 26.719 em 2017, representaram aproximadamente 5,36% do total de atendimentos na APS. Nesse período, o serviço de dermatologia registrou 23.478 atendimentos 12.130 em 2016 e 11.348 em 2017. Desses, 19.694 registros apresentavam as categorias de CIDs selecionadas – 10.068 em 2016 e 9.626 em 2017. A respeito dos encaminhamentos ao serviço de teledermatologia, ferramenta de organização do fluxo entre a APS e o serviço de dermatologia, identificaram 3.372 atendimentos em 2016 e 2.921 atendimentos em 2017.

Em relação ao perfil dos diagnósticos dermatológicos, verifica‐se na APS maior prevalência de CIDs como dermatite atópica (L20), outras afecções da pele e do tecido subcutâneo (L98) e escabiose (B86) (tabela 2).

Tabela 2.

Principais categorias do CID‐10 atendidas na Atenção Primária à Saúde (APS) em Florianópolis, no biênio 2016‐2017

Posto  CID‐10N° 
L20  Dermatite atópica  3.531  6,38 
L98  Outras afecções da pele e do tecido subcutâneo  2.819  5,10 
B86  Escabiose  2.518  4,55 
L01  Impetigo  2.371  4,29 
L60  Afecções das unhas  2.277  4,12 
L30  Outras dermatites  2.078  3,76 
L29  Prurido  1.854  3.35 
B49  Micose não especificada  1.507  2,72 
L72  Cistos foliculares da pele e do tecido subcutâneo  1.495  2,70 
10  L40  Psoríase  1.382  2,50 
11  L23  Dermatite alérgica  1.372  2,48 
12  L50  Urticária  1.357  2,45 
13  B07  Verrugas de origem viral  1.356  2,45 
14  B36  Pitiríase versicolor  1.072  1,94 
15  B369  Micose superficial não especificada  916  1,65 
Total      55.265  100,00 

Fonte: Banco de dados Infosaúde – Secretaria Municipal de Saúde de Florianópolis.

Acerca do serviço de teledermatologia, um importante elemento no ordenamento dos encaminhamentos para a especialidade de dermatologia, evidencia‐se o predomínio de classificações de prioridade com necessidade de referenciamento secundário, verde e amarela, que representaram 59,3% (fig. 1).

Figura 1.

Classificações dos laudos do serviço de teledermatologia em Florianópolis, biênio 2016‐2017*.

Fonte: Banco de dados Telemedicina – Secretaria de Estado de Saúde de Santa Catarina

* A classificação vermelha não foi representada no gráfico por apresentar apenas um atendimento no período estudado.

(0.07MB).

No biênio analisado, o serviço de dermatologia apresentou como diagnósticos mais prevalentes: outras neoplasias malignas da pele (C44), alterações da pele devido à exposição crônica à radiação não ionizante (L57) e psoríase (L40) (tabela 3).

Tabela 3.

Principais categorias do CID‐10 atendidas na especialidade de dermatologia em Florianópolis, no biênio 2016‐2017

Posto  CID‐10N° 
C44  Outras neoplasias malignas da pele  2.906  14,75 
L57  Alterações da pele devido à exposição crônica à radiação não ionizante  2.010  10,20 
L40  Psoríase  1.380  7,00 
L82  Ceratose seborreica  1.072  5,44 
L81  Outros transtornos da pigmentação  1.020  5,17 
D22  Nevos melanocíticos  944  4,79 
L70  Acne  882  4,47 
L25  Dermatite de contato não especificada  454  2,30 
B07  Verrugas de origem viral  346  1,76 
10  B35  Dermatofitose  344  1,74 
11  L80  Vitiligo  326  1,65 
12  L63  Alopécia areata  226  1,15 
13  L71  Rosácea  218  1,11 
14  L72  Cistos foliculares da pele e do tecido subcutâneo  176  0,89 
15  D18  Hemangioma e linfangioma de qualquer localização  160  0,81 
Total      19.694  100,00 

Fonte: Banco de dados Infosaúde – Secretaria Municipal de Saúde de Florianópolis.

