The article discusses the prerequisites for the development of dermatovenerological assistance in the Russian Federation, taking into account the implementation of the national project Health. The analysis of the state of the dermatovenerological service in the Russian Federation. Prior to the implementation of the Healthcare project, the authors attempted to justify promising directions for the development of dermatovenereological assistance in the country. Venereology clinics need to be reoriented, in particular, to provide specialized medical care to foreign citizens, as well as the introduction of new types of medical care, in particular, medical rehabilitation, as well as the development of the service component of the main activity. It is assumed that the implementation of priorities in the framework of the main direction of the strategic development of the Russian Federation Healthcare for the period up to 2025 will be aimed at solving issues important for health. Systematic work in this direction should ensure an increase in the availability and quality of medical care to the population of the Russian Federation, including in the dermatovenereology profile.

Background. Hidradenitis suppurativa (HS) is a common disease that significantly reduces the quality of life of patients of reproductive age, while its exact prevalence is unknown in most countries due to untimely and poor-quality diagnosis. Aim. In order to clarify the prevalence of HS, an analysis of the structure of newly identified cases of this disease was carried out in the conditions of the consultative and diagnostic center of the State Research Center of Dermatovenereology and Cosmetology of the Ministry of Health of the Russian Federation for the period 2008–2021 inclusive. In order to study the characteristics of the course of HS, its impact on behavior and receipt of medical care from the patient’s point of view, an anonymous quantitative online survey of patients was conducted. The patient questionnaire “Shin a light on hidradenitis” was used as a basis. Methods. Аnonymous quantitative online survey of patients was conducted. The patient questionnaire “Shin a light on hidradenitis” was used as a basis. Results. For the period 2008–2021 exclusively under the section “L73 Other diseases of the hair follicles”, 765 cases were diagnosed in the State Scientific Center for Disease Control and Prevention (0.36% of the total number of all newly diagnosed cases). The diagnosis of GG (ICD code L73.2) was first established only in 59 cases (about 8% of identified cases using code L73). 1035 respondents took part in the survey. The survey revealed that patients with HS are worried about: 66% — swelling, 55% — pain, 38% — purulent discharge and/or blood, 25% of patients note a disturbing look. Most patients rated the severity of pain as moderate (29%) and low (29%) pain, severe and very severe pain — 12 and 7% respectively. Among the treatments used for HH, patients recommended: antibiotics (34%), opening and drainage (32%), prescription corticosteroid creams/ointments (11%), and biologics (4%). In 44% of patients, a visit to a doctor to provide qualified assistance continues; 18% of patients are observed by one doctor (dermatologist and/or surgeon); 9% of patients visited 2–3 doctors before receiving the necessary help. Conclusion. All over the world, the “search” for a specialist who will correctly diagnose, prescribe adequate treatment and accompany its long process is still a complex and unsolved task. In order to improve the quality of medical care for patients with HH, it is necessary to develop and implement domestic clinical recommendations, as well as the development and implementation of educational programs for interested specialists.

The article describes a clinical case of vaccination with the drug "Kovivac" of a patient of an older age group with an established diagnosis of bullous pemphigoid. Scientific data on the prevalence of bullous dermatoses in the Russian Federation (true pemphigus, Lever's bullous pemphigoid, Dhring's herpetiformis dermatitis) are presented. There is a good tolerance of the Kovivac vaccine in a patient suffering from bullous pemphigoid, which allows vaccination, in fact, without interrupting patients from their daily activities and without diverting the resources of the healthcare system to unreasonable inpatient care. The decision to vaccinate should be made on the basis of data on the available indications / contraindications for drugs, taking into account the individual anamnestic data of patients. In addition, it should be borne in mind that until now, all links of the infectious process caused by SARS-CoV-2 have not been fully studied. In this regard, before vaccination, patients must be informed of the need to comply with the anti-epidemic measures recommended for the prevention of coronavirus infection (COVID-19), even after full vaccination, as well as dynamic observation by specialist doctors.

Background. Dermatoscopy has become a typical practice in providing assistance in dermatovenereology, cosmetology and oncological diseases. However, the low level of equipment of medical organizations with dermatoscopes remains. At the same time, the level of knowledge and skills of doctors in matters of dermatoscopy, the quality of relevant educational programs have not been analyzed before. Aims. Conduct an analysis of the ongoing advanced training programs on dermatoscopy and assess the degree of implementation of dermatoscopy in the activities of medical organizations. Methods. The available advanced training programs were analyzed and an anonymous survey of 402 doctors was conducted using a specially developed sociological questionnaire. Results. Despite the variety of options and forms of training, the quality of training remains low, especially for correspondence educational programs. 66.7% and 45.5% of respondents, respectively, received training in dermatoscopy and dermato-oncology. At the same time, about 20% of specialists mastered programs of less than 6 hours. Almost 75% of respondents noted insufficient knowledge for full-fledged work with a dermatoscope (in most cases, this concerns the diagnosis of malignant neoplasms). Almost half of the respondents perform photo fixation during dermatoscopy, but most organizations do not provide for the transfer and storage of images. Conclusion. It is advisable to create a methodological center on dermatoscopy issues based on the Department of Dermatovenereology and Cosmetology of the Russian Medical Academy of Postgraduate Education. It is necessary to develop and implement a standard sample program on dermatoscopy issues in the amount of at least 36 hours. It is necessary to develop a unified protocol for a dermatoscopy report, both a primary dermatoscopy report and a dynamic control protocol. The terminology used in dermatoscopy in Russian requires separate analysis.

By now, the main approaches to the interpretation of dermatoscopy images have been formed, including two main "languages ​​of dermatoscopy": descriptive and metaphorical. The lack of a unified terminology of dermatoscopy in Russian creates the risks of ambiguity in the interpretation of signs, difficulties in describing the dermatoscopy status, complications of dynamic observation, and limited comparability of scientific data. The objective of the study: to evaluate the terminology and protocols for performing dermatoscopy in providing medical care to patients with diseases of the skin and subcutaneous tissue, skin neoplasms and cosmetic skin defects. Methods: A special questionnaire (52 questions) was developed and an anonymous survey of 402 doctors was conducted. They were also asked to describe three dermatoscopy images. Results: The overwhelming majority of respondents noted: the need to know special terminology to describe and understand the dermatoscopy status (95%); insufficient previously acquired knowledge and skills for free use of dermatoscopy (73.4%); the need for an in-depth study of terminological nuances (89.1%). The majority of respondents (93.5%) supported the idea of ​​creating a unified dermatoscopy terminology in Russian. Difficulties in interpreting the dermatoscopy picture of skin neoplasms described by another doctor arise in more than half of the respondents (58.5%). Conclusion: The analysis showed the absence of unified standards of dermatoscopy terminology in Russian. The creation of a unified terminology system for dermatoscopy in the Russian Federation requires holding conciliation conferences, developing advanced training programs, as well as methodological recommendations and their consistent implementation in advanced training programs for doctors.