Study of Clinical Profile Associated with Obesity amongst Dermatology Patients In A Tertiary Care Centre
DOI:
https://doi.org/10.46858/vimshsj.7402Keywords:
Obesity, Skin disease in obese, Body Mass IndexAbstract
Background: Obesity is a global epidemic. Obesity is associated with a number of dermatoses, including acanthosis nigricans, skin tag, keratosis pilaris, hyperandrogenism and hirsutism, striae distensae, and adiposis dolorosa. Objective: To elucidate the various skin changes in obesity and to determine if it is considered as an obesity marker. Methodology: 100 patients, aged 18 years or above satisfying the inclusion and exclusion criteria were drawn for a period of 18 months. Results: Out of 100 patients 54% were female, in their third and fourth decade. By occupation most of the females were housewives (40%) and the majority of males were farmers (14%). Type 2 diabetes mellitus was the most common systemic illness (24%). Pseudoacanthosis nigricans was the most prevalent skin change. 51% of patients had skin tags. 48% had striae distensae as a skin change. 10.86% male and 14.81% female patients had stasis dermatitis, 6% had leg venulectasias and 2% had leg ulcer. 26% had plantar hyperkeratosis. 41% of our patients had one or other types of fungal infections. Bacterial infections were detected in 15% cases, folliculitis being the commonest. Conclusion: Obesity is strongly related to several skin alterations that could be considered as markers of excessive weight. The dermatoses that showed a statistically significant relationship with obesity were Pseudo acanthosis nigricans, Skin tag, Striae, Plantar hyperkeratosis and Fungal infections. Prevention of obesity is important to prevent these dermatoses and dermatologists must work with primary care physicians and patients to reduce the harmful effects of obesity on the skin.
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References
Pi-Sunyer F.X: The obesity epidemic: pathophysiology and consequences of obesity.Obes Res10.(suppl 2):97S-104S.2002
Katherine M. Flegal et all, Association of All-Cause Mortality With Overweight and Obesity Using Standard Body Mass Index CategoriesA Systematic Review and Meta-analysis. JAMA. 2013;309(1):71-82.
Waldman RA, Kettler AH (2016) Dermatologic Manifestations of Obesity: Part I Mechanical Causes. J Obes Weight-Loss Medic 1:010 | Volume 2 | Issue 1
Yosipovitch G, DeVore A, Dawn A. Obesity and the skin: skin physiology and skin manifestations of obesity. J Am Acad Dermatol. 2007 Jun;56(6):901-16.
Park K. Park’s Textbook Of Preventive And Social Medicine. 22nd Ed. Jabalpur, India: Banarsidas Bhanot publishers; 2013. In: Table 2, Classification of adults according to BMI; p.367.
Gupta V. Obesity. JK-Practitioner; 11(3): 210-16
Yosipovitch G, DeVore A, Dawn A. Obesity and the skin: skin physiology and skin manifestations of obesity. J Am Acad Dermatol. 2007 Jun;56(6):901-16.
Ganong WF. Central regulation of visceral function. In: Ganong WF ed. Review of Medical physiology. 22nd edn. Newyork: McGrawhill; 2005: 238 -239.
Klein S, Romijin JA. Obesity. In: Larsen PR, Kronenberg HM, Melmed S, Polonsky KS eds. William’s Text book of Endocrinology. 10th edn. Penny sylvania: W.B. Saunders ; 2002 : 1619- 1641.
Abdel Maguid EM, Awad SM, Saad MM (2017) Skin Disorders in Adult Obese Egyptian Patients: A Comparative Study. Int J Dermatol Clin Res 3(1): 001-007.
Hud JA Jr, Cohen JB, Wagner JM, Cruz PD. Prevalence and significance of Acanthosis nigricans in an adult obese population. Arch Dermatol 1992 ; 128:941-4.
Sharquie KE, Al-Rawi J, Al-Tamini F. The frequency of skin diseases in obese children and adult Iraqi population. Saudi Med J 2005; 26 :1835 -38.
J.C. Boza et al. Skin manifestations of obesity: a comparative studyJ Eur Acad Dermatol Venereol. 2012 Oct;26(10):1220-3.
Divyashree RA et al, Cutaneous manifestations of obesity among dermatology patients in a tertiary care center. Indian J Dermatol Venereol Leprol 2014;80:278.
Rasi A, Soltani-Arabshahi R, Shahbazi N. Skin tag as a cutaneousmarker for impaired carbohydrate metabolism: A case-controlstudy. Int J Dermatol. 2007;46:1155.
Erdogan BS, Atkan S, Rota S, Ergen S, Evliyaoglu D. Skintags and atherosclerotic risk factors. J Dermatol 2005 ; 32 : 371 - 375.
Garcia-Hidalgo L, Orlozo TR, Gonzalez-Barranco J, Villa AR, Dalman JJ, Ortez-Pedroza G. Dermatoses in 156 obese adults. Obes Res 1999; 7: 299 -302.
Novak M. Coloured striae in adolescent children. J Pediatr 2004;145 : 645
J.C. Boza et al. Skin manifestations of obesity: a comparative studyJ Eur Acad Dermatol Venereol. 2012 Oct;26(10):1220-3.
Neumann HAM, Kockaert MA. The treatment of leg telangiectasia. J Dermatol 2003;2:73-81.
Garcia-Hidalgo L, Orlozo TR, Gonzalez-Barranco J, Villa AR, Dalman JJ, Ortez-Pedroza G. Dermatoses in 156 obese adults. Obes Res 1999; 7: 299 -302.
A. Plascencia Gómez et al. Skin Disorders in Overweight and Obese Patients and Their Relationship With Insulin Actas Dermosifiliogr. 2014;105:178---185.
Garcia-Hidalgo L. Dermatological complications of obesity. Am J Clin Dermatol 2002;3:497-506.
J. P. Cai, B. Harris,V. Falanga,W.H. Eaglstein, P.M.Mertz, and Y. H. Chin, “Recruitment of mononuclear cells into wounded skin: mechanism and modulation,” Progress in Clinical and Biological Research, vol. 365, pp. 243–256, 1991.
Tins BJ, Matthews C, Haddaway M, Cassar-Pullicino VN, et al. (2013) Adiposis dolorosa (Dercum’s disease): MRI and ultrasound appearances. Clin Radiol 68: 1047-1053.
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Copyright (c) 2020 Dr. Nausheen Syed, Dr. Supriya R. Vikhe Patil, Dr. Nilesh Rafaliya, Dr. Ramesh Gosavi
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