Em relação às idades dos pacientes atendidos, identificou‐se prevalência das seguintes categorias de CIDs: dermatite atópica (L20) na faixa até 12 anos, com 16,7% dos atendimentos (tabela 4); acne (L70) na faixa entre 13 e 24 anos, com 31,9% (tabela 5); e outras neoplasias malignas de pele (C44), na faixa entre 25 e 59 anos, com 11,1%, e na faixa acima de 60 anos (tabelas 6 e 7).

Tabela 4.

Principais categorias do CID‐10 atendidas na especialidade de dermatologia na faixa até 12 anos, em Florianópolis, no biênio 2016‐2017

0 – 12 anos
Posto  CID‐10N° 
L20  Dermatite atópica  52  16,7 
D22  Nevos melanocíticos  30  9,7 
L98  Outras afecções da pele e tecido subcutâneo  24  7,7 
B08  Outras infecções virais em pele e membranas mucosas  22  7,1 
L30  Outras dermatites  22  7,1 
L81  Outros transtornos da pigmentação  16  5,1 
L70  Acne  14  4,5 
D18  Hemangioma e linfangioma de qualquer localização  12  3,8 
B07  Verrugas de origem viral  12  3,8 
10  Q82  Outras malformações congênitas da pele  12  3,8 
11  L25  Dermatite de contato  12  3,8 
12  L40  Psoríase  10  3,2 
13  L80  Vitiligo  2,6 
14  L11  Outras afecções acantolíticas  2,6 
15  L72  Cistos foliculares da pele e tecido subcutâneo  1,9 
Total      310  100 

Fonte: Banco de dados Infosaúde – Secretaria Municipal de Saúde de Florianópolis.

Tabela 5.

Principais categorias do CID‐10 atendidas na especialidade de dermatologia na faixa entre 13 a 24 anos, em Florianópolis, no biênio 2016‐2017

13 – 24 anos
Posto  CID‐10N° 
L70  Acne  620  31,9 
L98  Outras afecções da pele e tecido subcutâneo  280  14,4 
L40  Psoríase  130  6,6 
D22  Nevos melanocíticos  110  5,6 
B07  Verrugas de origem viral  74  3,8 
L20  Dermatite atópica  56  2,8 
L25  Dermatite de contato  50  2,5 
L81  Outros transtornos da pigmentação  50  2,5 
L80  Vitiligo  44  2,2 
10  L63  Alopécia areata  44  2,2 
11  B36  Outras micoses superficiais  42  2,1 
12  L73  Outras afecções foliculares  38  1,9 
13  L90  Afecções atróficas da pele  30  1,5 
14  L91  Afecções hipertróficas da pele  28  1,4 
15  L11  Outras afecções acantolíticas  24  1,2 
Total      1.942  100 

Fonte: Banco de dados Infosaúde – Secretaria Municipal de Saúde de Florianópolis.

Tabela 6.

Principais categorias do CID‐10 atendidas na especialidade de dermatologia na faixa entre 25 a 59 anos, em Florianópolis, no biênio 2016‐2017

25 – 59 anos
Posto  CID ‐ 10N° 
C44  Outras neoplasias malignas da pele  1.122  11,1 
L40  Psoríase  856  8,5 
L81  Outros transtornos da pigmentação  704  7,0 
D22  Nevos melanocíticos  674  6,7 
L57  Alterações da pele devido à exposição crônica à radiação não ionizante  580  5,7 
L82  Ceratose seborreica  354  3,5 
L25  Dermatite de contato  274  2,7 
L70  Acne  270  2,7 
B35  Dermatofitose  230  2,2 
10  L80  Vitiligo  218  2,1 
11  B07  Verrugas de origem viral  188  1,8 
12  L63  Alopécia areata  172  1,7 
13  L71  Rosácea  162  1,6 
14  L93  Lúpus eritematoso sistêmico  118  1,1 
15  L72  Cistos foliculares da pele e tecido subcutâneo  114  1,1 
Total      10092  100 

Fonte: Banco de dados Infosaúde – Secretaria Municipal de Saúde de Florianópolis.

