MATRIX SUPPORT IN DERMATOLOGY: BREVES/MARAJÓ ISLAND/PARÁ/BRAZIL

INTRODUCTION/OBJECTIVE: The medical school does not guarantee the necessary training in dermatology for the performance in Primary Health Care. The matrix support is a methodology to overcome gaps in training, bringing the specialist close to the general practitioner, for a resolute approach in the PHC based on clinical diagnosis and definition of referral criteria. This work was a Breves Municipal Health Office initiative. One week training on the most common skin diseases in the Primary Health Care in Breves, which has professionals arising from the most distinguished national realities and also Cuban doctors. METHOD: In the first morning it was possible to know the participants, their experience and questions relevant to the field and discuss clinical cases. Were conducted 8 rounds of joint consultations of the cases selected by the local teams, each turn on a different Family Heath Unit and a final evaluation round with all participants. RESULTS/CONCLUSION: We evaluated a total of 120 patients. The most frequent pathologies were atopic, seborrheic and contact eczema, vitiligo, versicolor pityriasis, dermatophytosis, residual macules, 3 new cases of leprosy, review of cases diagnosed mistakenly as leprosy and evaluation of cases after discharge. A case of Jorge Lobo mycosis was diagnosed in a 70 years men development since 15 years and a case of pemphigus vulgar. Matrix support in dermatology should be performed at least every six months, considering the difficult and expensive access to Breves, to ensure qualified and resolute attention in Primary Care regarding skin diseases, with emphasis on leprosy.