Tabela 7.

Principais categorias do CID‐10 atendidas na especialidade de dermatologia na faixa de 60 anos ou mais, em Florianópolis, no biênio 2016‐2017

60 anos ou mais
Posto  CID‐10N° 
C44  Outras neoplasias malignas da pele  1.784  24,2 
L57  Alterações da pele devido à exposição crônica à radiação não ionizante  1.426  19,4 
L98  Outras afecções da pele e tecido subcutâneo  1.270  17,2 
L82  Ceratose seborreica  718  9,7 
L40  Psoríase  384  5,2 
L81  Outros transtornos da pigmentação  250  3,4 
D22  Nevos melanocíticos  130  1,7 
L25  Dermatite de contato  118  1,6 
D03  Melanoma in situ  98  1,3 
10  L90  Afecções atróficas da pele  96  1,3 
11  B35  Dermatofitose  92  1,2 
12  B07  Verrugas de origem viral  72  1,0 
13  L29  Prurido  64  0,8 
14  L80  Vitiligo  56  0,7 
15  L71  Rosácea  56  0,7 
Total      7.350  100 

Fonte: Banco de dados Infosaúde – Secretaria Municipal de Saúde de Florianópolis.

No que tange aos grupos de categorias do CID‐10, notam‐se divergências nítidas entre os perfis identificados na APS e na especialidade de dermatologia. Na APS, observa‐se maior prevalência dos grupos: outras infecções de pele (25,65%); dermatite e eczema (21,57%) e infecções da pele e do tecido subcutâneo (14,23%). Na dermatologia, destacam‐se os grupos: outras afecções da pele e do tecido subcutâneo (34,37%); doenças neoplásicas da pele (22,28%) e transtornos da pele e do tecido subcutâneo relacionados com a radiação (10,39%) (tabela 8).

Tabela 8.

Grupos de categorias do CID‐10 de atendimentos dermatológicos na APS e em dermatologia em Florianópolis, nos anos de 2016 e 2017

Grupos  APSDermatologiaRR  95% IC  pa 
       
Infecções da pele e do tecido subcutâneo (L00‐L08)  7.866  14,23  42  0,21  3,50  2,28‐5,38  <0,001 
Afecções bolhosas (L10‐L14)  161  0,29  102  0,52  2,49  1,75‐3,53  <0,001 
Dermatite e eczema (L20‐L30)  11.922  21,57  1.192  6,05  1,00  0,91‐1,08  <0,001 
Afecções papulodescamativas (L40‐L45)  1.662  3,01  1.600  8,12  1,07  0,97‐1,18  0,125 
Urticária e eritema (L50‐L54)  1.450  2,62  186  0,94  6,07  4,89‐7,54  <0,001 
Transtornos da pele e do tecido subcutâneo relacionados com a radiação (L55‐L59)  781  1,41  2.046  10,39  0,14  0,13‐0,16  <0,001 
Afecções dos anexos da pele (L60‐L75)  6.892  12,47  2.038  10,35  1,14  1,06‐1,22  <0,001 
Outras afecções da pele e do tecido subcutâneo (L80‐L99)  6.249  11,31  6.768  34,37  0,85  0,81‐0,89  <0,001 
Doenças neoplásicas da pele  3.706  6,7  4.388  22,28  0,71  0,67‐0,75  <0,001 
Outras afecções da pele  117  0,21  142  0,72  0,67  0,48‐0,96  0,028 
Hanseníase  281  0,51  198  1,01  2,01  1,55‐2,60  <0,001 
Outras infecções da pele  14.178  25,65  992  5,04  2,04  1,86‐2,23  <0,001 
Total  55.265  100,00  19.694  100,00  –  –  – 
a

Teste Qui‐quadrado.

IC, intervalo de confiança < 95%; RR, risco relativo.

Fonte: Banco de dados Infosaúde – Secretaria Municipal de Saúde de Florianópolis.

Discussão

As doenças dermatológicas representam mais de duas mil condições patológicas em medicina, impactam a qualidade de vida e as relações sociais em todo o mundo. A despeito de tal relevância, nota‐se uma tendência à não valorização dessas afecções no cenário nacional e global da saúde.1,2,12,17 No Brasil, essa negligência pode ser notada tanto nas políticas e no planejamento de saúde quanto na literatura científica, que carece de mais dados a respeito do espectro epidemiológico dessas morbidades nos diferentes níveis de atenção à saúde.

Nesse sentido, este estudo avaliou o perfil nosológico das enfermidades da pele na APS e na dermatologia, de modo a identificar as prevalências dessas afecções nesses cenários, compreende, assim, a influência dessas nos atributos necessários para a prática médica. A partir dos dados levantados, nota‐se perfil distinto entre os cenários analisados, com predomínio de diagnósticos relacionados a infecções, dermatites e eczemas na APS – quadros em geral agudos e de menor complexidade – e diagnósticos como transtornos relacionados à radiação, doenças neoplásicas, psoríase, vitiligo e rosácea na dermatologia – afecções mais complexas e de maior especificidade, que requerem maiores conhecimentos intrínsecos da área.

A APS representa a porta de entrada e o elemento organizador nos sistemas de saúde,18 acolhe grande parte das afecções dermatológicas entre seus atendimentos. Nesse sentido, de 2016 a 2017, o estudo demonstra que a cada 20 consultas médicas na APS de Florianópolis uma teve como registro diagnóstico principal alguma doença dermatológica, representou cerca de 5% dos atendimentos. Esse resultado assemelha‐se a estudos prévios feitos em outros países com Índia (Poseidon Study)19, Estados Unidos (National Ambulatory Medical Care Survey: 2016)20 e Israel,21 porém divergem de Lowell et al.,22 que apontam um terço de diagnósticos dermatológicos nas consultas da APS. A negligência de alguns pacientes em relação às afecções da pele, ao postergarem a procura por atendimento médico, pode ser uma explicação para a divergência identificada, que segundo Penha et al.3 pode estar atrelada à falta de conhecimento acerca das doenças cutâneas, medo e/ou vergonha dos estigmas sociais atribuídos a essas condições.

Quanto ao perfil nosológico na APS, evidenciam‐se os grupos de CIDs “dermatite e eczema” e “infecções de pele e tecido celular subcutâneo” como os mais prevalentes, com destaque para os CIDs “escabiose” (B86) e “impetigo” (L01), concorda com os estudos de Lim et al. (2017) e Lowell et al. (2001), que apontam as infecções cutâneas como um dos principais grupos de enfermidades cutâneas atendidas na APS.

Com o objetivo de identificar o perfil epidemiológico dos serviços de dermatologia no Brasil, a SBD fez dois grandes levantamentos entre seus dermatologistas associados, em 200617 e 2018.2. Esses inquéritos levantaram dados clínicos e demográficos de pacientes atendidos ambulatorialmente por dermatologistas em todo o país, apresentam pontos de similaridade e de divergência em relação aos achados de Florianópolis.

As semelhanças relacionam‐se à elevada prevalência de diagnósticos como transtorno de pigmentação (L81), ceratose actínica (L57), câncer não melanoma (C44, C80), micoses superficiais (B35‐B36) e fotoenvelhecimento (L57), nos estudos da SBD, concordam com os diagnósticos outras neoplasias malignas da pele (C44) e alterações da pele devido à exposição crônica à radiação não ionizante (L57), identificados como mais prevalentes no serviço florianopolitano.

Ao se comparar as prevalências do serviço de dermatologia de Florianópolis com outros serviços da região Sul do Brasil, observam‐se resultados semelhantes, com destaque para CIDs como câncer não melanoma (C44, C80), transtorno de pigmentação (L81) e ceratose actínica (L57), entre os principais diagnósticos. Essa similaridade reforça a influência dos contextos sociodemográfico e climático regionais no perfil epidemiológico das enfermidades dermatológicas no Brasil.8

Ressaltamos que a prevalência dos quadros de acne na especialidade demonstrou‐se menor quando comparado aos estudos da SBD,2,17 o que poderia indicar tendência ao manejo dessas condições na APS com apoio da teledermatologia. Outra possível explicação pode ser o perfil etário da população estudada, com quantitativo de pesquisados entre 13‐24 anos, faixa etária com maior prevalência de acne, relativamente menor do que faixas etárias de maior idade, influencia, assim, a representatividade desse diagnóstico no total de dados levantados.

No que concerne às faixas etárias, o grupo de 60 anos ou mais revela maior prevalência de outras neoplasias malignas da pele (C44) e alterações da pele devido à exposição crônica à radiação não ionizante (L57), reforça a influência dos efeitos da exposição crônica à radiação solar no desencadeamento das patologias cutâneas. Dessa maneira, ressalta‐se a importância da atenção à pele dos pacientes idosos, tendo em vista a maior fragilidade da pele e perda da função de barreira que predispõem a infecções e o fato de as queixas dermatológicas geralmente não serem o principal motivo para a busca por atendimento médico por esses pacientes.23

Em relação ao serviço de teledermatologia, ao analisar o perfil das classificações de risco atribuídas pelo serviço, nota‐se que cerca de 60% das classificações apresentavam critério para referenciamento ao dermatologista, diferiram de Tandjung et al.,24 que apontaram apenas 36,8% dos atendimentos com critério de referenciamento. Dessa maneira, diante das divergências entre os perfis nosológicos da APS e da atenção secundária em dermatologia, evidencia‐se a importância da integração entre os níveis de atenção de modo a permitir a reorganização de referenciamentos, assim como o diagnóstico precoce de afecções dermatológicas de maior complexidade e especificidade, que necessitam de manejo clínico especializado.

Cabe ressaltar que os resultados encontrados provêm exclusivamente de serviços de saúde públicos, o que pode representar um fator de influência no perfil nosológico revelado atenua, por exemplo, o componente estético da especialidade. A SBD2 aponta diferenças significativas nas demandas de serviços de dermatologia públicos e privados, com predomínio de cirurgias e cosmiatria nas consultas privadas, e doenças como câncer de pele não melanoma, hanseníase e psoríase na saúde pública. Ademais, cabe ressaltar que ao comparamos os achados dessa pesquisa com estudos anteriores, a diversidade étnica, socioeconômica e geoclimática entre as regiões do Brasil pode representar um viés de confusão.

Quanto às limitações da pesquisa, destaca‐se a perda de dados ocasionada tanto pelo sub‐registro por deficiências do sistema de prontuários eletrônicos quanto pela tendência à pouca valorização das queixas dermatológicas nos serviços de saúde. Outro aspecto a ser ponderado consiste na pouca especificidade de alguns registros de profissionais da APS, que usam CIDs muito abrangentes e genéricos para seus diagnósticos, o que pode estar associado a determinado nível de insegurança diagnóstica ou pela própria cultura institucional/profissional.

Destaca‐se ainda que o estudo analisou os registros de atendimentos médicos, ou seja, alguns pacientes podem ter sido atendidos diversas vezes pelo mesmo profissional, por demandas distintas ou pela mesma demanda em consultas de retorno. As variáveis adotadas no inquérito foram moderadas, tanto porque o sistema de prontuários não permite levantamentos de determinados dados quanto pelo foco do estudo. Análises posteriores podem ampliar o número de variáveis avaliadas, identificar diagnósticos dermatológicos em diferentes gêneros, fototipos de pele e estratos sociais.

Conclusão

Por meio deste estudo, observam‐se perfis nosológicos distintos nos atendimentos feitos por médicos generalistas e dermatologistas, nos cenários da APS e da dermatologia, respectivamente. Dessa maneira, ressalta‐se o caráter complementar e interdependente entre esses profissionais, bem como as diferentes atribuições e habilidades requeridas para cada um no cenário de atenção à saúde em que se inserem.

Por essa perspectiva, reforça‐se o papel do médico generalista, como coordenador do cuidado na APS e gatekeeper – responsável pelo manejo de afecções mais prevalentes e com menor complexidade, encaminha à especialidade casos mais complexos e raros, por meio da plataforma de teledermatologia – importante elemento organizador do fluxo de encaminhamentos para a atenção secundária em dermatologia. Por conseguinte, os dermatologistas com maior experiência técnico‐científica na área figuram como os especialistas focais responsáveis pela assistência clínica específica da rede de saúde.

Suporte financeiro

Nenhum.

Contribuição dos autores

Iago Gonçalves Ferreira: Análise estatística; aprovação da versão final do manuscrito; concepção e planejamento do estudo; elaboração e redação do manuscrito; obtenção, análise e interpretação dos dados; revisão crítica da literatura; revisão crítica do manuscrito.

Dannielle Fernandes Godoi: Aprovação da versão final do manuscrito; concepção e planejamento do estudo; participação efetiva na orientação da pesquisa; revisão crítica do manuscrito.

Elaine Regina Perugini: Aprovação da versão final do manuscrito; concepção e planejamento do estudo; obtenção, análise e interpretação dos dados; participação efetiva na orientação da pesquisa; revisão crítica da literatura; revisão crítica do manuscrito.

Conflitos de interesse

Nenhum.

Agradecimentos

Aos servidores da Gerência de Inteligência e Informação e Gerência de Atenção Especializada da Secretaria Municipal de Saúde de Florianópolis pela colaboração e disponibilidade no processo de extração dos bancos de dados.

Referências
[1]
R.J. Hay, N.E. Johns, H.C. Williams, I.W. Bolliger, R.P. Dellavalle, D.J. Margolis, et al.
The global burden of skin disease in 2010: an analysis of the prevalence and impact of skin conditions.
J Investig Dermatol., 134 (2014), pp. 1527-1534
[2]
H.A. Miot, G.O. Penna, A.M.C. Ramos, M.L.F. Penna, S.M. Schmidt, F.B. Luz, et al.
Profile of dermatological consultations in Brazil (2018).
An Bras Dermatol., 93 (2018), pp. 916-928
[3]
Penha MÁ, P.M. Santos, H.A. Miot.
Dimensioning the fear of dermatologic diseases.
An Bras Dermatol., 87 (2012), pp. 796-799
[4]
M.J. Martinka, R.I. Crawford, S. Humphrey.
Clinical recognition of melanoma in dermatologists and nondermatologists.
J Cutan Med Surg., 20 (2016), pp. 532-535
[5]
T.M. Gomes, A.T.M.S. Moura, A.C. Aguiar.
Dermatologia na atenção primária: um desafio para a formação e prática médica.
Rev Bras Educ Med., 36 (2011), pp. 125-128
[6]
E. Tensen, J.P. van der Heijden, M.W. Jaspers, L. Witkamp.
Two decades of teledermatology: current status and integration in national healthcare systems.
Curr Dermatol Rep., 5 (2016), pp. 96-104
[7]
C.S. Silva, M.B. Souza, I.A. Duque, L.M.D. Medeiros, N.R. Melo, C.D.A. Araújo, et al.
Teledermatology: diagnostic correlation in a primary care service.
An Bras Dermatol., 84 (2009), pp. 489-493
[8]
L.M.Z. Miguel, M.F.S. Jorge, B. Rocha, H.A. Miot.
Incidence of skin diseases diagnosed in a public institution: comparison between 2003 and 2014.
An Bras Dermatol., 92 (2017), pp. 423-425
[9]
M.M.V. Izecksohn, T. Junior, J. Esteves, B.P. Stelet, A.G. Jantsch.
Preceptoria em Medicina de Família e Comunidade: desafios e realizações em uma Atenção Primária à Saúde em construção.
Cien Saude Colet., 22 (2017), pp. 737-746
[10]
J.V. Schmitt, H.A. Miot.
Distribution of Brazilian dermatologists according to geographic location, population and HDI of municipalities: an ecological study.
An Bras Dermatol., 89 (2014), pp. 1013-1015
[11]
H.W. Lim, S.A.B. Collins, J.S. Resneck Jr., J.L. Bolognia, J.A. Hodge, T.A. Rohrer, et al.
The burden of skin disease in the United States.
J Am Acad Dermatol., 76 (2017), pp. 958-972
[12]
F. Bertanha, E.J.P. Nelumba, A.K. Freiberg, L.P. Samorano, C. Festa Neto.
Profile of patients admitted to a triage dermatology clinic at a tertiary hospital in São Paulo.
Brazil. An Bras Dermatol., 91 (2016), pp. 318-325
[13]
Instituto Brasileiro de Geografia e Estatistica [Internet]. Estimativas da população residente com data de referência 1° de julho de 2017. Rio de Janeiro [Acessado em 24 jan 2019]. Disponível em: .
[14]
Ministério da Saúde [Internet]. Informações sobre as ações e programas do Departamento de Atenção Básica ‐ Florianópolis ‐ SC. 2019. [Acessado em 24 jan 2019]. Disponível em: .
[15]
von Wangenheim A, Nunes DH. [Internet]. Direct Impact on Costs of the Teledermatology‐Centered Patient Triage in the State of Santa Catarina. [Acessado em 24 jan 2019]. Disponível em: .
[16]
I.G. Ferreira, D.F. Godoi, E.R. Perugini, A.B. Lancini, R. Zonta.
Teledermatologia: uma interface entre a atenção primária e atenção especializada em Florianópolis.
Rev Bras Med Fam Comunidade., 14 (2019), pp. 2003
[17]
Sociedade Brasileira de Dermatologia, Miot HA, Penna GO, Ramos AMC, Penna MLF, Schmidt SM, et al. Profile of dermatological consultations in Brazil (2018). An Bras Dermatol. 2006;81:549‐58.
[18]
Ministério da Saúde. Dermatologia na Atenção Básica. 2ª ed. Brasília; 2002.
[19]
S. Salvi, K. Apte, S. Madas, M. Barne, S. Chhowala, T. Sethi, et al.
Symptoms and medical conditions in 204 912 patients visiting primary health‐care practitioners in India: a 1‐day point prevalence study (the POSEIDON study).
Lancet Glob Health., 3 (2015), pp. e776-e784
[20]
Centers for Disease Control and Prevention [Internet]. National Ambulatory Medical Care Survey: 2016 National Summary Tables. [Acessado em 24 jan 2019] Disponível em: .
[21]
T. Adar, I. Levkovich, O.C. Castel, K. Karkabi.
Patient's utilization of primary care: A profile of clinical and administrative reasons for visits in Israel.
J Prim Care Community Health., 8 (2017), pp. 221-227
[22]
B.A. Lowell, C.W. Froelich, D.G. Federman, R.S. Kirsner.
Dermatology in primary care: prevalence and patient disposition.
J Am Acad Dermatol., 45 (2001), pp. 250-255
[23]
E. Hahnel, A. Lichterfeld, U. Blume-Peytavi, J. Kottner.
The epidemiology of skin conditions in the aged: a systematic review.
J Tissue Viability., 26 (2017), pp. 20-28
[24]
R. Tandjung, N. Badertscher, N. Kleiner, M. Wensing, T. Rosemann, R.P. Braun, et al.
Feasibility and diagnostic accuracy of teledermatology in Swiss primary care: process analysis of a randomized controlled trial.
J Eval Clin Pract., 21 (2015), pp. 326-331

Como citar este artigo: Ferreira IG, Godoi DF, Perugini ER. Nosological profile of dermatological diseases in primary care and dermatology secondary care in Florianópolis (2016‐2017). An Bras Dermatol. 2020;95:428–38.

Trabalho realizado na Escola de Saúde Pública de Florianópolis, Secretaria Municipal de Florianópolis, SC, Brasil.

Copyright © 2020. Sociedade Brasileira de Dermatologia
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